How do they have an abortion? What types of abortions exist

Unwillingness to become a mother or certain circumstances (medical conditions) may lead to a decision to have an abortion. Surgical curettage is the oldest and most common way to terminate a pregnancy. Surgical cleaning is prescribed when the embryo reaches a certain mass, when the use of other interruption methods is no longer possible.

This type of abortion consists in carrying out the procedure for curettage of the uterine cavity using special metal tools in the form of a spoon - a curette. Also, this method is called curettage or curettage due to the specificity of the removal of the embryo. In addition to abortion, curettage is often used to treat gynecological diseases. Curettage helps to stop bleeding, and removed tissues are subsequently examined - histology, which helps to detect serious diseases in the early stages of development.

Surgical abortion, in comparison with other types of interruption, most often causes complications. If medical abortion is carried out at home, then surgical abortion requires a mandatory stay in the hospital. Depending on the patient’s body and gestational age, the embryo removal procedure is performed under general anesthesia and takes from 15 to 30 minutes. The whole process of curettage should take place in the presence of an anesthetist. The woman is seated on a gynecological chair and put into a state of anesthesia, after which, with the help of dilators, the uterus is opened. The procedure is performed using a curette, which is inserted into the uterine cavity. During the operation, the specialist removes the upper layer of the endometrium, and then destroys the embryo. Often, when a surgical abortion is combined with a vacuum, after the destruction of the embryo, fragments of the epithelium are removed using a vacuum pump.

How is a surgical abortion done in early pregnancy? If a woman went to the clinic before 13 weeks, then surgical abortion is performed in conjunction with a vacuum. Using a curette (an instrument looks like a sharp spoon), the doctor removes the layer of the uterine epithelium, and then destroys the embryo. After that, fragments of the fetus are removed from the uterine cavity using a vacuum pump. Upon completion of the vacuum work, the specialist cleanses the walls of the uterus from the remaining fragments of the destroyed embryo.

Curettage during pregnancy from 14 to 22 weeks is more dangerous for a woman's reproductive health. At such a long time, to remove parts of the fetus, the specialist needs to open the cervix much more, since the fetus is quite large. After the patient is introduced into general anesthesia, the doctor carries out the destruction of the fetus using a curette, then large fragments are removed with forceps. Small particles of the fetus can be removed using a vacuum pump, then the cavity of the reproductive organ is also scraped. Like any type of surgical intervention, curettage can provoke a number of complications. This type of abortion is the most dangerous compared to other types of interruption, since during the procedure, the uterus is subjected to a rough and aggressive impact with metal objects, which in turn seriously injure the inner surface. To avoid negative consequences, the doctor gives recommendations that must be followed with accuracy.

For some time, a woman should observe bed rest and take the necessary medications, including antibacterial ones. After a few days, an ultrasound scan is required to monitor the complete removal of parts of the embryo.

How long can a surgical abortion be done?

Curettage can be done for up to 22 weeks, usually this happens for medical reasons, in case of impaired fetal development. For the same reasons, surgical abortion can be done at a later date, which can only be determined by a doctor. The operation is carried out in a hospital by an experienced specialist, which gives a guarantee of the absence of postoperative complications.

When deciding to do surgical curettage, a woman is required to undergo a series of examinations, such as:

examination on a gynecological chair with taking a smear,
take blood coagulation tests, the presence of infectious diseases, blood type, hCG level.

Only after a preliminary examination does the doctor prescribe the time for the operation. In the absence of complications, the patient can leave the hospital on the same day.

How long does a surgical abortion take?

It all depends on the duration of pregnancy and the condition of the body. On average, curettage with preparation is carried out in 25-35 minutes and the efficiency is more than 97%. Immediately after the operation, the woman is in the hospital under the supervision of a doctor. With a poor uterine contraction, the doctor prescribes drugs to improve the contraction, and after a few days a control ultrasound is performed.

Repeated intervention is very rarely required. The operation can last from 20 minutes, depending on the experience of the doctor and the condition of the woman’s body, for example, when the uterus is bent, the duration of the procedure increases.

Where do they have a surgical abortion?

The operation to remove the embryo can be done for medical reasons or at the request of the woman. If the procedure is prescribed for medical reasons, then the woman needs to contact a specialized institution, and of her own choice - to the clinic of her choice. Late abortion should only be performed by a qualified and experienced doctor in a medical center, who has proven himself on the positive side, which will help to avoid complications.

