What are the harms of medication abortion for women?

Patient's question:

What are the harms of medication abortion to women?

Doctor's answer:

Medication abortion is suitable for women within 49 days of their last menstrual period. The incomplete abortion and abortion failure rates for domestic mifepristone are approximately 10%. The side effects of medication abortion include nausea, vomiting, dizziness, and fatigue, similar to early pregnancy symptoms. There is a significant increase in lower abdominal pain. The bleeding after medication abortion can last for a long time, averaging about half a month, with some cases lasting 1-2 months, and there is a risk of potential heavy bleeding. During medication abortion, some pregnant women have a menstrual delay within 40 days, making it difficult for clinicians to confirm whether the pregnancy is ectopic or intrauterine. Therefore, misdiagnosis sometimes occurs, leading to medication abortion, which may result in internal bleeding shock requiring rescue.

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