Medication Abortion

With each pregnancy termination prior information, discussions and preliminary investigations are necessary. Women who have chosen abortion pill, for example, must initially to seek professional help. At the first appointment at the clinic or doctor’s office, the gestational age is determined by ultrasound. If the amniotic sac is not visible on ultrasound, the pregnancy hormone HCG determined with a blood test.

At the second appointment in the clinic or practice, take a Mifegyne (600 mg mifepristone) and then allowed to go home. However, they should not be too far away from the treatment centre. In about three percent of all cases, the fruit is expelled before taking the next step follows from prostaglandins.

After 36 to 48 hours, the third date, you get to the clinic or doctor’s office as prostaglandin tablets. Now stay three to six hours under medical observation. You can move or lie down in bed. At approximately seventy percent of women, it takes three to four hours until they have repelled the fruit.

Some women need to take more tablets prostaglandin. Only about twenty percent of all women no miscarriage occurred after six hours. You can still go home, because usually the fruit goes down within the next 24 hours. After 10 to 14 days, you need to follow-up. The doctor checks whether the embryo was completely repelled.
What speaks against a medical abortion?

Before an abortion, the woman doctor assesses the risks to the woman. To abort Mifegyne plus prostaglandin should not be performed if:

Women with chronic adrenal insufficiency or inadequately treated asthma suffer.

• The gynaecologist ectopic pregnancy (abdominal cavity, fallopian tubes) notes.
• The prostaglandins used must not be taken, because of other medical treatment.
• An intolerance to one of the products is.
• The woman is breastfeeding.
• The woman a spiral in the uterus carries (risk of injury).
• The pregnancy is already over 63 days (counting from the first day of the last period)

The medical abortion with Mifegyne

What could be a problem?

• Chronic diseases such as type 1 diabetes, asthma, kidney or liver disease.
• Heavy smokers (more than ten cigarettes per day) who are older than 35th
• Malnutrition.
• An existing anemia and a disrupted blood clotting.
• Previous administration of acetylsalicylic acid for up to seven days prior to treatment.
• After long-term treatment with cortisone

What the women feel

An abortion for most women anyway a psychologically stressful situation. Abortion with Mifegyne see many women as gentle method that makes them independent of the doctors and granting them more autonomy and responsibility. However, this is the reason why Mifegyne is not the best method for all women.

It is therefore important to choose the right method. The advantage of a medical termination of pregnancy is that it can be made very early, at a time when the suction method is not out of the question. It is usually applied between the eighth and tenth week of pregnancy.

Side effects of Mifegyne – the most common side effects

On average, it takes eight to ten days and with a stronger menstrual comparable. Overall, women do not lose more blood than with a curette (curettage). In some cases, excessive bleeding occur, so that the doctor performs a curettage to stop the bleeding. Therefore, the drug method may only be used in doctors’ offices and clinics that are equipped with the appropriate technology.

Curettage

In a few cases Mifegyne and prostaglandin not work or insufficient. Here, a curettage is necessary.

In 10 to 45 percent of all women, occur in the hours after ingestion of prostaglandin uterine contractions or cramps. The pain is with lighter or stronger pain usually comparable. Some women have no pain at all.

Nausea, vomiting and diarrhea occur in about half of the women.

Mifegyne (RU 486) + prostaglandins

The abortion pill Mifegyne is considered as an alternative to surgical procedures. The drug mifepristone causes the egg snugly at the uterus is repelled. Since July 2008, the medical abortion is allowed up to the ninth week of pregnancy (63 days after the beginning of the last menstrual period). The pill should be used only under strict medical supervision in approved hospitals or doctors’ offices.

In addition to the Abbey Bung pill, prostaglandins are used. This must be taken 36 to 48 hours later under medical supervision. Prostaglandins yield all the labour. Loosen with a high probability of miscarriage, by causing the uterus to contract.

Methods of abortion

The most common method was the vacuum aspiration abortion (vacuum aspiration) with 73 percent in 2009. 15,500 abortions were with the drug mifepristone (Mifegyne) made (14 percent). In the previous year, they reached a share of 12 percent.

79 percent of all abortions were performed in an outpatient gynaecological surgery. Six percent of the women had the abortion at an institution outside of the state in which they reside, to make.

Suction / curettage

The cervix is performed under local anaesthesia or general anaesthesia stretched carefully. The physician pushes a thin tube into the uterus, which is connected to a suction pump. In many cases, subsequently followed by a curettage of the uterus (curettage to remove all debris). The procedure takes only a few minutes. Subsequently, a medium is injected, the uterus contracts again and the quench circulation prevents infections. Most women can go back home after an hour.

Some advices

The advice here is to help the woman to make a responsible and conscientious decision. It aims to support and assist, not lecture or patronize.

The advice is to raise awareness of the woman that the unborn child at any stage of pregnancy has its own right to life. It serves to protect unborn life and to encourage the woman to continue the pregnancy, identification of perspectives for a life with the child and call the right to life of the unborn child in mind. An abortion can occur only in exceptional cases considered. In counselling should be informed of financial and social support, which allow the continuation of the pregnancy. It also talked about the impact of the child’s birth or abortion on the woman’s life / of the partner or the partnership. Finally, it is also on the reasons why the woman / the couple is considering an abortion or has already decided to do so.

In a medical and criminological indication, the duty to provide advice for women is eliminated. Of course, the counselling centres but free counselling and support to offer in these cases.

Note

For pregnancy, counselling centres there are no regional responsibilities. You are in the choice of your counselling centre that is completely free. The consultation is always free.

Abortion online counselling

Counselling certificate

Following the call / calls, you will receive a confirmation request. This counselling certificate is a prerequisite for a penalty and abortion after counselling regulation. In the certificate, only the name of the woman is advised entered and the date on which the consultation has ended. Discussion topics will naturally not be held here.

Exhibition to the counselling certificate your details are needed (bring your identity card / passport). You canbe secondary to the consultant / advisor anonymous.

Consult the terminating physician

An abortion must be performed by a physician and with the consent of the woman. The doctor will be verified before the termination of the period of pregnancy and will give the woman the opportunity to explain their reasons for the cancellation. In addition, he will discuss the medical significance of the intervention, particularly on expiration, consequences, and risks, possible physical and psychological effects.

Costs

Pregnancy terminations after the counselling regulation, the cost of the intervention and post-treatment with no complications are generally not covered by the compulsory health insurance. The cost of such a measure in principle be borne by the women themselves. The consultation and any follow-up meetings are always free.Only in case of need (women in difficult economic situation, when the disposable income of the pregnant women under a certain limit), the costs be taken of abortion after pregnancy conflict law. The insurance companies provide the benefits on request.

The costs incurred will be reimbursed by the states. If no insurance is provided by a statutory health insurance, women who live in Germany and the income limit below can submit an application to any public health insurance to their homes.

Pregnancy terminations with indication (medical / criminology) are for women in public health insurance are insured, the costs borne by the solidarity of the statutory health insurance, i.e. covered by the compulsory health insurance no income
verification.

The aid shall bear all costs. Private insurance carriers have different rules.

There is a guarantee of payment of the statutory health insurance for all preliminary investigations and discussions before termination of pregnancy as well as when medical complications and therefore necessary treatments regardless of whether the abortion is done after the counselling regulation or due to indication.