To give birth or not: how to decide? The percentage of infertility after abortion. Unplanned pregnancy

2024 Author: Priscilla Miln | [email protected]. Last modified: 2023-12-16 00:21

Pregnancy can be either planned or unplanned. Russian women are given a choice: either to keep the baby, or to terminate a developing pregnancy, but only at an early stage, before the end of twelve weeks. To give birth or not, each expectant mother must decide for herself. Without looking back at the opinion of neighbors, acquaintances, colleagues, or whether her husband (or the man with whom she has a relationship) wants this child. After all, in any case, all the burden or joy of the decision will lie on the woman. Only then will she have to experience the all-consuming joy of motherhood or grief from the fact that she will never have children after an abortion.

Happiness or sadness?

The question: “Maybe I’m pregnant ?!” - every woman asks. And not once or twice in my life. It is impossible to describe in words the whole gamut of feelings at the time when it arises. For some, this is a long-awaitedhope, for someone - unexpected happiness and joy. Someone is at a loss when considering a test with two stripes. Some are horrified at the thought of the trouble ahead.

“I don’t know whether to give birth or not” - this is how many women can tell themselves. Everything seems so easy and simple when a woman is happily expecting a child, because with great sympathy she even treats thoughts about him. These feelings are light and pleasant. Even if the baby “turned out” unexpectedly, the confusion disappears after just a few days, and it is replaced by a feeling of boundless peace with a little excitement about whether everything will go well.

But what if the thoughts that visit the head of a pregnant woman are bleak and pessimistic? Of course, one cannot condemn those women for whom the appearance of a child in their life is a huge problem. Every person has the right to make his own choice, to express his opinion and to make a decision, no matter how it may seem to others. How to decide whether to give birth or not? Only the woman herself can decide what is important and necessary for her in this period of life. This is a matter of life circumstances and morality.

Do I need a baby if the pregnancy is not planned?

In the life of many women there are times when the news of an unplanned pregnancy becomes simply terrifying. And only with age can one learn to understand one very simple thing: everything that is given from above is given for a reason and not at all as a problem. We only get what will eventually bring us joy. Another question is how not to turn this joy into a nightmare with your own pessimism and thoughts, when the only question comes to the fore: "I doubt whether to give birth or not?"

We must learn to live positively and even in the most terrible and terrible at first glance things to find something good. The main thing is to have a desire for it.

No need to talk now about the situation when pregnancy finally comes, and not suddenly. Because in this case everything is clear - the whole family is happy and waiting for the rosy-cheeked little one.

But what if there is no loving man nearby in such a situation, the expectant mother understands that she simply does not have enough money, and life with the birth of a child will turn into a swamp in which her best years will pass?

When an unplanned pregnancy happens, to give birth or not to give birth, a woman worries quite a lot. If there is no husband, then this cannot be called a problem, except perhaps with a big stretch. Than such a man in pants, then it’s better than none. A woman deserves the best, and a baby will never be an obstacle in order to build her own personal, ordinary female happiness a little later.

Possible causes of unplanned pregnancy

So, all women understand that pregnancy can be either planned or unplanned. Every future mother has a choice - to keep the child or to interrupt its development, to give birth or not. On the moral aspect, you can talk endlessly. Yes, every life is given for a reason, and every baby has the right to be born. But is it soAre his parents watching?

Periodically, the church makes attempts to ban abortions in the country or make them paid. But who will benefit from this? Most often, an unplanned pregnancy is interrupted just because of financial problems. And if the state makes abortions paid, the number of deaths will increase and more women will be left crippled due to domestic, criminal abortions.

What are the reasons for the sudden pregnancy:

