药物流产

加州大学旧金山分校健康 supports medication abortion from the time a person confirms pregnancy up until 11 weeks from the last menstrual period. Although this method is FDA-approved to 10 weeks, studies show safety and efficacy through 11 weeks.

药物流产 is about 95 percent to 98 percent effective, causing the pregnancy to completely pass without the use of instruments. 相比之下, 愿望堕胎 99%的时候有效吗.

流产药物

处方的药物流产药 加州大学旧金山分校怀孕选择中心 米非司酮后是米索前列醇吗.

米非司酮, 也被称为“米非司明”或“RU-486”," blocks the action of the natural hormone progesterone on the uterus. This makes the uterus sensitive to misoprostol, the second medication. Misoprostol causes the uterus to contract and leads to bleeding and cramping.

药物流产是如何进行的

药物流产需要进行初步评估, 服用处方药物, 以及堕胎成功的确认.

The first evaluation usually involves a clinic visit and ultrasound, 不过对符合某些标准的人来说, 如果病人愿意，可以通过远程医疗来进行这种检查.

初步评估

临床药物流产. 来办公室进行检查和咨询. You will be given and instructed to take 200 milligrams, or 1 tablet, of mifepristone. This is usually taken in the clinic, but can be taken later to optimize timing for you.

无检测(远程医疗)药物流产. This option is available for people who have: (1) no risk factors for ectopic (or "tubal") pregnancy, (2)无异位妊娠症状, (3)定期, (4)已知的最后月经日, (5)近期未使用激素避孕. All of these must apply to you to skip the clinic evaluation. You will have a video visit with clinic staff to confirm information, 然后是与临床十大赌博平台排行榜的视频访问. You can get the pills by driving by the clinic to pick them up or by paying for a service to mail them to you.

服用药物

服用米非司酮后一两天, 你要放四片, 或800微克, 米索前列醇在你的脸颊或阴道. 你会得到如何做这件事的指示.

如果你怀孕9周以上, three hours later you will use another four misoprostol tablets.

后续护理

To confirm that the abortion was successful, you can get evaluated in one of three ways:

• 对于初次做超声检查的人来说, a follow-up ultrasound can be done in the clinic 6 to 14 days later.
• A blood test can be done the day you take mifepristone and repeated several days later to confirm passage of the pregnancy.
• A phone call or telemedicine visit can confirm appropriate symptoms and if there is no concern, you do a urine pregnancy test 4 to 5 weeks after passing the pregnancy.

药物流产vs. 紧急避孕法

药物流产 is not the same as 紧急避孕法, 也被称为“事后避孕药”或“EC”.“紧急避孕可以防止怀孕. Therefore, after you are pregnant, EC is no longer effective. 药物流产, on the other hand, is used to end a pregnancy.

药物流产vs. 流产的治疗

The same medications for abortion can be used to treat miscarriage, with minor differences.

流产期间, 尽管怀孕已经结束了, the pregnancy material can sometimes remain in the patient’s body and pose a risk to the patient's health. 当这种情况发生时，这些药物可以帮助排出它.

安全性及副作用

米非司酮已经被研究了超过25年. Millions of pregnant people all over the world have used mifepristone and misoprostol or similar medications to have an abortion. 米非司酮 is on the World Health Organization's list of "Essential Medications." All studies have shown the method to be safe and effective; there have been no reports of any long-term risks. Heavy bleeding requiring blood transfusion is extremely rare, occurring in less than 0.5%的患者.

药物流产的短期副作用包括:

• 强烈的痉挛
• 出血
• 恶心和呕吐
• 发烧和发冷

There is no evidence of long-term risks with mifepristone when used for medical abortion and no long-term effects have been associated with misoprostol.

There are no indications that any of the early abortion methods affect future fertility.

In the rare event that the medications don't work and you choose to continue the pregnancy, there would be a risk of birth defects from exposure to misoprostol. Little is known about the effect of mifepristone on a developing embryo.

费用及保险

药物流产的费用因诊所而异. Some providers charge similar rates for medication and 愿望堕胎s. Many insurance companies, including Medi-Cal, will cover the cost of a medication abortion. The California Abortion Accessibility Act requires that all California-licensed insurance health plans cover care to end a pregnancy (miscarriage and abortion) without cost-sharing (no copays or deductibles).

The 加州大学旧金山分校怀孕选择中心 offers a self-payment option for both medication and 愿望堕胎 for people without insurance who do not qualify for Pregnancy-services Medi-Cal (up to 213% of the federal poverty level).