Abortion is a method used to terminate unwanted or unhealthy pregnancies. In addition to emotional concerns, the pressure of the surgical operation is also a major source of stress for patients. Based on my experiences in the field of gynecology, obstetrics and in vitro fertilization, Op. Dr. As Fatma Horasan, I have discussed the curiosities, questions and answers about the abortion process for you.
When can abortion be performed?
In our country, pregnancies up to 10 weeks can be terminated legally upon request. The exact week of pregnancy can be determined by ultrasonography. To perform this procedure, you must first consult a gynecologist and obstetrician. Here, your health condition will be examined for general and gynecological diseases under the supervision of a physician, and if there is a problem that may prevent abortion, it will be determined. In cases where an abnormal baby is detected or the pregnancy puts the mother's life at risk, the baby can be removed every month as a medical necessity, with the preparation of the necessary legal documents.
When does pregnancy begin? How is gestational age calculated?
Pregnancy starts from the first day of the last menstrual period, not the day of intercourse. So, when the menstrual period has passed for 1 day, it can be said that you are 4 weeks pregnant. In general, patients may underestimate or overestimate the pregnancy by 2 weeks. To make an accurate calculation, the first day of the last menstrual period should be taken into consideration.
How to terminate pregnancy? Which method is followed when performing an abortion?
During an abortion, general anesthesia is generally applied, and in some cases local anesthesia is applied, depending on the condition of the patient. If general anesthesia is applied, the patient sleeps throughout the procedure and does not feel anything. If local anesthesia is applied, a slight abdominal and groin pain may be felt while terminating the pregnancy. There are two methods frequently used when performing an abortion. Of these two methods, the scraping method with abortion spoons is rarely used. The most commonly used method is termination of pregnancy with the vacuum method (vacuum aspiration). In our clinic in Izmir, abortion is performed using the vacuum method (vacuum aspiration). Vacuum abortion is an extremely fast and painless method. In your clinic Abortion is performed using hygienic and modern devices. At the beginning of the abortion procedure, general anesthesia is applied with intravenous drugs. The patient can return to her normal life 20 minutes after the procedure is completed.
Do others know that I had an abortion?
Abortion is a woman's legal right. No information is given to anyone unless there is a court order. However, an individual under the age of 18 cannot perform the procedure without family decision. Likewise, a married woman can perform an abortion after reaching a mutual decision with her husband.
Can an abortion be performed with pills?
An abortion can be achieved with pills, but the remaining parts must be removed. Inspection of the inside of the uterus, that is, an abortion, may be required.
What is done in irregular and intermittent bleeding?
In irregular and intermittent bleeding, a piece is taken from the inside of the uterus. It is sent for histopathological examination. This is called curettage, endometrial curettage or probe abortion.
How long does the abortion procedure take?
The vacuum curettage method takes approximately 5 to 10 minutes. The patient wakes up within 3 minutes but does not remember anything.
Could there be a problem during the abortion procedure?
The patient is warned about any infections, wounds or suspicious appearances in the cervix seen during the procedure. Cervical cancer screening can also be done by taking a swab from the cervix 1 week after the procedure. Early diagnosis of cervical cancer is determined by a device called colposcopy, which enlarges the image of the cervix.
What is done after the abortion procedure is completed?
After the procedure is completed, bleeding and pain are controlled. After the blood pressure and pulse are checked, the patient is sent away.
Should a check be made after the abortion?
An ultrasound check is essential 5 days after the procedure. It is checked for bleeding, infection, and debris remaining. Because even a residue of 1 millimeter may cause bleeding.
Can a spiral be inserted after the abortion?
A spiral can be inserted after the procedure, but a cervical cancer screening test, that is, a smear, must have been performed and there must be no bleeding.
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Does abortion have side effects?
Hormone withdrawal bleeding may occur within 5-7 days after the procedure.
When does menstruation occur after abortion?
Menstruation occurs after 30-45 days.
Menstruation occurs after 30-45 days. p>
Should medication be used after abortion?
Medication and antibiotics must be used after the procedure.
Can we have intercourse after abortion?
Risk of infection Because of this, intercourse is prohibited for a while after the procedure.
Is abortion performed upon the woman's decision? Is spousal approval required?
If the patient is over 18 and single, he/she will be released with his/her own signature. However, if the person is over 18 and married, spousal consent is also required.
Recommendations Regarding Abortion
1 – If your period passes by 1 day, the pregnancy is 4 weeks old. Pregnancy begins on the first day of the last menstrual period. On the first day of each menstrual period, the uterus prepares for a new pregnancy. The legal limit is 10 weeks.
2- Mostly, the procedure is performed with plastic mixed cannula vacuum.
3- For the diagnosis of normal pregnancy, ectopic pregnancy is first examined with ultrasound. Fast for 4-6 hours.
4. Do not drive after an abortion. You can go to work.
5. Since ovulation may occur again after 10-15 days of abortion, it is necessary to apply a contraceptive method.
6. If there is RH incompatibility, Anti D incompatibility injection should be given within 72 hours.
7. To prevent pregnancy, the appropriate contraceptive method is applied to the doctor.
8. There is no infertility after abortion. Come for a check-up within 5-10 days.
9. If there is fever, excessive bleeding or foul-smelling discharge, call your doctor immediately.
10. There will be a slight hormonal bleeding 3-5 days after the procedure, and menstruation will occur 30-45 days later.
11. If there is sporadic bleeding after the procedure and if the bleeding continues for more than the 7th day, call your doctor.
12. If there is a curtain inside the uterus, pregnancy cannot be achieved and may continue. Be sure to come for a check-up.
13. At the end of the procedure, sexual intercourse is prohibited for 10 days.
14. Consume liquid foods after the procedure. Drink plenty of liquid food 4-6 hours before the procedure.
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