For this service, you can contact the state clinic, where the operation is free of charge. The abortion method is selected based on the gestational age, indications and characteristics of the body.

Where to have an abortion is every woman’s choice, it’s impossible to say exactly what is best done in a public institution or in a private clinic. Since it all depends on the doctor, you need to choose a doctor with recommendations and experience.

Remember that if you go to a public hospital late, the abortion may be delayed due to waiting in line. Therefore, when deciding to have an abortion, one should not delay the appeal to the antenatal clinic.

Since surgical curettage is carried out in a hospital, the clinic must have a maternity or gynecological department, and upon request, the clinic must provide all the necessary permissions for the operation and certificates. Lack of experience and permission to conduct such operations can lead to disastrous consequences.

Cost

Surgical abortion is included in the list of health insurance services, which guarantees free medical care. Upon reaching the age of 18, a woman has the right to terminate a pregnancy in a state hospital if she has a policy absolutely free of charge, the only service that does not include the use of anesthesia, so it will be necessary to pay between 1,000 and 3,000 rubles.

In addition to government agencies, a woman can go to a private clinic. Surgical abortion and its cost per operation depends on the medical center and the range of related services:

specialist consultation;
length of stay in the hospital;
operation;
anesthesia;
analyzes.

If a woman does not know her Rh factor, the doctor first of all gives a direction for blood donation to identify it.

The price for surgical abortion in medical centers varies from 5,000 to 20,000 rubles. The larger the city, the more expensive the operation will cost.

Effects

If a woman has to have a surgical abortion, then first of all it is necessary to find a medical center that advises all the requirements, including sanitary. Curettage is a complex operation, so it should only be performed by an experienced and qualified doctor. Non-observance of hygiene rules during the procedure, as well as a gross violation of the rules for cleaning, can cause the following consequences after a surgical abortion:

Violation of the integrity of the cervix. If the uterus is not enlarged by the probe during the operation, damage to the cervix can occur. This leads to weakening of the walls of the vagina, which increases the risk of spontaneous miscarriage and inability to become pregnant.
Infectious diseases. With the negligence of doctors and non-compliance with hygiene rules, after an abortion, a woman may face the development of an infectious disease. If the infection cannot be cured in time, much more serious complications, for example, blood poisoning, can develop.
Infertility. This diagnosis is one of the most terrible complications after curettage, primarily depends on the number of previously performed abortions, since each of them leaves a scar on the inside of the uterus that the embryo cannot attach to. Therefore, more than one abortion is not advisable.
Bleeding. Such a complication develops when scraping in clandestine clinics by inexperienced specialists. Blood loss can be so strong that a woman runs the risk of losing her genital organ or even dying.
Rhesus sensitization. Surgical abortion in a woman with a negative Rh factor can lead to the appearance of antibodies to the fetal blood in the body. In this case, the appointment of a special drug is required to eliminate the Rhesus conflict.
Incomplete abortion. Such an outcome occurs rather rarely and consists in the fact that during curettage the fetus does not die and continues its development. Usually such children suffer from serious pathologies and have a number of defects.

Also, these consequences can occur with an incorrect pregnancy. It is worth remembering that the subsequent health of the woman and the ability to have children in the future depend on the choice of the medical center.

If there is no discharge after a surgical abortion

Abortion is a complex procedure, which consists in interrupting the multi-level process of pregnancy. Preparation for the first pregnancy takes place over a long time, and since this type of abortion involves surgical intervention, the process cannot be painless and bloodless.

Even if the curettage is carried out by a highly qualified specialist, any type of abortion is accompanied by spotting.

Surgical abortion is one of the most traumatic and dangerous types of abortion. To remove the fetal egg, the specialist needs to expand the cervix with special metal tools, which can injure her and cause bleeding. Normally, after curettage, bleeding is observed for 10-14 days. The absence of any discharge and bleeding after the expulsion of the fetal egg can indicate a pathological process, which often leads to disastrous consequences. With the accumulation of blood in the cavity of the genital organ, a favorable environment is created for the reproduction of the harmful flora, which provokes the development of inflammatory and infectious diseases.

