Women have an abortion for various reasons. But in any case, you need to know that this operation has unpleasant consequences. But sometimes you can’t do it. All contraindications to abortion are described in the article.
Causes
A person has the right to choose and power over personal actions. Now there are no obstacles to abortion, you just need a woman’s desire. This operation can be performed at 12-22 weeks. But this does not mean that the procedure is safe. And it’s not customary to talk about it openly. Abortion is a personal matter for every woman. In Russia, a European example will allow reducing their number, where it is possible to leave the child born anonymously.
There are women who interrupt pregnancy because of a career. Some are afraid that they will not be able to feed another baby. Sometimes the reason is condemnation from an illegitimate birth. It can also be a difficult financial and social situation. But it is important to remember contraindications for abortion.
Indications
The procedure has absolute indications. Typically, a procedure is prescribed when:
- age from 35 years;
- the presence of 3 or more children;
- disability or genetic pathology in the appeared child;
- abnormalities in the development of the embryo or fetus;
- threat to the life and health of the mother.
It is forbidden to force women to have an abortion. If there is evidence for this procedure, then the doctor should notify about the likely risks and consequences, but the final decision remains with the patient.
When can’t the operation be performed?
Are there any contraindications for abortion? They really exist. Usually they are associated with a state of health. Contraindications for abortion include:
- An allergy to the funds that are used during or after the operation.
- Ectopic pregnancy.
- Anemia of blood or violation of its coagulability.
- Acute inflammation in the body.
- Renal failure.
- The onset of pregnancy with prolonged use of contraceptives.
- A constant and long course of corticosteroids.
- Asthma.
- The term is more than 7 weeks.
These are just general contraindications for abortion. In any case, prior medical advice is required. Only a specialist can determine the danger level of a given operation. There are still contraindications for abortion, depending on the type of procedure.
Medication
This procedure is performed without surgery and anesthesia for up to 9 weeks. In this case, you need to take a pill that does not allow the effects of progesterone on the uterus, which terminates the pregnancy. After that, the women leave the clinic.
Usually, after a few days, bleeding similar to menstruation occurs. After this, a secondary ultrasound examination is required. Contraindications to medical abortion include:
- ectopic pregnancy;
- infections and inflammation in the genital tract;
- bleeding disorders;
- hypertension
- uterine fibroids;
- severe ailments of the heart, liver, stomach, adrenal glands.
There is a small percentage that the drug will not have the desired effect, and there will be no abortion. Doctors usually warn against contraindications to abortion pills.
Since during this procedure there is a violation of the hormonal system, the consequences are likely in the form of malfunctions of the menstrual cycle and severe bleeding. There may also be incomplete rejection of the fetus, in which case surgical intervention is necessary. Contraindications for medical abortion must be taken into account, otherwise it can be harmful to health.
Vacuum Abortion
This procedure takes up to 5-6 weeks. With it, local or general anesthesia is used. The procedure is performed by a doctor within 10 minutes. Within a few days after this, pain appears, within 10 days, bleeding is likely. After the procedure, an ultrasound scan is required.
There are contraindications for vacuum abortion. Usually it is not allowed to do with:
- more than 7 weeks;
- genital tract inflammation;
- urogenital infections;
- fresh scars in the uterus;
- bleeding disorders;
- ectopic pregnancy.
When performing this procedure, there may be an incomplete abortion. In this case, the abortion is repeated in the classic way of curettage. The consequences include the occurrence of severe bleeding, the penetration of infection into the uterus, malfunction of menstruation, endocrine disorders.
There are also delayed effects of this abortion. They are able to appear after a few years. These complications include endometriosis and infertility. This type of procedure is also called a mini-abortion. His contraindications are necessarily told by the doctor to all women who have decided on this procedure.
Surgical method
This is a surgical curettage. The procedure is performed during pregnancy up to 12 weeks with the use of intravenous anesthesia. During abortion, the cervix opens with a special tool, and then the uterine curettage is performed with a metal loop, curette. But there are contraindications for this type of medical abortion. It can not be done with:
- inflammation and infections of the genital tract;
- bleeding disorders;
- individual intolerance to the funds that are used in the procedure;
- sources of purulent infection.
