WHAT IS ABORTION?
The word abortion means "to scrape". Generally, it means scraping the inside of the uterus. It can be performed for various reasons in gynecology:
• Termination of an unwanted pregnancy
• Evacuation of a fetus that has died in the womb
• Diagnosis and treatment of heavy menstrual bleeding
• Bleeding in the postmenopausal period
• Thickening of the uterine wall in the postmenopausal period
• Fluid accumulation in the uterus in the postmenopausal period
• Suspicion of a mass in the uterus
WHAT IS MEDICAL EVACUATION?
If abortion is performed to terminate unwanted or abnormal pregnancies, it is called medical evacuation. Pregnancy termination is also expressed as pregnancy termination, dilation & curettage (D&C).
IS ABORTION (MEDICAL EVACUATION) LEGAL?
Abortion (medical evacuation), It is a legal process in Turkey, as in many countries. Optional abortion was approved by the law enacted in 1983.
WHAT WEEK CAN ABORTION BE PERFORMED?
10. It can be done within a week. For women in a civil marriage, mutual consent and signature of the couples is required. Single women and women over the age of 18 can have an abortion only with their own consent and signature, without requiring the consent of their partner.
IS ABORTION (MEDICAL RELEASE) OF UNDERAGE GIRLS LEGAL?
A girl who has not reached the age of 18 has no criminal liability. Therefore, it is accepted that the conception of this girl child is not her responsibility and that fertilization is the responsibility of the other party (the male partner). According to the laws regarding the personal immunity of the child, in the pregnancies of girls who are over 16 years old but under 18, no complaint can be filed. Depending on the situation, the male partner may be accused of sexual abuse. If the girl is under the age of 16 and becomes pregnant, a sexual abuse case will be filed directly, regardless of the complaint. Permission to have an optional abortion (medical evacuation) is also subject to this rule: Girls over the age of 16 can have an abortion, as long as they do not exceed 10 weeks of gestation, with the approval of the mother or father. Pregnant girls who are under the age of 16 can only have an abortion with court permission. Families who learn that their daughter, especially 16 years of age or younger, is pregnant should urgently file a criminal complaint at the courthouse during working hours or at the police station during non-working hours and be referred for gynecological examination through the prosecutor's office. If a pregnancy does not exceed 10 weeks after the gestational week is determined, an abortion is ordered by the court. They must obtain permission to do so. Of course, in this process, the man who is the other party of the sexual contact that causes pregnancy will be tried as a criminal and there will be a serious prison sentence for him.
WHEN IS THE ABORTION (MEDICAL RELEASE) PROCEDURE DONE? ?
In a normal pregnancy, the gestational sac settles in the uterus in the 5th week. This approximately corresponds to the time when menstruation is delayed by 1 week. Once the gestational sac is seen, curettage (medical evacuation) can be performed. The legal period for abortion (medical evacuation) is 10 weeks, counting from the first day of the last menstrual period. However, if fertilization is early, this period may be exceeded without being aware of it. For this reason, the last week should not be waited in unwanted pregnancies. In abortions (medical evacuation) performed earlier than the 5th week, without waiting for the gestational sac to fully settle, the pregnancy may continue despite the abortion!
IN WHICH CASES MAY ABORTION (MEDICAL EVACUATION) EXCEED THE LEGAL PERIOD?
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In some exceptional cases, u If a committee of doctors decides and the family approves, abortion may be possible after the 10th week: /p>
• Chromosomal disorders of the baby (E.g. Down syndrome)
• Rape babies (Court approval required)
HOW IS ABORTION DONE?
Abortion (medical evacuation) is a surgical procedure. It should only be performed by qualified Gynecologists and Obstetricians under appropriate, sterile conditions. After the patient is anesthetized, the vagina and cervix are disinfected with special solutions. The procedure begins with ultrasound guidance. The uterine contents are evacuated by vacuuming with plastic cannulas (Carmen cannula) and a plastic syringe (Carmen syringe), which are selected according to the size of the pregnancy and whether the patient has given birth. Very rarely, in large pregnancies, intrauterine control can be performed with instruments called "curette". Near the end of the procedure, the patient is given intravenous painkillers.
HOW LONG DOES THE ABORTION PROCESS TAKE?
The abortion (medical evacuation) procedure takes between 10 and 20 minutes. . The patient needs approximately 30 minutes to recover and leave the clinic.
WHAT ARE THE TYPES OF ANESTHESIA USED FOR ABORTION (MEDICAL EVACUATION)?