The accumulation of blood and clots in the uterine cavity is called a hematometer. There are several reasons for the development of this condition:

Inadequate uterine contraction. In this condition, blood and clots are not able to completely leave the body cavity, which leads to stagnation of blood.
Cervical spasm. After an abortion, there is a risk of compression of the muscle fibers of the cervix, with no discharge.
The cervix may be blocked by a tumor or polyp.

In the absence of blood secretions, you must consult a doctor, since it is impossible to call them yourself.

Depending on the reason for the absence of bloody secretions, drugs are prescribed that can enhance the contractile activity of the genital organ or relax muscle tension (with the help of antispasmodics). With a large volume of accumulation of clots and blood, vacuum aspiration may be needed, with which a specialist will clear the uterine cavity from the accumulated blood.

If you are unable to solve the problem with the help of drugs, the doctor decides to conduct a hysteroscopy or probing the uterus. Hysteroscopy refers to the surgical process, during which the cervix dilates and a special device is introduced into its cavity, which transmits the image of what is happening inside the organ to the screen. This procedure allows not only to determine the exact cause of the absence of bleeding, but also to solve the problem. With an exacerbation of the inflammatory process, antibiotic therapy is prescribed. Sometimes, together with antibacterial drugs that are injected into the uterine cavity using a hysteroscope.

Does it hurt to have a surgical abortion

When contacting a medical center for a gestation period of more than 12 weeks, a surgical abortion is performed in a hospital. Curettage, like another type of abortion, is an unpleasant and sometimes painful procedure, so the procedure is always performed under anesthesia.

Before the operation, the specialist introduces an anesthetic. Then, with the help of the dilator, he opens the cervix, at this very moment the patient most often experiences acute, but not severe pain. Then, using a curette (an instrument in the form of an acute spoon), the uterine cavity is cleaned - the whole procedure takes no more than half an hour.

Anesthesia plays a significant role in the operation to clean the uterus, it is anesthesia that helps to minimize all unpleasant and painful sensations. When choosing an anesthetic, the doctor takes into account the woman’s age, allergic reactions, gestational age and other features.

Many women fear the development of pain and discomfort during surgery, so they are asked to carry out the procedure under general anesthesia. In the absence of any contraindications, the doctor can meet them. The patient can not be afraid of pain, since the entire acute part of the operation will take place under anesthesia, which will save the woman from torment. But it must be remembered that after the action of the anesthetic has stopped, a woman may experience pain and pain in the lower abdomen due to contraction of the uterus.

It seems completely unbelievable, but some time ago, curettage was performed without anesthesia, the same applies to women who are contraindicated for one reason or another using anesthesia. In this case, the pain during a surgical abortion is painful and unbearable, from which women often lose consciousness. Now there are a large number of alternative painkillers with which the doctor makes the procedure painless and comfortable.

Some women are afraid of general anesthesia and choose a local one, which is used quite rarely, since the effect of the drug occurs locally. Before cleaning, an anesthetic in the form of a gel is injected into the vagina, the action of which begins after half an hour. During an abortion, the patient may experience pain and discomfort, some argued that the procedure seemed like an eternity because of painful sensations - it all depends on the degree of the pain threshold. Local anesthesia is also used in patients with an allergic reaction to anesthesia. One of the advantages of this method is the minimum list of side effects and complications, therefore, after 1.5-2 hours, a woman can leave the hospital.

Late pregnancy surgical abortion

Late abortion is performed surgically for a period of 13-28 weeks, which carries a serious risk to the reproductive health of women. Different periods of pregnancy are set for each medical center and specialist, for some the period is up to 20 weeks, someone does the cleaning in the later stages no earlier than 22 weeks, considering that this period is safer for the woman’s health.

In only 15% of cases, a woman needs to go through an abortion at a later date, and this requires good reason, since such an interruption is fraught with complications. The main indications for late surgical abortion include:

If a woman did not know about her pregnancy: menstruation was present or her absence was regarded as a hormonal disorder. When contacting a specialist for a rather long period, an abortion should be supported by medical indications.
Social reasons: rape, divorce, inability to support a child, disability of a partner, lack of housing, imprisonment, deprivation of parental rights.
If the examination revealed serious violations in the development of the fetus, which after birth can be painful or fatal. For example, malformations, abnormalities, the absence of one or more limbs, Siamese twins, etc.
During pregnancy, a woman was found to have a serious illness, which, with further bearing of the fetus, can threaten her health or life. Such diseases include: exacerbation of diseases of the central nervous system and cardiovascular system, infectious diseases, mental disorders, etc.

