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| Contraindications for Abortion |  Medical Abortion
There are several options when you shouldn’t have medical abortion. Look through them in order to be more competent in this area. You should consider medical abortion as alternative if you
- are too far along in pregnancy;
- are uncertain about performing the procedure;
- are disinclined to have a vacuum aspiration if needed;
- cannot come back for follow-up visits;
- do not have access to a telephone, transportation, and back-up medical care;
- have a known or suspected molar pregnancy;
- have serious adrenal gland, heart, kidney, or liver problems;
- take any medication that should not be combined with the medicines used in medical abortion - methotrexate, mifepristone, or misoprostol;
- take anti-clotting medicine or have blood-clotting disorders;
- are disinclined to have your IUD - if you have one - removed before taking the medicine
Particular considerations may be essential if you
- are breast feeding;
- have constant heart, liver, respiratory, or kidney disease;
- have an infection or are sick;
- have severe anemia;
- have uncontrollable high blood pressure;
- have any other serious health problem
Vacuum Aspiration and D&E
You should not have vacuum aspiration or D&E if you
- are uncertain about having the procedure
Special considerations may be essential if you
- are obese;
- are running a fever;
- have an infection in your uterus;
- have definite types of sexually transmitted infections;
- have particular serious health problems;
- have problems with anesthesia;
- have attacks more than once a week
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