Abortion is the name given to the process of evacuating an unwanted pregnancy in the uterus.
"Abortion is never a family planning method".
It is not possible to use modern family planning methods effectively. It is the priority of obstetricians and gynecologists to apply it properly and reduce the rate of unwanted pregnancies. If an unexpected pregnancy occurs as a result of the failure of family planning methods, abortion should be used as a last resort. It can also be performed to clean the tissues of the fetus and placenta.
Women who have abnormal, prolonged and excessive menstrual periods may also require curettage. The name of the procedure here is "Probe Curettage" for diagnostic purposes. After curettage, bleeding stops and the intrauterine tissue taken is sent to pathology to investigate the cause of bleeding. In other words, both diagnosis and treatment are performed together with the procedure performed.
What is the legal dimension of abortion in our country?
The legal limit for abortions performed for the purpose of pregnancy evacuation (legal curettage) For our country, it is limited to "10 weeks from the last menstrual period". Written consent of both spouses is required. The last menstrual period is the first (start) day of the last menstrual period. If the pregnancy is beyond this gestational week, curettage cannot be performed even if the mother and father consent.
However, if the continuation of the pregnancy poses a life-threatening threat to the mother, for example, if the mother has severe heart, kidney, liver disease, asthma or hypertension. If there is a situation, in case of severe fetal anomaly or if there is a need to use drugs that may be harmful to pregnancy, the pregnancy can be terminated regardless of the gestational age "taking into consideration the mother's life". For this, a "medical board report" must be issued from an official hospital with the signatures of at least three doctors.
Things to consider..
Abortion is a "surgical intervention" in every respect. It should be carried out under appropriate conditions and by experienced people.
Before abortion; The size and location of the pregnancy should be determined and the personal risks of the patient should be evaluated.
Perform an abortion. It can be performed in a sterile environment with general and local anesthesia.
If the curettage procedure will be performed with general anesthesia, the patient is asked to be hungry and thirsty for at least 6 hours before the procedure. The purpose of this is to ensure that the stomach is empty and to prevent vomit from entering the lungs and being swallowed after nausea that may occur due to general anesthesia.
Curettage attempt with local anesthesia can also be performed while the patient is full. An intervention under local anesthesia is the procedure performed with numbing drugs applied to the patient's cervical area. With this method, the risks of general anesthesia are eliminated, but patients will experience more pain than with general anesthesia.
What risks does abortion have?< br /> If performed by experienced people, the risks that may occur during an abortion performed during normal weeks of pregnancy are quite low.
However, since it is a surgical intervention, it also carries some risks.
These are:
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Uterine, bowel and bladder perforations.
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Bleeding
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Failure to evacuate the pregnancy (endometritis)
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There may be problems related to anesthesia.
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Destruction of the intrauterine tissue (endometrium) or formation of adhesions in the uterus (Asherman syndrome) as a result of amenorrhea or decrease in menstruation. This risk increases after frequent and repeated curettage.
Failure to evacuate the pregnancy completely may be due to anatomical changes of the uterus or too long pregnancy. Being evacuated as early as a week may depend on their situation. It is generally recommended to perform the procedure after at least 7-10 days of menstrual delay. Before the procedure is performed, the pregnancy must be visible in the uterus with the help of ultrasound. In this way, it will be understood that the pregnancy is not an ectopic pregnancy.
Again, remaining pieces inside the uterus may prevent the uterine muscle from contracting fully and cause bleeding. Sometimes bleeding due to fragment retention may begin a few days after the procedure.
What should be done after the abortion?
If the abortion was performed with general anesthesia, it is normal to feel a little dizzy, nausea, weakness, mild groin pain and light bleeding on the first day. acceptable. Complaints will usually subside after a few hours.
After an abortion, mild vaginal bleeding without clots is normal for a period of 2-10 days. Sometimes there may be no bleeding after the procedure, and sometimes there may be complaints of intermittent bleeding for a certain period of time. In general, the expected bleeding is to stop after it continues to decrease gradually.
If it is performed under general anesthesia, you can eat food approximately two hours after the procedure. The first meal eaten should be light, low-fat, salty and rich in liquid foods. Soup-type or breakfast-style foods may be ideal. Over time, after 3-4 hours, if there is no nausea, you can start eating normal foods.
After the abortion, painkillers (analgesics) and antibiotics prescribed by the doctor should be used properly.
In general, infection Intercourse is not recommended for 10-15 months to prevent this from occurring.
If an abortion has been performed due to a miscarriage or stillborn baby, protection with a family planning method is recommended for at least 3 months. At the end of this period, the uterus can fully reassemble itself.
There is no harm in taking a bath immediately after the abortion. However, due to the risk of infection, it is not recommended to sit in the bathtub or have a vaginal shower.
When will the first menstrual period occur?
About one month after the procedure (after the person has a period length of time). ) normal menstruation will occur. A few days' delay in the first menstrual period is normal.
When can a spiral be inserted after the procedure?
Spiral application is performed in the same session as the abortion procedure or one month later. It can also be done during normal menstrual periods.
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