Abortion (medical evacuation) There are two types of anesthesia methods used in the ) procedure: Local anesthesia (anesthetizing the cervix with a needle and giving painkillers) and sedative anesthesia (a type of general anesthesia).
•In local anesthesia, the patient does not sleep and may feel a slight pain in the groin. Since the procedure takes approximately 5 minutes, this method may be preferred in small pregnancies. The advantage of this method is that you can stand up and walk home in a much shorter time. Sedative anesthesia is the preferred method in that there will be no pain during the procedure and the procedure will not be remembered. The patient must be evaluated by the anesthesiologist before the procedure. If no condition is detected that would prevent the patient from taking any anesthetic agent, the sedative drug is given through the arm by the anesthesiologist. For this anesthesia method, the patient must be hungry for at least 6 hours, not eat or drink anything (including water, coffee and cigarettes), and act as if he or she is fasting. In this, the patient sleeps completely, does not feel anything, and wakes up immediately after the procedure. However, it may take an average of 45-60 minutes for the patient to fully regain consciousness.
CAN ABORTION POSSIBLE WITH MEDICATION?
Abortion (medical evacuation) is a surgical procedure. It should only be performed by qualified Gynecologists and Obstetricians under appropriate, sterile conditions. Please, when you become pregnant, instead of looking for under-the-counter solutions, first consult a specialist!
Before having an abortion (medical evacuation), you should definitely talk to your spouse, family and doctor and make sure that the decision you make is correct. Keep a proper record of your last menstrual period (SAT). Because the first day of the last menstrual period is used to determine the gestational week. In addition, it is important to confirm SAT with ultrasonography.
There is no abortion drug officially used in Turkey and approved by the Ministry of Health, and it is not used. Please do not try to obtain such medications from the pharmacy! Medicines popularly known as "menstrual stimulants" cannot be used to induce miscarriage and, moreover, they can harm the child; It should definitely not be used for this purpose! Abortion is not a family planning method!
WHAT ARE THE RISKS OF ABORTION (MEDICAL EVACUATION)?
Abortion (medical evacuation) is a surgical procedure. It should only be performed by qualified Gynecologists and Obstetricians under appropriate, sterile conditions. Otherwise, it carries many dangerous risks:
• Infection (foul-smelling discharge, severe groin pain, fever may occur!)
• Perforation of the uterus (even hysterectomy if it coincides with the main arteries feeding the uterus). may be necessary!)
• Tears in the vagina or uterus
• Adhesions in the uterus (Asherman syndrome, menstrual irregularity may develop!)
• Pieces remaining inside the uterus ( long and excessive bleeding may occur!)
• Continuation of the pregnancy without removal (if there is a double uterus or an abortion was performed before the 5th week, the baby may remain inside!)
• Blood accumulation in the uterus (severe It may cause groin pain and fever!)
• Development of allergy to the drugs used, especially anesthetics
Proper use of the drugs given after the procedure, especially antibiotics, for 15 days It is recommended not to swim in the sea or the pool and not to have sex. When these recommendations are followed, the risks of abortion will be minimized.
WHERE SHOULD ABORTION (MEDICAL EVACUATION) BE DONE?
Abortion (medical evacuation) is a surgical procedure. It should only be performed by qualified Gynecologists and Obstetricians under appropriate, sterile conditions. For this reason, hospitals or clinics should be preferred instead of looking for under-the-counter solutions.
WHAT SHOULD BE CONSIDERED AFTER ABORTION (MEDICAL EVACUATION)? It is recommended to use the medications given after the abortion (medical evacuation), especially antibiotics, regularly, and not to go to the sea or pool or have sex for 15 days. Additionally, since it damages the vaginal flora, do not wash the vagina with soap and hygienic solutions. It is recommended not to bleed, not to use vaginal tampons, and not to do any strenuous movements. After the abortion (medical evacuation), a doctor should be examined within 7 days and information about contraceptive methods should be obtained. After the abortion (medical evacuation), mild abdominal pain, cramps and spotting will be observed for 15 days. However, if there is high fever, severe bleeding, severe abdominal pain, you should definitely go to the emergency room.
HOW LONG AFTER ABORTION (MEDICAL EVACUATION) CAN YOU GET PREGNANT?
30 days after the abortion. -Normal menstruation occurs after 40 days. There may be menstrual irregularities for the next 3-4 months. For this reason, it would be appropriate to take contraception for 3-4 months and postpone a new pregnancy in order for the uterus to recover and the menstrual cycle to become regular again.
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