The doctor should take into account the individual intolerance to medications. It is required to exclude allergies to the active component of mifepristone and other drug substances. But usually in women there is hypersensitivity, which manifests itself in the form of a small rash, urticaria.
Negative symptoms are eliminated by antihistamines. Medical abortion should only be prescribed by a doctor. The procedure must be performed in medical institutions in which patients are able to receive timely and qualified care.
How are contraindications detected?
Set contraindications will be obtained on the basis of the examination, which is assigned before each operation. It consists of:
- blood and urine tests;
- HIV and RW testing;
- determination of blood group and Rh factor;
- coagulograms;
- smears from the vagina to the flora;
- ECG.
If the disease, which is a contraindication, is able to recover relatively quickly, the pregnancy is then terminated on a general basis. It is better not to have an abortion during the first pregnancy. This can lead to infertility and various complications. High risk is the first abortion for women with a negative rhesus.
Danger
A doctor may refuse a woman to have an abortion if there are circumstances that threaten her general and reproductive health. Usually, specialists do not want to terminate a pregnancy in the following situations:
- girls under 18 without the consent of parents, husband, guardians;
- surgical abortion is not performed in the presence of diseases in which anesthesia is prohibited;
- in the presence of diseases of the reproductive system, because of which abortion can lead to infertility;
- critical hormonal disorders.
In these cases, termination of pregnancy will be a dangerous procedure. It is necessary to consult a doctor regarding all the negative manifestations of this manipulation. Only then should a decision be made.
The danger of first abortion
Abortion has a risk to a woman's health. But he is especially dangerous if she is the first. Complications include:
- "Primary miscarriage." This means that the body remembers everything about the first pregnancy and in the future can follow the same actions.
- The impossibility of bearing. The cervix, revealed by artificial intervention, loses its tone and elasticity. This greatly affects the ability to bear a child.
- Menstrual cycle failure. The procedure disrupts the activity of the endocrine glands. The hormonal system fails. Menstruation will be irregular. It affects mental health, can lead to obesity and sexual pathologies.
- Probable damage to the walls of the uterus, infection.
In order for the termination of pregnancy to be less traumatic and the consequences be reduced, you need to choose the drug or vacuum option. After all, the surgical method is always dangerous.
How to exclude an abortion?
A woman should talk about contraindications to this procedure. If they are, then the search for an alternative method is required. There are socio-psychological services that work with women who want to terminate a pregnancy. Many of them do not want to have an abortion after listening to the baby's heartbeat.
A woman can tell a psychologist about her problems, find a way out, solve problems. During the so-called week of silence, psychologists and social workers talk with women. As practice shows, the work of such organizations reduces the number of abortions by 20%.
Women, for some reason, want to terminate their pregnancy secretly, under inappropriate conditions, although the number of criminal abortions has decreased because of their legalization. With the confidence of receiving help and support, you can give birth to a child without a husband. And because of the lack of protection in material and social terms, abortions occur.
Psychologists should provide statistics on obstetric clinics where many women become infertile after such an operation. You should also talk about the risks of bleeding. After a blood transfusion, there is a risk of serum hepatitis, and this will cause serious consequences. There is a likelihood of a medical error - infection.
At the 2nd stage, the doctor should be told that almost 60% of aborted women suffer from mental disorders. They feel guilty, criticize themselves, which causes irritability, mood swings, depression, fears and nightmares. And if they manage to get pregnant, then new problems may arise - acute and chronic ailments. There is a risk of miscarriage, ectopic pregnancy, the birth of a child with a low weight, a deviation in the development of the baby.
Effects
In addition to remorse, stress and a number of ailments arise. The risk of infertility and mental disorders is increased. In the future, this leads to a risk of miscarriage and a decrease in fertility. But some families want to have children, but they cannot.
During pregnancy, some women have a tendency to mood changes, depression, and exaggeration of problems. Others need material support, which they are afraid to ask in the appropriate authorities. Homeworkers must also be tolerant.
A woman needs to think carefully before aborting a pregnancy. The importance of this step should be understood. It is also important to consider contraindications and negative health effects.