Abortion procedure, risks and application time
Abortion literally means scraping, and as used in gynecology and obstetrics, it means taking tissue from the uterus. It is not performed only to terminate pregnancy.
Curettage can be performed for diagnostic purposes, especially in bleeding disorders and post-monopausal bleeding (probe curettage). Abortion can also be performed to determine whether ovulation occurs during infertility studies.
Abortion for the purpose of terminating pregnancy is legally performed in our country until the 10th week of pregnancy. If the baby is dead, if the baby has a serious abnormality (disability) that is incompatible with life, or if the pregnancy is medically unsafe, abortion can be performed in later weeks of pregnancy. Abortion Practice: Legal abortions can be performed under both local anesthesia and general anesthesia. Although abortion under general anesthesia increases the cost slightly, it is preferred and recommended both for the mother's psychology and for the procedure to be completely painless. After the patient sleeps, the patient is positioned and first a gynecological examination is performed to evaluate the condition and size of the uterus. After the characteristics of the uterus are understood, a vaginal speculum is placed. The cervix becomes visible with the speculum. Precautions are taken against a possible infection by washing the vagina and cervix with antiseptic solutions. If local anesthesia is to be applied, it is done at this stage and medication is injected into both sides of the cervix. Then, the cervix is held with an instrument called a single tooth. This procedure may be painful. The unidentate is pulled out to make the uterus flat. With the help of tools called bougies, the cervix begins to be widened (dilatation). For this purpose, the thinnest possible spark plug is used. The plugs are numbered according to their diameter in millimeters (1, 2, 3, 4, 5.....). After the dilation process is completed, plastic (carmen) cannulas are passed through the cervix and the uterine cavity is reached. After the cannula is inserted, its tip is connected to a special syringe that creates vacuum for this purpose. By opening the button of the syringe, negative pressure is created and the syringe is moved back and forth to clean the inside of the uterus. nir. The procedure continues until the inside of the uterus is completely cleaned. If it is decided to terminate a pregnancy longer than 10 weeks for a medical reason and by the decision of the board of physicians, this procedure is performed by connecting larger cannulas to vacuum devices and then using sharp curettes. It is checked whether there are any pieces left. Abortion and legal issues Abortion and its Risks The legal limit in abortion is up to the 10th week of pregnancy, and the possible risks of an abortion performed during this period largely depend on the experience of the Obstetrician-Gynecologist who performs the procedure.
It is performed with local anesthesia (numbing). The most common problems in applications are allergy to the local anesthetic, hypersensitivity and vasovagal syncope (fainting). This is usually a temporary situation and does not cause any problems. Pain, nausea and vomiting are also common problems after the procedure. Sometimes the cervix may be hard enough to not allow the cannula to pass and the procedure may be interrupted. In this case, the procedure is repeated after 1 week. In small pregnancies (<4 - 4.5 weeks), the abortion procedure may fail.
Evacuation is postponed until one week later. Bleeding after abortion can last up to 1 week, but if bleeding lasts longer, it should be checked, there may be a piece left inside. Rarely, the uterus may be pierced depending on the menstrual period used. This may cause internal bleeding, damage to the intestines, and sometimes the puncture site may close with mild pain and contraction of the uterus without any symptoms... Infection usually occurs in abortions that are not performed under sterile conditions or in pregnancies that die in the womb. Infection and inflammation manifest themselves as pain, discharge, and excessive bleeding.
This problem is rarely observed if the antibiotics given after abortion are used regularly. The most important but rare problem seen in the late period is adhesions (Asherman syndrome) that occur as a result of excessive damage to the inner layer of the uterus during the procedure. It manifests itself as the absence of menstrual bleeding 4-5 weeks after the abortion and the inability to cause bleeding with medication. It is rarely observed in evacuations carried out within legal limits and especially in vacuum procedures. Abortion is a sensitive matter that brings legal responsibilities. It is an issue and requires maximum attention. The legal limit for abortion on demand is up to 10 weeks, but if the baby has a disability etc. If this is the case or if the baby's heartbeat is not observed, the pregnancy can be terminated until the 24th week, which is the life limit.
Those who are under the age of 18 can have an abortion with the written and signed permission of their parents. If the patient is married, the father's consent and permission is required, but the patient If she is unmarried and over the age of 18, she can terminate the pregnancy at her own request. Every patient should be informed about abortion before the procedure and the complications of the procedure and the problems it may cause should be explained.
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