Medicine and Medical Sciences

A comparative analysis of medicated abortion (Mifepristone and Misoprostol) in outpatient and inpatient conditions during the drugs for abortion trimester of pregnancy was performed: in terms of effectiveness, early and late complications. More and more women around the world are choosing a medical abortion. Medical abortion is safe and effective and has been used around the world for decades. The method is associated with less costs, without detachment from the work environment and does not aggravate the costs of hospital stay and treatment. Abortion pills - Mifepristone and Misoprostol are approved by the U.S. Food and Drug Administration for terminating a pregnancy up to 10 weeks, but in some countries they are also used later without the need for a doctor's visit. A systematic review of publications on the topic in the scientific database. Many countries restrict access to abortion, including the pill. This means that how you access this care may depend on where you live. induced Many countries restrict access to abortion, including the pill. This means that the way access to this care can depend on where a woman lives, so she needs an urgent procedure. There are few studies of medicated abortion at home, because either Prima is not documented or is not made available to a medical person. Most of the data are from medical practices and centers where patients are prescribed medicines for home use. Medical abortion in outpatient and inpatient conditions is of high efficiency and safety. Overall, the rates of complete abortions are 95-98.0%, and the incidence of serious complications is less than 1.0%. By gestational age: completed abortion - in 57-63 days (8-9 gw.)- average 95.0%; for 64-70 days (9-10 gw,  average 93.0%. The number of continued pregnancies also does not differ significantly (for 57-63 days – an average of 3.0%; for 64-70 days – an average of 3.0%). Both methods have a high acceptability-an average of 88.0%. Through telemedicine, the time to receive the service is shorter by approximately 4.0 days. From 5.0% to 15.0% of women self-identify their gestational age incorrectly! Lower education, younger age, and pregnancy after 20 weeks are significantly associated with a preference for face-to-face communication and medicated abortion in stationary conditions. Medical abortion is considered very safe. It is estimated that only 2% of these abortions lead to complications, and most of them are minor. Self-induced abortions with pills available through telemedicine were not associated with higher risks of complications compared to pills prescribed by a doctor. Abortion with tablets avoids anesthesia and surgery (curettage), as well as the associated risks. The procedure has a high success rate – about 96%.

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