What is Abortion?
The word abortion derives its origin from the word "curettage". “Curettage” is a word of Latin origin. It has entered our Turkish language from the French phrase "curetage". The English word for abortion is the word "abortion". or termination by medically evacuating the fetus. Cleaning the debris in the uterus after miscarriage and taking a biopsy from the uterine wall in case of irregular menstrual bleeding are also under the heading of abortion. Curettage, which is performed in cases of excessive or irregular menstrual bleeding, has a diagnostic and therapeutic effect. Because there is an improvement in menstrual function due to the removal of residues after the procedure.
Things to be done before abortion
* Things to be done before abortion (Gynecologist Doctor By)
A complete gynecological examination and transvaginal ultrasonography should be performed before abortion. During these examinations, the structure of the uterus is examined, anomalies that may prevent or cause difficulty in abortion are detected, any abnormal conditions such as cysts or myomas are determined and a general evaluation is made. Blood incompatibility - In cases of Rh Incompatibility; "Anti-D" blood incompatibility injection is planned for 72 hours after the abortion procedure. For this reason, the decan group of both couples should be known in case of blood incompatibility. Giving blood incompatibility injection; It is a precaution taken to ensure the health of possible subsequent pregnancies.
In addition to these examinations and evaluations, it is also important to accurately perceive the patient's determination and determine her general psychological state in the context of her health. If instability or any other remarkable situation is observed in the patient's psychological state, the gynecologist must definitely request a consultation from a psychiatrist and postpone the procedure.
I advise my patients, especially those who will have an optional legal abortion, to think for the last time and make a clear decision. I ask them if there is any chance of giving birth and I tell them to give up abortion and think one last time about giving birth. After all, none of us, as individuals, would want to terminate a baby that might have a chance at life. We respect those who have a clear decision, explain all the details about the procedure and then proceed with the abortion procedure.
And especially, I request everyone who wants an abortion procedure; I recommend that they have it done before 5 weeks pass, without delay, before it grows, before a heartbeat occurs, before the embryo forms in the sac. (this means 3 weeks from the night of fertilization, in other words, your menstrual bleeding is delayed by 1 week and 10 days)
* Things to Do Before Abortion (by the Patient)
Abortionprocedurewith general anesthesia< It can be done by putting the patient to sleep. This general anesthesia is not a long and heavy anesthesia applied in surgeries, it is a state of sleep that we call very light sedation. It is different from general anesthesia in surgeries; low dose anesthesia is applied. Patients wake up and regain consciousness 5 minutes after the procedure.
For the procedure, the patient must remain hungry and thirsty until 4-5 hours before the abortion surgery. The need to remain hungry and thirsty for 4-5 hours. It is not a special condition for abortion surgery, it is due to general anesthesia. This general anesthesia is not like the long and heavy anesthesia applied in other surgeries. What we call sedation anesthesia is a very light state of sleep. It is different from general anesthesia in surgeries, a very low dose of medication is given and the patient opens his eyes and regains consciousness 5 minutes after the abortion operation. Finally; Before sitting on the gynecological table in the lithotomy position (both legs open to the side and slightly upwards), the bladder must be emptied, that is, urinated.
How is Abortion Performed?
Pregnancy During follow-up by a gynecologist; definitive determination of the absence of heart rhythm of the fetus or fetus or disability, various syndromes / diseases, etc. If this is observed, the abortion performed is calledtherapeutic abortion. before transaction Afterwards, examinations are performed regarding the general health status of the pregnant woman, and the location of the fetus outside the uterus is monitored with ultrasound systems. It is determined whether there is anything in the pregnant woman's health that would hinder the curettage procedure. If it is decided to perform the procedure with general anesthesia; An anesthesiologist or technician must be present. Generally, in first pregnancies or if cesarean section has been performed in previous births, general anesthesia (abortion by sleep) is preferred. Anesthesia desedation method is used. Listen to your doctor's instructions.
First of all, the mouth of the uterus is cleaned with special disinfectant liquids to prevent infection. Afterwards, the mouth of the uterus is fixed using a tool provided. The cervix is dilated using instruments called bougies. Then, the uterus is cleaned and the fetus is evacuated. There are different methods that can be used at this stage. As an abortion technique in our clinic, we use the aspiration technique with vacuum Karmen cannula, that is, the last system technique, as mentioned below.