Which late-term surgical abortion method to use is considered by a commission of specialists, a social worker and a lawyer, the doctor can also take into account the opinion of the patient herself.

Late abortion can be performed by the following surgical methods:

Cesarean section. This type of abortion in the late term is the safest and is used in most cases at the request of the patient, as well as with existing social and medical indications. These include: a serious illness in a woman that threatens her life, fetal malformations associated with mental or physical disabilities. In addition, such surgical intervention is used if urgent fetal removal is required with severe bleeding in case of placental abruption or with contraindication to natural delivery. During the operation, the doctor makes an incision on the anterior abdominal wall, spreads the muscles and makes an incision on the uterus. The fetus is taken out of the organ cavity manually, then the uterus is cleaned of the placenta and blood. Less commonly, a vaginal cesarean section is used, in which the lower part of the uterus is cut and the fetus gets through the vagina. Caesarean section for social reasons is quite rare.
No later than 15 weeks of pregnancy can be interrupted by simultaneous extraction of the embryo from the uterine cavity. This method relates to curettage with metal tools and is used only in case of emergency abortion after a previous unsuccessful surgical intervention. This method is traumatic and dangerous due to the risk of damage to the uterus, severe bleeding and prolonged abortion.
Cervical dilatation. After anesthesia, the specialist expands the cervix, then the doctor uses special forceps with a load. This type of abortion is dangerous and carries many risks, therefore it is rarely used.
Instrumental curettage. After the woman is put into anesthesia, the doctor opens the uterus with the help of dilators, and then cleanses the organ cavity with a loop tool, removing fragments of the fetal egg and placenta. Such an operation is accompanied by mild bleeding, the duration of which should not exceed 10-14 days.

Each of the methods of surgical abortion in the later stages has its drawbacks and advantages, but all of them are traumatic for the genital organ, therefore it is very important to follow the recommendations for recovery as accurately as possible.

Pregnancy after Surgical Abortion

Rapid abortion is one of the most difficult, difficult, and traumatic methods of abortion, but despite this, curettage is popular and reliable. Sometimes it is necessary to terminate a pregnancy not because of personal motives, but due to medical indicators, so most of these women soon have a desire to become pregnant.

Surgical abortion is a major shock to the body, and does not always go unnoticed, so pregnancy after interruption can often be problematic. Each organism is individual, so the chances of getting pregnant depend on the state of health and the type of abortion. In the reviews of some women, you can see that they become pregnant both the second and third time after the abortion, while someone does not succeed in the long term after the first. In 90% of cases, pregnancy occurs after a thorough examination, preparation and treatment, therefore, before deciding on a new pregnancy, you should consult a specialist.

One of the reasons for repeated abortion is the lack of information about when there is a risk of conception immediately after cleaning, as a result of subsequent removal of the fetal egg can negatively affect the woman's reproductive system. The reason for this development is that ovulation can occur in a woman in the same cycle, therefore, the risk of re-pregnancy occurs within 2-3 weeks. It is important to remember that the resumption of sexual relations after cleaning, provided that there are no complications, should occur no earlier than 10-14 days, with the development of an infectious or inflammatory disease - not earlier than one month.

If you do not allow the body to recover, subsequent pregnancy may end in disrepair. In 60% of cases with an early pregnancy, spontaneous miscarriages occur for a period of 5-6 weeks, a pregnant pregnancy is often diagnosed and in 20% of cases, women experience premature births for a period of 20-25 weeks because the cervix is \u200b\u200bnot able to withstand pressure fetus.

Therefore, immediately after cleaning it is necessary to choose a comfortable and safe type of contraception, most often doctors recommend the use of oral contraceptives, which will not only prevent re-pregnancy, but will help restore the hormonal background.

If the conception still happened, you need to contact the gynecologist as soon as possible, who will offer several options, and when deciding to leave the child will prescribe the necessary therapy, which will reduce the risk of spontaneous miscarriage.

Possible complications

Surgical abortion is one of the most difficult forms of eliminating pregnancy, which, in addition to psychological trauma, causes significant harm to health, provoking the development of inflammatory and infectious diseases.

