Synthetically obtained medication "Oxytocin"( "Oxytocin") is an analogue of the same human hormone produced by the hypothalamus. With intravenous administration, the drug causes an intensive contraction of the smooth muscles of the uterus, which makes it possible to widely use "Oxytocin" to interrupt pregnancy( medical abortion).Currently, pharmacies can buy complete pharmacological analogues of the drug, marketed under the trade names "Syntocinone"( "Sandoz", Switzerland) and "Pituapartin"( "Gedeon Richter", Hungary).In this case, which drug to choose, in what concentration and dosage is decided by the doctor.
Usage of
Usually, "Oxytocin" for abortion is applied for up to 12-14 weeks. This is due to the physiological features of fetal development - a fertilized egg does not have a strong attachment to the wall of the uterine cavity, and its intensive reduction leads to abortion. According to its physiological effect, this procedure is analogous to artificially simulated genera( induced miscarriage).Drug abortion is considered a more gentle method compared to surgical abortion. The drug is used by intramuscular or intravenous administration. The use of "Oxytocin" in tablets for medical abortion is ineffective. The active substance of the preparation, after oral administration, is partially destroyed in the gastrointestinal tract. Therefore, "Oxytocin" in tablets is prescribed to improve lactation or intensification of uterine contractions after the last birth or performed surgical abortion.
Intramuscular and intravenous injections of this medication are also ineffective at earlier stages of pregnancy, when the use of more effective drugs Mifepristone( Mifepristone) or Mizoprostol( Mizoprostol) is recommended.
The mechanism of action of the drug allows to provoke miscarriage and at later terms - up to the second( and even third) trimester of pregnancy. Of course, in this case, medical abortion is carried out only after a medical consultation and in the presence of medical indications, for example, with a stagnant pregnancy or atypical course of development of a pod representing a danger to the life and health of a woman.
Modern gynecology believes that the artificial termination of pregnancy through the use of "Oxytocin" causes less harm to a woman's health than a surgical abortion, and has much less negative consequences.
Features of injections
Currently, the use of "Oxytocin" by intramuscular injection in practical gynecology, as a rule, is not provided. Intravenously the drug is pricked only after preparatory therapy, which consists in the use of drugs that promote the opening of the cervix. And the latter are selected strictly individually, depending on the physiological state of the pregnant woman and individual indications for their use.
In large modern gynecological clinics for the termination of pregnancy with the use of "Oxytocin'a used infuzomaty - a special medical equipment that delivers a vein of strictly metered micro-proportions of the drug or provides their introduction at certain intervals.
Common misconceptions
There is a certain category of "too literate" women who read a special gynecological literature and have studied a lot of information resources of the Internet, they believe they have mastered all the basics of obstetrics, and can independently resort to abortion early on using Oxytocin. After sublingual "therapy", infertility is not ruled out, and the process of artificial interruption without the supervision of a doctor is dangerous to health. Moreover, only certified medical institutions have the right to use "Oxytocin" for abortion.
Some people think that a worthy substitute for the hormonal drug is "Desaminoksitocin"( "Demoxytocin" - "Demoxytocin") in tablets, manufactured by the Latvian pharmaceutical company "Grindeks", after which an early miscarriage can occur. In spite of the fact that "Desaminooxytocin" has a similar mechanism of action - stimulation of the uterine musculature, it is used only with weakened labor or during the postnatal period, when the woman is slowed by the process of involution of the uterus, but not for the termination of pregnancy. In special medical literature, cases are described where, due to the low effectiveness of "Deaminooxytocin" during childbirth, after it, "Oxytocin" is prescribed.
"Oxytocin" - contraindications to the use of
Before the appointment of "" for the termination of pregnancy, a woman must undergo mandatory examination. Contraindications to medical abortion are usually considered:
- oblique or transverse fetal location,
- narrow pelvis of the pregnant,
- diagnosed cardiovascular diseases,
- presence of severe forms of gestosis.
In the presence of sublingual indications, the use of not only "Oxytocin", but also any hormonal stimulants of contractions of the uterine musculature is unacceptable. And of course the use of this medication is unacceptable, after the woman was previously marked with an individual intolerance to the drug, its analogs and derivative.
Reviews of the use of the drug
Despite the fact that "Oxytocin" is recommended by official medicine for abortion( up to the third semester as an artificial miscarriage) and stimulation of role-playing activity, some gynecologists believe that its use is not always effective. There are cases when, after abortion, fetal remains remain in the uterus. In this case, the woman is assigned additional surgical removal of embryonic tissue.
Most women do not notice a deterioration after medical abortion, and the ailments that occur are within the physiological norm. However, almost all consider the undoubted advantage of "Oxytocin" its low price, compared with other similar pharmacological agents.