What is Aspiration with Karman Cannula (Vacuum Abortion)?
The inside of the uterus is emptied by placing plastic cannulas of various thicknesses, called Karmen or Karmen cannulas, into the uterus and then aspirating with reverse pressure. Karmen cannulas have various forms specialized for different pregnancy sizes and shapes. The cannulas used are sterile and disposable. In our clinic, this method is also calledvacuum curettageorvacuum aspiration.It is one of the most commonly used methods for abortion.
How Long Does Abortion Take?
Abortion, except for pre-abortion gynecological examination (transvaginal ultrasound and analysis) and anesthesia-induced awakening periods. surgeryon average can take between 5-15 minutes.
After Abortion
After abortion surgery; The patient is rested for 10-20 minutes. If the procedure was performed with general anesthesia; The recovery period resulting from normal general anesthesia will also apply to abortion. �r.After abortion; It is normal to experience conditions such as nausea, weakness, lack of consciousness and dizziness due to anesthesia. In addition to these anesthesia-related findings; Mild to moderate pain and bleeding may also occur in the groin area. After 1-1.5 hours, these findings will decrease and disappear.
The Obstetrician-Doctor explains to the patient what to pay attention to and the medications to use.
After Abortion. When Can the Patient Go Home? (Discharge Period After Abortion)
After the abortion, the patient does not need to be hospitalized. Once the recovery process after anesthesia is completed and with the approval of the specialist physician, the patient is sent home. may return. In other words, on average, the patient can be discharged 15-45 minutes after the procedure.
Is there a need for post-abortion dressing?
After the abortion procedure There is no need for any dressing. Only care should be taken when cleaning the genital area,after abortionwashing with soap and douching should not be done for about 1 week, only washing with water.
Post-Abortion Shower (What After Abortion? When can you take a shower?)
After the abortion, you can take a shower on the same day. There is no harm in taking a shower on the same day as long as the warnings regarding the cleanliness of the genital area mentioned above are followed.After the abortion, it is recommended to take a shower standing up for the first week and not to take a shower lying in a bathtub full of water.
Post-Abortion Sexual Intercourse (Post-Abortion Sex)
For the first 20 days after the procedure, sexual intercourse should not be attempted, or forms of gratification that imitate sexual intercourse (masturbation) should not be done. If bleeding does not stop within this period, sexual intercourse should not be attempted even after 20 days and a specialist physician should be consulted.
After the expected period for sexual intercourse has passed; If your doctor has recommended protection during sexual intercourse, be sure to follow these instructions.
When Can You Go to the Sea / Pool After Abortion?
Due to the risk of infection; You should not go to the sea / pool for the first 15 days after the procedure.
Control after Abortion role
Since we are a clinic that performs abortion accompanied by ultrasonography, there is no need for the patient to come for a check-up one week and 10 days after the abortion. Because when we do it this way, the possibility of any parts remaining inside or experiencing another problem is minimized. However, for routine examination, we call our patients for examination after 40 days.
Call your doctor if you feel any discomfort after the abortion, in case of excessive bleeding, and in any other situation that you think is different from normal.
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Pain After Abortion
After the abortion procedure, it is normal to have pain similar to menstrual pain. However, if the pain becomes very uncomfortable or lasts for a very long time, be sure to consult your physician.
Medication Use After Abortion
After Abortion. Antibiotics and painkillers prescribed by your doctor are used. Avoid behaviors such as stopping the medication or choosing a medication at your own discretion, without consulting your doctor.
Is It Understandable That I Have Had an Abortion?
Whoever Had an Abortion
strong>It is not possible to understand that the person has had an abortion.Menstrual (Menstrual) Irregularity After Abortion
After Abortionshort menstrual cycle It is normal for there to be deterioration in the term. Because the menstrual cycle before the abortion may change. If the patient had a complaint of menstrual irregularity before the abortion, this situation may continue after the abortion. It will be useful to inform your doctor about these issues.
Is Pregnancy Possible After Abortion?
Post-abortionThere is an obstacle caused by abortion in getting pregnant. There is no. There are cases of pregnancy even before the first menstrual period after the procedure. However, it is necessary to wait for the time recommended by your gynecologist for the uterus to recover and for a healthy pregnancy. There is a misconception that people who have an abortion during their first pregnancy cannot become pregnant again. After the first abortion, there was no obstacle to getting pregnant again due to the abortion procedure.
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