Morning after pills are used to terminate the pregnancy . These pills can be taken after the unprotected intercourse . These are popular abortifascients using now a days than MTPs .
Morning after Pills are classified into 2 groups :
1- Progesterone Receptor Anatgonists : e.g. Mifepristone , Dinoprostone . It has to be taken after 24-72 hrs of Mefipristone administration to start uterus contractions .These agents generally work by blocking Progesterone hormone which is required for the maintenance of pregnancy .
2- Morning after Pills of Prostaglandin Analogues : Misoprostol , Gemeprost . These used to terminate pregnancy from 1-60 days of gestation .
Side effects : Bleeding, Headache and Nausea . Morning after Pills should be taken with Medical advise on the patients with Anemia, Cardiovascular diseases, Chronic adrenal failure, Uncontrolled seizure disorder, Liver problems, Renal problems, Respiratory disease and a history of taking aspirin, steroids or antidepressants. Morning after Pills also not advisable for HIV+ persons, or for heavy smokers. Caution should be taken in patients with fibroid uterus or previous surgery on uterus or cervix .
More over, In post seven weeks abortion with Morning after pills , small portions of the tissue remains in the uterus leading to infection and finally can lead to cancer .
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