Can I have a medical abortion at 39 days of pregnancy?

Medical abortion is not recommended during the 8th week of pregnancy and should be performed within 49 days of pregnancy. Because the fetal sac is relatively small, it can be discharged completely. If it exceeds 49 days, the relative changes in the growth of the gestational sac may lead to incomplete abortion and may cause a larger volume of the uterine cavity. It is also necessary to have a uterine cleaning after medical abortion, which will cause secondary pain. Therefore, before having a medical abortion, you need to do a B-ultrasound to check the growth and development of the gestational sac.

If the gestational sac is less than 2cm, medical abortion can be performed. When doing medical abortion, the fetal sac should be discharged within 4 hours after taking the medicine, and then the residual substances in the uterine cavity should be checked by B-ultrasound. If the content is relatively small, it can be promoted to be discharged by taking blood-activating and blood-stasis-removing drugs. If the content is relatively large, it can only be completely removed through medical abortion and uterine cleaning.

If an unmarried woman decides to terminate the pregnancy, the time should be calculated well. Generally, the gestational sac and the initial cardiac beat can be detected by ultrasound after 35 days. In other words, abortion should be considered only when ultrasound has ruled out ectopic pregnancy after 35 days. If you choose medical abortion within 49 days, when the gestational sac is between two and three centimeters, it is the best time to have it. The gestational sac should not be very big at 36 days, so it is recommended to wait a few more days, at least 45 days.

In addition, blood cell analysis, coagulation function analysis and electrocardiogram should be performed before abortion. Medical abortion can only be performed if there are no abnormalities in the results of these tests and the contraindications to medical abortion are eliminated. At present, the most common method of medical abortion is to take mifepristone and misoprostol tablets orally. Mifepristone is usually taken orally for 2 days, and misoprostol tablets are taken on the 3rd day. Generally, the pregnant tissue will be discharged after taking misoprostol tablets. If heavy vaginal bleeding occurs, surgery is required immediately.