Most often, after curettage, a woman is faced with such a consequence as infectious diseases. If the procedure was carried out in unsanitary conditions, then in 95% of cases the patient subsequently exhibits uterine inflammation - endometritis, if the treatment of this disease is neglected, then it becomes a cause of infertility. Also, inflammation can lead to blood poisoning, which is often the cause of death.

Another common complication is bleeding, which occurs during the procedure by an inexperienced and unskilled specialist. Bleeding can be weak and strong, if in the first case it is possible to stop bloody discharge, then in the second doctor there is no other choice but to amputate the genital organ.

Each subsequent abortion increases the risk of secondary infertility several times, since after each curettage the surface of the uterus is covered with scar tissue, which subsequently does not allow the fetal egg to attach.

If the procedure for removing the embryo was carried out with rough movements using a probe, then this can lead to damage to the uterus and cervix. What in the future can provoke a spontaneous miscarriage. Such consequences are due to the fact that the damaged cervix is \u200b\u200bnot able to withstand the growing fetus.

When contacting an underground clinic, the procedure is often performed by an inexperienced doctor, so a woman may encounter a problem such as incomplete removal of the fetus. In some cases, the fetus continues its development and growth. Children born after incomplete abortion, in most cases, have a number of diseases and incurable defects. In another case, if the fetus was destroyed, but not completely removed, this can lead to the development of infection and severe bleeding. To save a woman, removal of the uterus is most often required.

During rough operations during the operation with metal objects, perforation of the uterus can occur when the integrity of the uterus is broken and a hole appears.

When conducting not only surgical, but also any other, a woman with a negative Rhesus factor develops such a thing as Rhesus sensitization - the production of antibodies by the mother's body to the fetus.

Medical abortion is an abortion up to 22 weeks of gestation. Depending on the timing, it is customary to divide it into two types:

early - up to 12 weeks;
late - from the 13th to the 22nd week.

This separation is related to abortion techniques.

Essential Tools

When answering the question of how an abortion takes place, we must first consider what tools are needed for this. So, for the production of medical abortion you will need:

bullet forceps, which fix the cervix;
geghar dilators, with which the cervical canal is enlarged;
probe, which determines the length of the uterus;
a set of curettes, which are used for scraping the walls of the uterine cavity;
vacuum aspirator.

Medical Abortion Technique

How an abortion is performed depends on the gestational age, since the abortion technique for up to 12 weeks is different from the technique for a period of more than 12 weeks. In the beginning, we will consider how an early abortion takes place, which is also divided into a mini-abortion up to 6 weeks.

Mini abortion can be performed on an outpatient basis. It usually lasts a few minutes. This requires a manual vacuum aspirator. This technique does not require anesthesia. However, this abortion can be performed for up to 6 weeks of gestation. This is one of the new ways to terminate a pregnancy.

Medical abortion for up to 12 weeks is performed according to the traditional method. It consists of several stages. At the first stage, the cervix is \u200b\u200bfixed with bullet forceps. At the second stage, probing of the uterine cavity is done. Its purpose is to determine the length of the uterine cavity and the location of the uterus relative to the axis of the cervical canal (the uterus can be deflected anteriorly or posteriorly, as well as to the sides). Determining the location of the uterus to some extent reduces the risk of uterine perforation. The next stage involves the expansion of the cervical canal with Geghar dilators. This is necessary so that it is possible to introduce instruments directly designed to remove the fetal egg from the uterus. Therefore, the last step is the use of a vacuum aspirator or curettes. If a medical abortion is performed with curettage, then after the complete removal of the fetal egg, a characteristic sound of “crisp snow” appears. It indicates that there is nothing in the uterus.

How long does a medical abortion last? Usually, an abortion of up to 12 weeks is carried out in 5-10 minutes, depending on the gestational age. It takes place under intravenous analgesia, while the woman breathes independently, that is, respiratory support is not required.

An abortion in the period from 12 weeks to 22 weeks is carried out according to a methodology that resembles childbirth, therefore, the people abortion in this period is called artificial birth. How long does it last and what is this technique? To terminate a pregnancy in this period, several days are required. It is carried out in several stages. At the first stage, it is necessary to prepare the cervix using drugs from the group of prostaglandins or progesterone antagonists. At the second stage, it is necessary to induce contractile activity of the uterus. After this, the birth of the fetus and the afterbirth occurs. Since the integrity of the placenta is always in doubt, after termination of pregnancy, it is mandatory to cure the uterine cavity according to the method described above, but using a large curette (Boom curette).

