Patient's question:
Detailed medical condition and consultation purpose: I am currently 46 days pregnant and still undergoing inflammation treatment. Which method of abortion is the best to choose? What are the advantages and disadvantages of induced abortion and medication abortion?Doctor's answer:
Hello: The indications and contraindications for induced abortion are as follows:(1) Failure of contraception, with a request to terminate pregnancy without contraindications.
(2) Due to various diseases that make continuing pregnancy undesirable.
2. Contraindications
(1) Various acute or chronic systemic diseases, or severe damage to the heart, liver, or kidney function, such as heart failure, hypertension, etc.
(2) Acute or chronic reproductive system inflammation, such as candidal vaginitis, severe cervical erosion, etc.
(3) Hyperemesis gravidarum with uncorrected acidosis.
(4) Preoperative body temperature >38°C.
(5) Sexual intercourse within the past 3 days.
Indications and Contraindications for Medical Abortion
Indications
Women with a menstrual delay of 49–56 days, confirmed as early pregnancy, aged under 40, and voluntarily requesting pregnancy termination.
High-risk pregnancies that are not suitable for surgical abortion, such as postpartum, recent cesarean delivery, recent induced abortion, multiple consecutive induced abortions, abnormal uterine position, genital tract malformations, a history of uterine perforation, or pelvic spinal and limb deformities that prevent the use of lithotomy position.
Women with a fear of surgical abortion.
Contraindications
Mifepristone drug contraindications: endocrine diseases (e.g., adrenal diseases, diabetes, thyroid diseases, etc.), abnormal liver or kidney function, benign or malignant tumors of various organs, blood diseases or thrombotic diseases, hypertension, etc. Patients with heart, liver, or kidney diseases, as well as those with adrenal insufficiency.