How much does an abortion cost in Beijing? Some mechanisms and problems of medical abortion

Nowadays, many couples get pregnant accidentally because they do not take safety measures during sex and miss the best time to take oral contraceptives. However, what should they do if they are not ready to welcome the baby? Most people will choose to have an abortion, but how much does it usually cost? How should you choose an abortion hospital? Let's take a look below.

Abortions are usually done between 35 and 65 days, preferably within 70 days. The cost in a regular public hospital is usually between 900 and 3,000 yuan. It is normal to have bleeding or no bleeding after the operation. This depends on the individual. Of course, if there is no bleeding, it means the operation was successful. The success rate of abortions in regular hospitals is 99%. You should rest for at least 2 days after the operation, avoid catching a cold, and eat something nutritious.

Medical abortion

The advantages of medical abortion are that the method is simple, no uterine surgery is required, and it is non-traumatic. Since the 1990s, medical abortion drugs have been continuously improved and are relatively mature. The commonly used method is mifepristone and prostaglandin, and the complete abortion rate is over 90%.

Mechanism of action

Mifepristone was originally developed by the French company Roussel-Rclaf in the early 1980s under the name of Ru486, and has long been produced and used in China. Mifepristone has an anti-progesterone effect, and its affinity for the progesterone receptors in the endometrium is significantly higher than that for the progesterone receptors. It can compete with the progesterone receptors bound to the decidua, block the activity of endogenous progesterone, and interfere with pregnancy. Due to the necrosis of the decidua during pregnancy, endogenous prostaglandins are released, which promote uterine contraction, soften and open the cervix, and discharge fetal cystic fluid.

The commonly used prostaglandins in my country are misoprostol and carboprostol suppositories. The commonly used prostaglandins abroad are jimeiprostol and sulfaprostol.

Different regions have slightly different regulations on the gestational age for medical abortion. For example, in Beijing, pregnant women aged 49 days can have medical abortion in outpatient clinics, while patients aged 10 to 16 weeks of gestation have a higher risk of falsification and bleeding, and have begun to induce labor and mifepristone combined with prostaglandins, but need hospitalization.

sign

Healthy women, aged 18-40 years, diagnosed with normal intrauterine pregnancy (latest amenorrhea ≤ 49 days), voluntarily requesting the use of medical termination of pregnancy for high-risk abortion targets, such as reproductive organ malformations (except rudimentary uterine horn), severe pelvic deformity, extreme uterine tilt, cervical dysplasia or stubborn uterus, scarred uterus, multiple artificial abortions, etc. (Note: These patients have high risk factors for medical abortion, and even if they choose medical abortion, the failure rate and post-abortion bleeding rate are higher than those without risk factors who have concerns or fears about surgical abortion.

Taboo

Mifepristone contraindications: adrenal gland, diabetes, thyroid and other endocrine disorders, liver and kidney dysfunction, history of pruritus during pregnancy, blood disease and vascular embolism, steroid hormone-related tumors Prostaglandin contraindications: mitral stenosis, hypertension, hypotension, glaucoma, gastrointestinal dysfunction, asthma, epilepsy, prostaglandin allergy and other cardiovascular diseases Hyperemesis gravidarum, hyperemesis gravidarum

Anemia, hemoglobin below 100g/L

Instrumental pregnancy

Ectopic pregnancy or molar pregnancy

Smoking more than 10 cigarettes a day or drinking alcohol

Inflammation of the reproductive tract, such as vaginitis, acute suppurative cervicitis or subacute cervicitis, acute and chronic pelvic inflammatory disease, and sexually transmitted diseases, are not treated.

treat

Doctors should clearly explain to patients the method of taking medication, its efficacy and possible side effects, and patients should choose medication, physical examination and negative pressure suction examination on their own.

Through natural selection, explain the pros and cons of medical abortion for pregnant women.

Observe after medication

After taking mifepristone, you should pay attention to the time and amount of vaginal bleeding. If there is a lot of bleeding or tissue secretions, you should be sent to the hospital in time. After using prostaglandins, you should stay in the hospital for observation, including blood pressure, pulse, diarrhea, abdominal pain, bleeding, fetal sac expulsion and adverse reactions. Some side effects are more obvious and can be treated symptomatically in time. And make detailed records. After expelling the fetal sac, the medical staff carefully checked the excretion (most of the bleeding is very clear at any time), and after 1 hour of observation from the hospital, measured the blood pressure and pulse before leaving the hospital, recorded, and recommended follow-up dates and precautions (2 weeks, 6 weeks after abortion. The fetal sac that has not been discharged from the hospital should be discharged within 6 hours, and an appointment should be made for a re-examination of B-ultrasound and follow-up within 1 week. If the abortion fails, the 15th day of negative pressure suction abortion medication: All patients need to return to the clinic after 2 weeks of medication. If the amount of bleeding is greater than the amount of menstruation, you should go to the original drug hospital for examination. After B-ultrasound examination and HCG examination, the diagnosis is incomplete

How to choose an abortion hospital?

Excellent service level: Since abortion surgery is a very cautious medical technology, the hospital's service level must also be considered. The good service attitude and level of medical staff can relieve the huge psychological pressure that is already borne, making the entire abortion treatment process smooth.

Have a good reputation: Gold and silver cups are not as good as the reputation of the people. Look at the effects and recommendations of friends around you for treating abortion. Usually, general hospitals have websites, and the hospital websites will have some messages from customers. Online expert consultation, professional guidance based on your specific situation and price consultation. It is better to go to the hospital to see that there are usually records, before and after comparisons, and if necessary, you can communicate with real people to understand.

Cutting-edge medical equipment effectively identifies the cause of the disease: A hospital with good abortion technology has strong technical strength and advanced equipment. A series of internationally leading high-precision, high-intelligence professional full sets of equipment have been introduced to solve the shortcomings of traditional methods of abortion diagnosis and treatment. With a series of cutting-edge medical technologies, it always stands at the forefront of medical technology.