Early abortion- When can I have an abortion?
These Time Limits Must Be Observed
In order for a termination of pregnancy to be punishable, certain deadlines must be met in many country. According to the consultation model, no more than twelve weeks may have elapsed since fertilization of the egg. This corresponds to the 14th week of pregnancy.
Time Limits of abortion
This rule also applies if an offense is the cause of pregnancy (criminological indication). Please note: The medical abortion is only carried out by doctors in Europe until the end of the 9th week of pregnancy.
If there is a medical indication for an abortion, so if the health, psyche and life of the mother are endangered by the pregnancy, there are no deadlines that must be met. An abortion is still possible after the 14th week of pregnancy.
The medical abortion
Pregnancy can be stopped medically accompanied by medication. This is possible until the 63rd day after the beginning of the last menstrual period. A medical abortion lasts several days.
(Colloquially also “abortion”) is possible until the 63rd day after the first day of the last menstrual period. For this purpose, the active ingredient mifepristone (trade name of the preparation: Mifegyne) and another drug containing the active ingredient prostaglandin, used. Mifegyne is not available in pharmacies, but can only be obtained from doctors’ offices or clinics that are allowed to perform abortions.
Since not all gynecologists and gynecologists offer a medical abort, it is advisable to ask advice centers for addresses.
How does the medical abortion work?
The medical abortion usually proceeds in four steps:
1-Consultation and preliminary investigation
For the first appointment in the practice or clinic you bring along the counseling certificate, the insurance card and, if available, a blood group certificate. The doctor checks the pregnancy with an ultrasound examination and clarifies whether medically speaking something against taking the medication. You will then be informed about the exact course of the termination and possible side effects of the medication.
After examination and explanation, take the Mifegyne® tablet under medical supervision. Women with a rhesus negative blood type will also receive anti-D globulins to prevent the formation of antibodies in later pregnancy.
Then you can go home. Very rarely you may experience headaches or nausea, but usually you can go about your daily routine. Approximately half of the women begin to bleed after 24 hours, which is less than the normal menstrual period. In a small part (two to five percent) of women is already a strong bleeding and it comes to a halt. The scheduled second appointment with your doctor, but you should take in any case.
3-Application of prostaglandins
36 to 48 hours after taking Mifegyne, a second appointment is scheduled in the practice or clinic. Now take another drug that contains prostaglandins. Thereafter you stay under medical supervision for about three hours. Prostaglandins cause the lining of the womb and the embryo to be expelled due to bleeding. For side effects such as nausea, vomiting, diarrhea or pelvic pain you will receive appropriate medication. If you have more bleeding and your circulation is stable, you can go home. If no bleeding has occurred three hours after taking the prostaglandin, you will again receive prostaglandins. In some cases, bleeding will not occur until the next 24 hours.
When you leave the practice, you will receive information on how to behave in the next few days and a phone number that you can contact if you have any questions.
You can leave after the break write disabled. The reason for incapacity for work is not stated on the Employee Disability Certificate.
In more than 96 percent of cases, abortion with medication is successful. However, a follow-up of 10 to 14 days is essential to ensure that the pregnancy is complete. This is controlled by an ultrasound or blood test. If the pregnancy persists or there are still remains of pregnancy tissue in the uterine cavity, a new medication or surgery, that is a suction, may be necessary. If no complications such as fever or a very heavy bleeding occur, it is also possible – under medical supervision – to wait and see whether the body rejects the tissue that may still remain in the uterus.
Bleeding after drug withdrawal lasts for an average of 12 days, but can last up to 4 weeks, sometimes longer. They are often stronger in the first few hours than a normal menstrual period and then get less by the day, so that in the end they are only weak (“spotting”). During this time you should not swim, do not bathe and do not use tampons. You should also refrain from sexual intercourse.
Pay attention to interactions with other medicinal products
If other medicines are taken with Mifegyne®, possible interactions must be considered. If you are taking other medications, it is important to tell the doctor in advance.
When can mifepristone and prostaglandins not be used?
In certain cases mifepristone or prostaglandins should not be taken. This applies to:
chronic kidney failure
severe, untreated or untreatable asthma
known allergy to mifepristone, the prostaglandin or any other ingredient of the tablets
Bleeding disorder; current treatment with blood-thinning medications such as marcumar or heparin
lying spiral (must be removed beforehand)
Health status and mental aspects
When the drug is discontinued, neither surgery nor anesthesia is necessary. In addition, it can be done at a very early stage of pregnancy.
In contrast to the surgical abortion, the medical abortion lasts several days, and the woman experiences it more consciously in all phases. This immediate experience can facilitate women’s mental processing of abortion, for others this is more of an additional burden.
Abortion without complications has no effect on fertility and subsequent pregnancies.
Do not forget the contraception
With the demolition begins a new menstrual cycle, which is also the possibility of a new pregnancy. You can discuss with the doctor in the briefing before the demolition, which method of contraception is best for you.