Today we will try to consider the issue of surgical termination of pregnancy in as much detail as possible. This topic on the Internet is raised quite often, because a detailed and detailed explanation of information (possible consequences, harm, and so on) for some women is a powerful argument against rash actions.
I would like to draw your attention to the fact that you do not blindly and blindly trust the reviews and opinions of other women who have undergone a similar procedure. Only experienced professionals working in qualified clinics should be trusted in their health.
Surgical abortion
For starters, we suggest that you deal with the very concept of “surgical abortion”. In another way, he is called an instrumental abortion. This operation is carried out with the aim of extracting the fetal egg in order to terminate the pregnancy artificially and clean the uterine cavity (in case an incomplete miscarriage occurs ).
How is this operation performed? This is the curettage of the uterus, or rather, its mucous membrane through the cervical canal (enlarged). We immediately focus on the fact that instrumental abortion is a big threat to a woman’s health. Nevertheless, this is the only possible way to terminate a pregnancy artificially for more than seven weeks.
So, surgical abortion is done for a period of six to twenty-two weeks, in addition to this, there are many indications for its conduct. The term for which it is worth terminating the pregnancy should be prescribed only by the attending physician. The procedure itself is carried out by an experienced qualified specialist and only in a hospital. Before an abortion, the doctor must give the woman a consultation, in which he must explain in detail all the questions of interest, talk about the consequences and so on.
Of course, surgery is performed under anesthesia. A woman should sit on a gynecological chair, after which she is given an intravenous pain medication. Then, with the help of a special tool, the cervix expands. The operation is aimed at the destruction and removal of the ovum, while the surface of the uterus is thoroughly cleaned. If necessary, they can do vacuum aspiration. The procedure for surgical termination of pregnancy lasts about thirty minutes, and reoperation is prescribed extremely rarely.
Many women are also interested in late termination of pregnancy. If you have from twelve to twenty-eight weeks of pregnancy, then the doctor can carry out this operation only with medical indications. Please note that the commission takes into account not only medical, but also social indications.
The latter include:
- the death of the father of the unborn child;
- pregnancy resulting from rape;
- the mother’s presence in prison;
- deprivation of parental rights of mother.
Deadlines
Surgical termination of pregnancy at the request of the woman herself can be carried out only for up to twelve weeks. If you go beyond this framework, then an abortion is performed only if there is permission from the commission.
As mentioned earlier, late-term surgical abortion (from twelve to twenty-eight weeks) is performed only with strict medical conditions or for any social reason why a woman cannot bear and raise a child. What are these reasons, you can read in the previous section of the article. We suggest that you familiarize yourself with the medical indications in the next section.
Indications
Surgical abortion on the day of treatment is carried out only in cases dangerous to the life of the mother. In this case, the woman should be in possession of all the necessary documents. We dealt with social problems, now we turn to medical indications. These include:
- oncology in mom;
- severe diabetes mellitus;
- heart disease and other diseases that prevent the bearing of the fetus and pose a threat to the life of the pregnant woman;
- alcohol addiction;
- drug addiction;
- HIV
- hepatitis and other infections that affect the development of the child;
- taking medicines with a teratogenic effect;
- malformation of the child, which is detected during ultrasound;
- the death of a child in the womb.
Contraindications
In addition to the indications for surgical abortion, we need to consider contraindications. Particular attention should be paid to this paragraph of the article by women who have a negative Rh factor. All doctors insist on bearing especially the first child, because if you terminate the first pregnancy in women with negative Rhesus, the probability of fetal pathology in subsequent pregnancies is high.
In addition, contraindications may include:
- acute stage of a venereological disease;
- inflammation in the ovaries or uterus;
- clotting pathology;
- allergy to pain medication.
With these contraindications, the issue is resolved individually for each woman. If this is necessary, then special additional preparation for this procedure will be required.
Preparation for surgery
Immediately before the procedure for surgical termination of pregnancy, the doctor must tell the woman what difficulties and complications may arise after surgery.
If a woman still firmly decided that she needed this operation, then some research should be done. These include:
- blood test for syphilis;
- hepatitis C;
- Hepatitis B;
- HIV
- HCG;
- blood test to determine the group and Rh factor;
- general blood analysis;
- biochemical;
- general urine analysis;
- smear on the flora;
- fluorography procedure;
- ultrasound examination of the pelvic organs;
- electrocardiogram;
- general practitioner consultation;
- examination by a gynecologist.
Only after all of the above, the doctor will begin the procedure of artificial termination of pregnancy.
Instrumental abortion
With good test results, the woman is transferred to the hospital. Only there the doctor conducts the final examination in the gynecological chair and the woman signs papers with an agreement on abortion. After that, the woman is sent to the ward (she will be separate if the service is paid). During the operation, local anesthesia is free of charge (the woman is half asleep), if desired, intravenous paid anesthesia (deep sleep) can be administered.
If the abortion takes place for less than twelve weeks, then a vacuum pump is used for the operation. Next, the uterine cavity is cleaned by curettage. If the pregnancy is more than twelve weeks, it is necessary to significantly expand the cervix. Then the doctor with the help of tools destroys the embryo, removes large parts with forceps, and small ones with a pump. After this, curettage of the mucosa is also carried out.
The whole procedure lasts about half an hour. Do not be afraid of heavy periods after surgical termination of pregnancy. Please note that a woman after this procedure needs to be monitored by doctors for several hours. There, she is prescribed drugs that help reduce the uterus, and antibiotics.
Postoperative period
For some time, a woman should be observed by a gynecologist and do tests for hCG. This is necessary in order to ensure that the fetus is fully removed. In addition, a woman needs to refrain from intimacy, weight lifting and bathing for a couple of weeks.
Gynecologists warn that after the operation weight gain is possible, therefore, a woman needs to monitor proper nutrition. Pay attention to discharge after surgical termination of pregnancy. They last about ten days, with the initial color being scarlet. Further, their number decreases, and the color becomes darker (sometimes brown).
Pregnancy: is it possible or not?
After surgical termination of pregnancy, it is necessary to protect for six months. After the operation, the gynecologist should advise you on this issue.
Menstruation comes only about thirty-fifth day after an abortion, and the body and menstrual cycle are fully restored only after six months. If pregnancy (even desired) occurs earlier, then there is a high probability of problems with bearing the fetus.
Possible complications
If you listen to the reviews, surgical termination of pregnancy can carry the following complications:
- dizziness;
- malaise;
- abdominal pain;
- severe bleeding (removal of the uterus is possible);
- cervical spasm (causes an inflammatory process);
- a positive pregnancy test (with incomplete removal of the fetus, a second operation is necessary, because the embryo will develop with very serious deviations);
- endometritis;
- sepsis;
- cervical trauma;
- severe damage to the uterine mucosa (as a result, infertility can develop, because it will be very difficult for the embryo to gain a foothold in the uterine cavity);
- placental polyp.
Abortion: yes or no?
When making a decision, you must weigh the pros and cons. If the reason is serious medical contraindications for bearing a child or pregnancy as a result of rape, then abortion is sometimes a necessary measure. If the reason lies in condemnation or fear, then it is worth thinking and discussing this issue many times with loved ones. After all, this mistake can become fatal.
Reviews
Many for surgical termination of pregnancy in St. Petersburg recommend a rather popular family planning clinic - “Vela”. Many women note the pleasant atmosphere and good attitude of the staff. The doctor tells and shows everything in detail.
Women, before you take such a step - think a hundred times! Better to guard than subsequently to suffer from your wrong decision.