寻求堕胎的人有两种主要选择. 哪一个最适合你取决于你的需求和偏好.
人工流产与药物流产
选择抽吸流产的原因
- 可能需要更少的办公室访问.
- 只需要很短的时间(5到10分钟).
- Has a lower risk of an incomplete result compared with medication.
- 人们通常不会在家里大出血.
选择药物流产的原因
- 能在怀孕最初几周使用吗.
- 不需要亲自操作或麻醉.
- 可能提供更多隐私.
- 也许能提供更强的控制感.
- 可能感觉比渴望更自然.
有时它可以在不去诊所的情况下完成. (UCSF requires an initial evaluation that can be completed remotely, along with visiting the clinic in-person to sign forms and obtain the medications.)
药物流产可以通过邮寄方式收到. 加州有四家服务提供商 嘿,简, 挑选, 《十大赌博平台排行榜》, 妇女健康专家. 非营利组织 C计划 has a search tool to help you find other abortion pill services.
早期妊娠流产的方法比较
抽吸流产 | 药物流产 | |
---|---|---|
这是什么?? | 十大赌博平台排行榜用吸尘器清理你的子宫. | A combination of medications ends the pregnancy and causes the lining of your uterus to shed. |
它是如何工作的?? | 在诊所里,十大赌博平台排行榜将一个窥镜放入你的阴道. The doctor then numbs your cervix (the outer end of the uterus) and gradually dilates (widens) your cervix to place a tube into your uterus. Then an electric machine or handheld syringe is connected to the tube to apply suction, 哪个排空你的子宫. | 你首先要吞下一种停止怀孕的药物. 一到三天后, you take another medication (either by dissolving it inside your cheeks or by inserting it into your vagina) that causes your uterus to have contractions. 你会感到抽筋和出血. |
效果如何?? | 抽吸流产成功率为98%. About 2% of people need a repeat procedure or additional intervention. If the procedure is conducted before your pregnancy is visible on ultrasound, 你可能需要验血来确认是否成功. |
药物流产成功率在95%到97%之间. About 3 to 5% of patients need an additional aspiration procedure due to ongoing pregnancy, 出血时间过长或过多, 或偏好. 有几种方法可以确认流产是否成功, 包括你的症状, 家用验孕棒, 血液检查或者重复超声波检查. |
我怀孕到什么时候了? | The range is from as soon as you know you’re pregnant (usually about four weeks) to 14 weeks since the first day of your last menstrual cycle. | The range is as soon as you know you’re pregnant (usually about four weeks) to 10 or 11 weeks since the first day of your last menstrual period. |
需要去多少诊所? | Usually just one visit is needed for health education, a physical exam and the procedure itself. 如果您需要后续护理,您可以回到诊所. | 0到2次访问. Initial evaluation can be done in person at the clinic or remotely by video. |
每次预约多长时间? | If you are between four and 10 weeks pregnant, the appointment takes approximately three hours. Later-stage abortions usually require longer or multiple visits. | 第一次评估和讨论持续了大约一个小时. |
疼吗?? | Most people experience cramping during or after the short procedure. | 大多数人会经历一到四个小时的剧烈痉挛. 有些人还会感到恶心或其他副作用. |
我将得到什么样的疼痛控制? | In the clinic, the doctor applies numbing medication (local anesthetic) to your cervix and uterus. We recommend ibuprofen (Advil) and acetaminophen (Tylenol) for everyone who can take them safely. Most people also take an oral medication, such as lorazepam (Ativan), for anxiety. 如果手术是在手术室进行的, patients can have IV sedation so that they sleep during the procedure. | Most people are satisfied with over-the-counter pain medications, 如布洛芬(Advil)或对乙酰氨基酚(泰诺). We can prescribe a small number of narcotic pills (oxycodone), if requested. |
我会流多少血? | You will likely have light bleeding at home after the procedure for two to three weeks. | You will likely bleed heavily for several hours after taking the second pill. 接下来的两到三周, you may also have blood flow similar to an average day of your period. |
我可以带一个支持人员吗? | 是的. 一个朋友, partner or family member may accompany you during health education and the procedure itself. If it takes place in the OR, your support person can be with you only beforehand. | 是的. 一个朋友, partner or family member may accompany you during your visit. You should have someone with you at home on the day you take the second medication. |
我需要有人陪着吗? | 如果你选择服用抗焦虑药物或麻醉剂, 或者你的手术是在手术室进行的, 你需要有人送你回家. | 在你吃药的时候, we recommend you have someone with you and access to a telephone, 如果你有任何问题或紧急情况. |
比较风险和副作用
早期流产比继续妊娠安全得多. Your doctor will explain potential risks and side effects during your appointment. You will be able to express your concerns and ask questions before consenting to the procedure or receiving the medication.
抽吸流产 | 药物流产 | |
---|---|---|
有受伤的危险吗? | When the medical instruments and suction are placed in your vagina and uterus, there is a very low risk of cervical injury or uterine perforation. 这可能需要进一步的护理或手术. | Unless you require an additional procedure, there is no risk of injury with a medication abortion. |
有感染的风险吗? | 人工流产后感染的可能性很小. You will be given antibiotics, which reduce the infection risk from low to very low. | 药物流产后感染的几率很低. We usually don’t recommend prophylactic (preventive) antibiotics. |
如果在手术过程中感到疼痛,我该怎么办? | 让我们知道. A member of our staff will be with you during the entire procedure and will monitor you during recovery. 十大赌博平台排行榜和其他工作人员会处理你的副作用, 比如疼痛, 抽筋或出血, 当它们发生时. | Since you’ll be taking the pills at home, you’ll be largely responsible for your own care. We’ll give you written instructions on managing pain and other side effects, 还有电话号码,如果你有问题可以打给我. |
我将来还能生孩子吗? | There is no evidence that aspiration abortion affects a person’s ability to have a baby in the future. | There is no evidence that medication abortion affects a person’s ability to have a baby in the future. |
For more information on abortion safety, see this handout from the UCSF Advancing New Standards in Reproductive Health (ANSIRH) Program 或者这本书 美国国家科学院、工程院和医学院.
加州大学旧金山分校健康医学专家已经审查了这些信息. It is for educational purposes only and is not intended to replace the advice of your doctor or other health care provider. We encourage you to discuss any questions or concerns you may have with your provider.