Abortion is a deeply personal decision. Save for a few countries, there is an ongoing debate on the legality of abortion. Whatever your opinion, one fact is clear; every woman who needs to end her pregnancy should be able to do so safely. So you just found out you are pregnant, what next?
In-clinic abortions are illegal in most countries. As a result, women who have an unplanned pregnancy need other safe medical options preferably those that can be done at home or out-patient. Even in countries where in-clinic abortion is legal, some women still prefer medically induced termination.
When is it safe?
If you choose to have a medically-induced miscarriage, do so within the first 65 days or 8 weeks of pregnancy. Count your days from day-1 of the last period. A young pregnancy consists of cell tissue and products of conception. Cell tissue is basically rapidly multiplying cells. You will be safer to induce abortion during this period because implantation has not occurred. Fetus and placenta form after 8 weeks.
Safe Medication to induce abortion
You will come across several approved pharmaceutical products to induce abortion. These medications work in two stages. First by stopping the growth of the embryo and later by prodding the uterus to remove the products of conception. You might need to pair some of the drugs to improve your chances of success. While all of the drugs work well as an abortifacient, some of them are not labeled for that use. Let us have a look at the best miscarriage-inducing medicines.
Mifepristone is an anti-progesterone hormone commonly called RU 486. Progesterone is a hormone that supports a healthy pregnancy. Mifepristone blocks the production of progesterone. When your progesterone levels are low, the body breaks down uterine functions. Taking Mifepristone will prevent your pregnancy from growing. Mifepristone is usually used together with Misoprostol.
Misoprostol is a prostaglandin hormone. Prostaglandin is produced naturally in our bodies. When you ingest Misoprostol, it causes contractions of the uterus. These contractions lead to the eventual end of the pregnancy. You should take Misoprostol together with Mifepristone to increase chances of a complete abortion. It can be administered orally or vaginally. Efficiency is increased when it is used vaginally.
Methotrexate is actually a cancer drug. it is an anti-metabolite. An anti-metabolite is a substance that hinders growth. In cancer patients, it slows down the spread of cancer cells by inhibiting their multiplication. When you take Methotrexate during pregnancy, it interferes with folic acid. Folic Acid is important for fetal cell division. Methotrexate also blocks the production of thymidine, an integral element for DNA synthesis. Take Methotrexate in conjunction with Misoprostol to raise your chances of success to 90-97%.
Dinoprostone is a prostaglandin as well. It is used to induce labor in overdue pregnancies. It comes in vaginal suppository (Prostin E2), Vaginal Gel (Prepidil), and a Vaginal removable insert (Cervidil). Dinoprostone works by softening, thinning and dilating the cervical opening ready to deliver. You can use Dinoprostone to terminate pregnancies of 12-20 weeks. Vaginal suppository (Prostin E2) has a higher Dinoprostone concentration. Other than inducing labor and abortion, Dinoprostone is used to treat nonmetastatic gestational trophoblastic disease or benign hydatidiform moles.
This drug is a prostaglandin. Prostaglandin is a naturally occurring hormone in our bodies. It affects functions like muscle control and blood pressure. Carboprost is normally prescribed to reduce bleeding during childbirth. If you slightly adjust the dose, it can trigger a spontaneous miscarriage for a gestation of 12-20 weeks. It causes contraction of the uterus and eventual abortion.
If you have pre-existing pelvic inflammatory diseases, breathing disorders, and kidney, liver, or heart disease should not use Carboprost. It is administered as a muscle injection.
According to fogut inducing a miscarriage at home is dangerous. It is advisable that you seek medical advice on your choice of medication before administering it to make sure it is safe.