The use of mifepristone in obstetrics and gynecology (medication abortion) issue of family planning in modern terms, against the background of a declining birth rate and negative growth population is of particular importance. At this stage, one of the main objectives of Obstetricians and Gynecologists is the preservation of women's reproductive health. Even in promoting contraception issue unplanned pregnancy is relevant to the modern woman. Alternative to surgical abortion is a medical abortion. Currently, medical science offers a variety of schemes the use of certain drugs to induce abortion without surgical intervention or facilitate their production and, consequently, reduce the risk of complications.
Our clinic uses the drug Mifepristone (Trade name "Mifegin"), which is a synthetic steroid for oral use, is an antagonist of progesterone and glucocorticoids. The drug is designed to termination of early pregnancy (up to 42 days of amenorrhea). 600 mg of mifepristone (three 200 mg tablets) taken orally once in the presence of a doctor, 1-1.5 hours after meals (light breakfast), drinking half a glass boiled water. The patient is under the supervision of medical staff within 2 hours after application. 36-48 hours after mifepristone patient should come to the hospital for an ultrasound konrolya and, if need to receive misoprostol (mirolyut). 10-14 days to re-conducted clinical examination and ultrasound monitoring, if necessary, determine the level of gonadotropin horionichekogo to confirm that miscarriage occurred. In the absence of the effect of the drug on day 14 (incomplete abortion or ongoing pregnancy) spend vakuumaspiratsiyu followed by histological examination aspirate.