The principle of drug-induced abortion is that of a spontaneous miscarriage with very heavy menstruation, caused by the taking of what is called the "abortion pill". In France, around 40% of abortions are medicated.
Your doctor will give you two types of medications to take 48 hours apart:
- The first drug is mifepristone ( RU486 ). By taking the place of progesterone, RU486 blocks the development of the embryo. It may be that at this stage you have small bleeding, but that does not necessarily mean that the pregnancy is stopped.
- 48 hours later, you will take a misoprostol tablet. This second tablet can be taken to you at your home, if the pregnancy is less than 7 SA. If she is at 8 or 9 weeks, he must be taken to the hospital, in the orthogenics center under medical supervision. Its action is to induce uterine contractions and thus eliminate the embryo and mucous membranes that were necessary for implantation. At this point, you will have bleeding like menstruation, sometimes a little more abundant.
Your doctor will also give you medicine so you do not have pain:
As it is likely that you have pains equivalent to those of menstruation, your doctor will have prescribed painkillers such as paracetamol or nonsteroidal anti-inflammatory drugs.
It is rare for you to use morphine derivatives, but if the pain is too strong and does not give way to pain medication, if your bleeding is too heavy, you vomit, you have a fever, call your doctor or the doctor. hospital that follows you.
Evacuation begins between 4 to 72 hours after taking your second medication and can last up to ten days or even until the next cycle.
For a drug-induced abortion, a short hospitalization is mandatory when taking the 2nd tablet, when the abortion is performed for 8 and 9 weeks.
Note: if you have an oral contraceptive to take, you must start the evening of taking the 2nd drug.
The inspection visit:
The abortion pill is a highly effective abortion method, but with a small percentage of failure.
That is why you will have a control visit 15 days later, to check, either by assay of beta-HCG (placental hormones), or by ultrasound, that the egg has been evacuated and that it remains nothing.
Otherwise, the IVG will be completed by aspiration to avoid any haemorrhagic risk. In this case, you will remain hospitalized for one night, and you will be stopped for a few days to rest.
The support is 100% by your health insurance fund as part of a flat rate:
- in city medicine (medical office, health center, planning and family education center): this flat rate is set at 191.74 euros in January 2016.
- in a health facility (hospital, clinic): this flat fee is set at 257.91 euros in January 2016.