Can medical abortion be completely effective at 40 days of pregnancy?

If you are pregnant forty days, you must have a medical abortion immediately. This is to avoid the pregnancy being too long and resulting in an incomplete abortion. Therefore, you should have a medical abortion about one or two weeks into the pregnancy. This will ensure a cleaner abortion and avoid any substance remaining in your uterus, causing inflammation, or even infertility in the future due to the medical abortion.

Termination of pregnancy by artificial or medical methods within 3 months of pregnancy is called early pregnancy termination, also known as artificial abortion. It is used as a remedy for unexpected pregnancy due to contraceptive failure. It is also used for those who need to terminate pregnancy due to illness or to prevent congenital malformations or genetic diseases. Artificial abortion can be divided into two methods: surgical abortion and medical abortion. Commonly used methods include vacuum aspiration abortion, forceps curettage abortion and medical abortion.

Indications

1) Healthy women aged 18-40 years who are diagnosed with normal intrauterine pregnancy (last menstrual amenorrhea ≤ 49 days) and voluntarily request to use medication to terminate pregnancy; 2) High-risk candidates for abortion, such as those with reproductive organ malformations (except rudimentary uterine horn), severe pelvic malformations, extremely tilted uterus, cervical dysplasia or tough uterus, scarred uterus, and multiple artificial abortions. (Note: Even if these patients choose medical abortion, they still have high-risk factors for medical abortion. The failure rate of medical abortion and the chance of post-abortion bleeding are higher than those of patients without high-risk factors); 3) Those who have concerns or fears about surgical abortion.

Contraindications

1) Contraindications of mifepristone: endocrine diseases such as adrenal glands, diabetes, thyroid glands, abnormal liver and kidney function, history of skin itching during pregnancy, blood diseases and vascular thrombosis, and tumors related to steroid hormones; 2) Contraindications of prostaglandins: cardiovascular diseases, such as mitral stenosis, hypertension, hypotension, glaucoma, gastrointestinal dysfunction, asthma, epilepsy, etc., or those who are allergic to prostaglandins; 3) Those with allergic constitutions and those with hyperemesis gravidarum; 4) Those with anemia and hemoglobin of 100g/L or below; 5) Those who are pregnant with an IUD; 6) Those with ectopic pregnancy or hydatidiform mole; 7) Those who smoke more than 10 cigarettes a day or are alcoholics; 8) Those who travel frequently, come to Beijing from other places, live far away from medical institutions, and cannot seek medical treatment and follow-up in time; 9) Those with genital tract inflammation, such as vaginitis, acute suppurative cervicitis or subacute cervicitis, acute and chronic pelvic inflammatory disease, sexually transmitted diseases, etc., who have not been treated.

Pre-medication treatment

1) The doctor should explain the medication method, efficacy and possible side effects to the recipient, and the recipient can make a voluntary choice; 2) Physical examination and testing are the same as vacuum aspiration; 3) The pros and cons of medical abortion should be explained to pregnant women, and they can make a natural choice.