Indications for medical abortion

Abortion up to 12 weeks can be performed both at the request of the woman and taking into account medical indications. The latter include all those cases when the pregnancy cannot be continued due to a threat to the life of the mother or fetus. Typically, these are diseases of a woman in the stage of sub- and decompensation, abnormalities in the development of the fetus that are incompatible with life, cancer, etc.

An abortion of more than 12 weeks can only be performed at the conclusion of a medical board. Medical and social indications should be taken into account. In turn, the medical indications are the same as those discussed above. The following are referred to social:

unemployed status of a woman;
loss of husband during pregnancy;
finding a woman or husband in prison, etc.

That is, in order for an abortion to be performed within such a period, a woman's desire alone is not enough.

After a medical abortion, it is necessary to adhere to certain recommendations that contribute to a smoother course of the post-abortion period. Consider them:

how much antibiotics should i take? For the prevention of infectious complications, antibiotics must be taken from five to seven days;
how much should I limit my sex life? On average, it is one month;
how much can not take a bath? Depending on the period, this time can vary from a week to a month (the longer the period, the longer the restriction).

Complications of Medical Abortion

Abortion, like any invasive intervention, can have certain complications. They can be early or late. These include:

perforation of the uterus, that is, perforation of its wall with tools;
bleeding;
infectious complications;
violation of the ovarian-menstrual cycle;
infertility due to the development of an adhesive process in the uterine cavity or due to a very thin endometrium.

Alternative to Medical Abortion

An alternative to medical abortion is medical abortion. How is an abortion done in this case, what is its technique? This type of abortion involves the use of special medicines that help terminate a pregnancy. They are applied in two stages, taking into account the mechanism of their action. How long does an abortion last in this case? Usually it takes 2-3 days to conduct it, in appearance it resembles menstruation.

In conclusion, it should be noted that abortion is not a method of birth control and should be performed only as a last resort. In order to avoid an unplanned pregnancy, it is necessary to use contraception. Ideally, a medical abortion should only be performed for medical reasons, when the pregnancy is dangerous for the woman or may result in the birth of an inferior child.

Medical methods. Each such manipulation can have its consequences and complications. Moreover, the longer the development period of the embryo in the womb, the more pronounced. The article will tell you about where you can have an abortion and what you need. You can also find out what species exist.

Where can I have an abortion: options

Abortion can be carried out in two ways: at the request of the patient and according to the indications. In the first case, the woman selects a clinic where you can have an abortion. If the cessation of the vital activity of the embryo is carried out for long periods according to indications, then the patient is given a referral to the appropriate institution. There is no special choice here.

You can terminate a pregnancy at a government agency. In this case, the entire procedure should be free. For the patient, an abortion method is selected according to the term. With this option, the patient should have a passport, medical insurance or policy.

Also, the patient may prefer private clinics. They will have to pay a certain amount for manipulation. The price depends on the method of abortion. The most popular medical institutions based on this activity are UltraMed, Gynecological Clinic, Zdravitsa and others.

How to have an abortion: preparation

Once you have decided where to have an abortion, you need to prepare for the procedure. To do this, consult a gynecologist. The doctor will prescribe you a series of studies. Diagnosis includes urinalysis, several types of blood tests, a swab from the vagina and with the determination of the term. Be sure to inform your doctor about the presence of an allergic reaction to drugs. The method of abortion is selected taking into account all individual characteristics: the patient's age, existing diseases, and gestational age. Consider the main types of abortion.

Use of pills

This method of abortion is also called tablet, or medical abortion. It is produced exclusively in the early stages. Where can I do Only in specialized clinics. Home use of drugs is unacceptable and can lead to disastrous consequences.

