What is abortion?
Although this medical procedure, known as abortion or abortion among the public, is known as emptying and removing the pregnancy material from the uterus, the place and purposes of the abortion procedure in gynecology, that is, the science of gynecology, are much broader. .
Apart from terminating pregnancy through abortion, it is a surgical intervention performed for many purposes such as stopping uterine bleeding that cannot be stopped with medication, taking a biopsy piece from the inside of the uterus, evacuating the remains of pregnancy material remaining in the uterus after miscarriages, removing the baby that died in the uterus, and many other purposes. In this article, it is optional. I will talk about the abortion procedure performed on demand.
Do the laws in Turkey allow abortion on demand?
With the abortion law enacted in 1982, Turkey was subject to certain conditions, as in other European and developed countries in the world. It allowed abortion on demand, and this law has continued since those years. Of course, with the legalization of abortion, thousands of women were saved from having abortions under the stairs and began to have abortion procedures at much healthier standards.
According to the law, abortion on demand last menstrual period. It allows abortion from date to the 10th week of pregnancy, and after the 10th week, if the baby is healthy and the pregnancy does not pose a danger to the mother's life, abortion is strictly prohibited. If the woman is not married in an official marriage, it is sufficient for the woman to give her consent with her own signature. For those under the age of 18, a consent signature from their parents is required.
What kind of health institution should the abortion procedure be performed in?
the office of the Ministry of Health. There are serious restrictions on abortion in Turkey. In my opinion, abortion should be performed under sterile conditions by a gynecologist and obstetrician in full-fledged hospitals and surgical medical centers, rather than in private offices and small clinics.
Is general anesthesia or general anesthesia in abortion? Is it local?
Although abortion can be performed with local anesthesia in women who have given birth normally before, most pregnant women feel pain and discomfort and get bored despite the local procedure. The pain itself can create a psychological trauma for the woman. The pain felt can sometimes cause bradycardia, that is, the pulse of the patient to drop to critical levels. Therefore, if the conditions are suitable, general anesthesia should be used in all abortion procedures. The anesthetic drugs used in abortion are mild drugs and the patient is mostly subjected to sedation and sedation. It creates drowsiness and after a few minutes its effect wears off and the patient wakes up. Of course, the person who will receive anesthesia should not eat or drink anything for at least 4 hours before the intervention.
Is any laboratory examination required before the abortion?
The patient's history should be taken carefully. If the patient does not have a significant disease, especially if she does not have a blood disease or does not use medication that affects bleeding and clotting, an additional test is generally not needed before the intervention.
How is an abortion performed?
Abortion literally means scraping, because many years ago, abortion was performed with metal tools that scraped the inner layer of the uterus, but now such tools are rarely used. Today, the abortion process has become much easier and safer with the Karmen vacuum device and flexible plastic cannulas used today.
In my opinion, the abortion procedure should definitely be done under ultrasound guidance. Performing it under ultrasound control minimizes the possibility of the pregnancy product remaining inside the uterus and helps us see the structure of the uterus. In general, material pieces can remain mostly in the corners of the uterus. This residue is removed by the uterus' own contraction for a few days. Sometimes those residues can remain inside and cause bleeding, and a second curettage may be required to clean it. Therefore, it is very important that the gynecologist who performs the abortion must be experienced and have high manual dexterity in this regard, so that he can direct and empty the Karmen vacuum cannulas to the corners of the uterus with his maneuvers. But sometimes, despite everything, pieces may remain, so the abortion patient should go to his doctor for a check-up 10-15 days after the intervention.
Does abortion have risks?
While even the smallest surgical intervention, an injection, has risks, abortion also has risks like every surgical operation, but these risks have decreased significantly with the rise in medical standards and the use of the Karmen vacuum method. .
Risks of abortion:
- Infection pain and increased fever.
- Pieces remaining and causing bleeding.
- Perforation of the uterine wall.
- Adhesion of the uterine walls to each other.
Can I get pregnant again after abortion?
/> This is one of the most frequently asked questions. If an abortion is performed correctly and there is no inflammation, adhesion or other problems after this abortion, the abortion will not cause infertility. And it is not right to immediately blame abortion for infertility situations that may occur months or years after the abortion. As a result, many cases of infertility may occur after having a first or second child or even many children and in women who have never had an abortion in their lives. The cause of such infertility should be investigated. and should be treated appropriately.
What should you do after abortion?
- You can start eating liquid foods 2 hours after the anesthesia given for abortion.
- You can take a shower standing up without filling the bathtub and sitting in it.
- You should not drink alcohol on the first day.
- As prescribed by your doctor. Be sure to use your antibiotics and, if necessary, your painkillers.
- If you have blood incompatibility, be sure to warn your doctor, and have the blood incompatibility injection prescribed for you in the first 72 hours.
- Sometimes there may be bleeding after an abortion, sometimes there may not be any, natural bleeding may be a small amount. It should not exceed 10 days, bleeding may be accompanied by groin pain, this is normal, but if your bleeding is excessive and lasts for a long time, be sure to contact your doctor. - Go to your doctor for a check-up 10-15 days after the intervention. - Abortion. Afterwards, you should see your first menstrual period after 4 to 6 weeks. If there is a delay, be sure to consult your doctor. You should stay away from sexual intercourse for 3 weeks.
Can abortion be used as a method of contraception?
Definitely not, if you do not want pregnancy, consult your doctor and choose one of the birth control methods such as condoms, birth control pills or spiral. You should choose the most suitable one. Abortion is only requested for important reasons in pregnancies that occur due to failure of the birth control method used or forgetting the birth control pill. There should be a method to be used in case of any problems.
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