Many women who go for abortions do so because their fetuses have fatal abnormality or because the pregnancy endangers their health. Abortion is a process to end an unwanted pregnancy so that the birth of the baby does not occur.

Abortion can be done in two ways- Medical abortion and Surgical Abortion. Surgical Abortion is done when the pregnancy is more than 49 days old or ectopic. But it is not a preferred choice of women; it is performed only when medical method to abort pregnancy fails.

Dilatation and Evacuation, Dilatation and Curettage- In this type of abortion a woman's cervical canal is enlarged with tools called dilators. When the canal is adequately enlarged the womb is cleared by suction, or by having its contents scraped out with an instrument called a curette.

Partial Birth Abortion or Intact Dilation and Extraction- The process involves the taking out of the body of the fetus into the vagina before the contents of the head are sucked out. It results in the death of the fetus that is removed from the female's body. Vacuum Aspiration Abortion-In this type of abortion a tube is gently inserted into the uterus through the cervix. The contents of the uterus are sucked out through this tube.

Medical abortion can be done using RU486 or Mifepristone Pill.

Mifepristone blocks the activity of progesterone hormone. This hormone is required for the attachment of the fertilized egg to the lining of the uterus. Therefore, Mifepristone causes detachment of the fetus from the uterus lining.

Medical abortion is done in the first 49 days of a pregnancy and when it is Intrauterine. The earlier an abortion is carried out, the safer it is for the woman. Medical abortion has high efficacy rate. A woman feels in control during the whole process, which makes it easy for them to go through it.

Many women prefer this method to end their pregnancy as it is more natural way to abort. It is also popular among women who want to avoid surgical intervention.  Medical abortion needs much less training or professional help as compared to surgical abortion. This method was developed in France in the 1980s. Since, then it has gained popularity due to its safe and effective action.

Visit your nearest medical clinic before undertaking abortion to know the type (ectopic or Intrauterine) and duration of pregnancy. The duration of pregnancy or gestation period is calculated from the last day of menstrual cycle.  

Take 3 tablets of Mifepristone (200mg each) as a single dose orally with a glass of water. Do not take these tablets with alcohol as it can potentiate its bad effects like dizziness and drowsiness.  After 48 hours, take an Ultrasonographic test to confirm if the process of abortion has been successfully completed or not.

If the abortion has not completed, then take two tablets of Misoprostol either via vaginal or oral route. After 48 hours, take an Ultrasonographic test to confirm if the process of abortion has been successfully completed or not.

In rare cases, surgical Intervention may be required.

Side effects: - Nausea, dizziness, fatigue, nausea, vomiting, vaginal Blood loss, painful cramps, pain and infection in the pelvic region, etc.

Safety measures:-

  • Remove IUD, if you are using any, before using RU486.
  • Do not use RU486, if you are sensitive to Mifepristone.
  • RU486 is not effective if the pregnancy is ectopic.
  • This pill does not act as a contraceptive; hence it will not prevent pregnancy.

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