Medical interruption is carried out for up to 6-7 weeks. Some sources allow the use of drugs and up to 9 weeks. But doctors try not to take risks. All manipulation consists of several stages. Contact your gynecologist and find out where you can get an abortion using the pills in your area. After that, visit the ultrasound diagnostic room, and check the gestational age. On the day of the procedure, you will be given several tablets. Their number can vary from one to three. It all depends on the type of drug. Commonly used are Mifepristone, Mifegin, Mifeprex, and many others. The essence of the action of drugs is to interrupt the production of progesterone and exfoliate the fetal egg from the walls of the uterus. After taking the medicine, the woman should remain in the hospital for several hours. The patient is closely monitored. After this, the fairer sex can go home.

A few days after taking the first portion of the tablets, the patient is offered another medicine. It is necessary to enhance the contractile activity of the genital organ. Drugs can be selected individually by a doctor, but most of them have oxytocin in their composition.

Vacuum suction

To conduct this type of interruption, you still need to contact the doctor and find out where you can have a mini-abortion. You will be offered a number of clinics. You can also use the services of a government agency. Please note that some hospitals do not carry out this type of abortion.

Vacuum aspiration involves quick and safe removal of the fetal egg from the uterine cavity. The procedure is carried out for up to 12 weeks. The whole operation takes no more than five minutes. Previously, the patient is provided with local anesthesia. The pluses are that there is no need to injure the neck. This manipulation is best suited for young women who want to subsequently have a baby.

Gynecological curettage: curettage

This method of interruption is the most popular. Where can an abortion be done through gynecological curettage? In any medical center specializing in these manipulations.

Gynecological curettage involves the use of anesthesia. During the procedure, the patient goes into sleep. Curettage lasts about 15 minutes. The essence of abortion is as follows. With the help of special devices, the cervix expands. A curette is inserted into the cavity of the genital organ - a device in the form of a loop with a long handle. The doctor captures the areas of the endometrium and scrapes them.

This method of abortion is one of the most reliable. But at the same time, it can have a lot of consequences: from ordinary inflammation to uterine perforation. After surgery, the patient should remain in the hospital for several hours.

How and where can I have an abortion (late)?

Abortion after 12 weeks is carried out only in state medical institutions. Before this, a commission is going to decide on the possibility of manipulation. Most often, late abortion is carried out in connection with the presence in the fetus of various pathologies incompatible with life, genetic diseases and so on. Less commonly, termination of pregnancy is carried out in connection with the situation of a woman: sudden death of her husband, unemployment, social conditions.

Up to 14-16 weeks, the manipulation involves the use of a curette, as described above. After 20 weeks, we can talk about. In the third trimester, abortion is no longer carried out.

Little conclusion

If you are interested in where you can get a paid abortion, then you need to contact a gynecologist. The doctor will tell you about each method, identify the main pros and cons. According to your period, the gynecologist will recommend tactics. Please note that after the manipulation, you must definitely visit the ultrasound diagnostic room. It is necessary to assess the condition of the uterus and make sure that there are no remains of the fetal egg. All the best!

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Surgical abortion is an operation during which the uterine mucosa is scraped to remove the ovum during miscarriage or to terminate the pregnancy. As a method of interruption, it is reliable, although it threatens with complications.

In gynecology, the curettage procedure is quite common and is also used to diagnose a number of diseases.

Surgical abortion is performed for a period of 6 to 12 weeks. At the end of the specified period, at the request of the woman, they do not terminate the pregnancy, serious grounds are required for this.

Indications for surgical abortion on time are:

rape conception;
unwillingness of a woman to give birth to a child;
maternal diseases that prevent bearing (severe diabetes, oncology, heart disease, damage to the liver, kidneys, etc.);
alcoholism or drug addiction in a pregnant woman;
infection with dangerous viruses that are transmitted to the child or affect his development (HIV, hepatitis,);
taking drugs with a teratogenic effect;
malformations of the embryo detected by ultrasound;
fetal death at an early stage.

Surgical abortion is not performed if a woman has a sexually transmitted disease. Also a contraindication is a violation of blood coagulation, inflammation of the uterus or ovaries, an allergic reaction to anesthesia.

Due to the risk of infertility, this method is not recommended for terminating the first pregnancy.

How is a surgical abortion done?

Termination of pregnancy is an surgical intervention that is performed only in a hospital setting. Before starting the procedure, the doctor must inform the woman about the possible risk and complications.

The anti-epidemic regimen during surgical abortion should be carefully observed. The patient must first undergo an ultrasound examination, gynecological examination, pass smears, as well as tests for hepatitis C, syphilis and HIV.

