Therapeutic medical abortion; Elective medical abortion; Induced abortion; Nonsurgical abortion
The decision to end a pregnancy is very personal. Most health care providers recommend careful counseling before making such a decision.
Abortion is a controversial issue. A woman who chooses to end a pregnancy may feel she cannot share her decision with others. Therefore, it is important for her to identify those who may help her through what may be a difficult time.
Women who are trying to make this difficult decision should find a safe place in which they can obtain counseling regarding all options for pregnancy resolution.
If a woman chooses to have an abortion, she should find a safe place to have the procedure performed and obtain the proper support and follow-up care afterwards.
Test done before this procedure:
Physical recovery usually occurs within a few days, depending on the stage of the pregnancy. A small amount of vaginal bleeding and mild uterine cramping should be expected for a few days.
A hot bath or use of a heating pad or hot water bottle on the abdomen may help relieve discomfort. Strenuous activity should be avoided for a few days. Sexual intercourse should be avoided for 2 to 3 weeks. A normal menstrual period should occur in about 4 to 6 weeks.
It's important to begin using birth control immediately after the abortion procedure. It is possible to get pregnant again even before having a normal menstrual period. Improved methods of contraception can help prevent many unplanned pregnancies. However, unplanned pregnancies occur even when couples use birth control.
Complications rarely occur.
Women who have a medical abortion have cramping and bleeding, and pass the pregnancy-related tissue as though they were having a miscarriage.
Some women feel ambivalent about ending a pregnancy, and may need psychological and emotional support. It may be helpful to seek counseling before making this very difficult decision.
ACOG. Clinical management guidelines of obstetrician-gynecologists. Medical management of abortion. Obstet Gynecol. 2005 Oct;106(4):871-82.
Mischell DR. Family planning: contraception, sterilization, and pregnancy termination. In: Katz VL, Lentz GM, Lobo RA, Gershenson DM, eds. Comprehensive Gynecology. 5th ed. Philadelphia, Pa: Mosby Elsevier; 2007:chap 14.
Simpson JL, Jauniaux ERM. Pregnancy loss. In: Gabbe SG, Niebyl JR, Simpson JL, eds. Obstetrics: Normal and Problem Pregnancies. 5th ed. Philadelphia, Pa: Elsevier Churchill Livingstone; 2007:chap 24.
Annas GJ, Elias S. Legal and ethical issues in obstetric practice. In: Gabbe SG, Niebyl JR, Simpson JL, eds. Obstetrics: Normal and Problem Pregnancies. 5th ed. Philadelphia, Pa: Elsevier Churchill Livingstone; 2007:chap 51.
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