Women are interested in how they have a surgical abortion and whether this procedure is painful. Despite the fact that the sensitivity threshold is individual, after the expansion of the cervix and removal of the epithelium from the walls, unpleasant, sometimes very pronounced pain sensations can occur.

The procedure is usually carried out under general intravenous anesthesia, so the patient does not feel the process itself.

Using a special probe, the cervix is \u200b\u200bdilated. Through it into the cavity immerse instruments that destroy the fetal egg. Its remains are removed with a special curette, and the epithelium is scraped on the walls.

The operation can last from 15 to 30 minutes. Efficiency is high, so re-conducting the procedure is rarely required.

After a surgical abortion, a woman is under the supervision of medical personnel for some time (from several hours to 2-3 days). In the future, she is released home and prescribed drugs that stimulate uterine contractions.

Is pregnancy possible after an abortion?

About the 25th day after the procedure, menstruation begins. Until this time, it is necessary to carefully protect yourself, since a new pregnancy can occur immediately. It is possible to save the baby, but there is a risk of premature birth, since the woman’s body is not yet ready for such loads.

Many gynecologists prescribe hormonal contraceptives to their patients after surgery. Under their influence, the mucus in the cervical canal thickens and serves as an additional barrier that protects the uterus and tubes from infection.

So, when can I get pregnant after a surgical abortion? For the body to fully recover from the operation, it will take at least six months. During this period, the menstrual cycle will improve, the uterine mucosa will recover and the woman, if there are no complications, will be ready for a new pregnancy and bearing a child.

Recovery period

After an abortion, a woman needs to avoid heavy physical exertion and periodically measure her body temperature. Your doctor may recommend doing pregnancy tests at home to make sure that urinary gonadotropin levels are low and the fetal egg has been removed.

For 2 weeks after an abortion, a warm shower is used for hygiene procedures. You should not take a bath or swim in open water during this period. Sexual life can be resumed after the cessation of discharge, but not earlier than 14 days. This prevents the infection from entering the uterus.

Weight gain after a surgical abortion is possible, so you need to eat right. Some women may need the help of a psychologist during this period.

2 weeks after the procedure, you need to consult a doctor and undergo an ultrasound examination to make sure there are no complications. Also, a specialist will choose a reliable method of contraception.

When is it necessary to see a doctor?

You should immediately seek medical help with an increase in body temperature, dizziness or general malaise after an abortion. It is also worth going to the doctor for bleeding and severe pain in the abdomen or perineum.

A woman should be alerted by the fact that there is no discharge after a surgical abortion. This indicates a cervical spasm, as a result of which all blood remains in the cavity and provokes inflammation.

Another indication for visiting a doctor is having a positive pregnancy test for a week after an abortion or longer. If the stripes on it do not fade, this situation indicates that the abortion was incomplete.

Possible complications after an abortion

Surgery inevitably affects the health of women.

After a surgical abortion is done, a number of complications can occur:

Severe bleeding requiring immediate medical attention. In severe cases, removal of the uterus is indicated.
Infection. This is a common complication that often occurs if the abortion is performed under non-sterile conditions. If pathogenic organisms enter the uterine cavity, it can lead to inflammation () or blood poisoning (sepsis). The latter sometimes leads to death.
Injury to the cervix, caused by unprofessional actions of the doctor who performed the operation. The resulting damage adversely affects the gestation of the next pregnancy, increasing the likelihood of a miscarriage or premature birth.
Infertility. During the procedure, the inner surface of the uterus is damaged, which is why in the future the embryo cannot attach and die.
Incomplete abortion. In this case, after the procedure, the ovum remains in the uterine cavity and continues to develop. Repeated curettage is required, since there is a high probability of having a baby with developmental defects.
The appearance of a placental polyp. This happens if a small amount of chorionic villi remains inside the uterus, attached to its walls by connective tissue. Pathology can be accompanied by pain and prolonged spotting. Surgical removal of the polyp is indicated.
With an atypical structure or position of the uterus during a surgical abortion, its walls are sometimes perforated. In this situation, the damaged area is sutured, but there is a risk of loss of the reproductive organ due to bleeding.

Separate complications may occur several years after the procedure in the form of hormonal imbalance or patency of the fallopian tubes.