1. Woman is breastfeeding a baby, no menses. In this situation, when the first child is still quite small, the question is no longer raised whether it is easier to give birth to the second or not. Not every woman will decide on a second birth so that the age difference between two children is about a year. An unplanned second pregnancy quite often occurs precisely because young mothers are convinced that as long as there are no periods, pregnancy will not occur. But… ovulation often precedes the first period. Pregnancy can occur even when a woman considers herself "sterile". The menstrual cycle can be restored even in the first weeks after childbirth, even if the mother is very actively breastfeeding the baby.
2. Coitus interruptus didn't "work". Because of such arrogance, an unplanned pregnancy can occur, especially in young girls. Similarly, douching with water mixed with lemon juice, soap solution, and the like will not help. The situation that has happened is the result of one's own ignorance and ignorance.
3. The woman is sure thatmenopause has come, and does not worry about anything. It turns out that if pregnancy occurs after 40 years, it is difficult to call it a rarity, because many women retain their reproductive ability. But the number of miscarriages at this age is higher. But still … Therefore, if a woman does not have her period on time, even if she feels the symptoms of menopause (they may turn out to be early toxicosis of pregnant women), but sexual intercourse has taken place, she needs to take a pregnancy test.
4. Many are considering whether to give birth at 35 or not. And after 40, this question is more relevant, because the older the female body, the harder pregnancy can be tolerated and the more likely it is that a baby will have Down syndrome and similar pathologies.
5. The chemical contraceptive was ineffective, the condom broke, the hormonal contraceptive did not drink on time. This can happen to every couple. To prevent an unplanned pregnancy, you should drink a hormonal emergency contraceptive. If a woman accidentally missed the time and did not drink a hormonal contraceptive pill, she must strictly follow all the instructions in the instructions on this matter.
6. A woman should not ovulate according to her calculations. But the calendar method does not differ in accuracy, and doctors do not advise focusing only on it. It is better to find a more reliable method of contraception. By the way, sexual intercourse two or three days before ovulation can also cause conception: spermatozoa live for several days.

Either yes or no

If a woman decides to keep a child, she needsregister for pregnancy. To begin with, visit a gynecologist who will examine her and, if necessary, refer her to an ultrasound of the uterus. It is better to do this as soon as possible. But if the expectant mother is not worried about anything (the stomach does not hurt, there are no strong manifestations of toxicosis, there is no bloody discharge from the vagina), then it is quite possible to wait a couple of weeks.

If the baby is not included in the plans of the family, it is necessary to have an abortion as soon as possible. The price for it is different, depending on the type and on the drugs used. More on this below. The shorter the period, the more likely that because of this operation there will be no further problems for a woman with reproductive he alth.

Up to twelve weeks of pregnancy, abortion is carried out at the request of women. It is not necessary for its implementation to have medical indications. The referral for the procedure is taken at the antenatal clinic at the place of residence. If there is an insurance policy, this operation is done free of charge. A woman must take tests, do an ultrasound, and on the appointed day come to the hospital to terminate her pregnancy. Usually they are discharged on the same day, a few hours later, as soon as the woman wakes up after anesthesia (if it was done).

Why is abortion scary?

From many young women you can hear: "I'm afraid to give birth for the first time." This is an understandable fear - no matter how much they read about childbirth, no matter how much they listen to the stories of girlfriends, acquaintances, neighbors, it is impossible to feel in advance everything that is not very pleasant at times. And the unknown is what scares me the most.

No matter how strange it may seem, but part of the cases of termination of pregnancy occurs precisely because of these fears. Women, horrified by the forthcoming pain of childbirth, do not even think about the medical consequences of abortion. And the fact that no pain can be compared with the happiness of taking your baby in your arms does not even occur to them. They also do not think at all that infertility may occur after the first abortion.

Perhaps, the main reason for further infertility is abortion, that is, the process of artificial termination of pregnancy. The likelihood that a woman will no longer be able to endure and give birth to a he althy baby is quite high. If we talk about the percentage that after an abortion it reaches 15%. And this is even if there were no complications after surgery. Doctors say that quite often infertility occurs precisely when an abortion is performed during the first pregnancy, followed by reproductive disorders in women - miscarriages, complications during the next pregnancy.

If this procedure - an abortion - is instrumental, then subsequently the desired pregnancy may not occur due to the fact that during the procedure there were injuries to the endometrium. If the "cleansing" was carried out too carefully, then later intrauterine synechia may form, which will not be able to gain a foothold in the uterus of the egg that is fertilized. Since the cervix expands during this procedure, in many cases it is injured. And when later stillpregnancy occurs, isthmic-cervical insufficiency may develop, which is a common cause of premature birth and late miscarriages. It is because of such situations that thoughts like “I’m afraid to give birth for the first time” are completely unfounded and frivolous.

By the way, according to statistics, 9% of abortions cause all sorts of gynecological ailments. Therefore, every obstetrician-gynecologist advocates that it is better for a woman to avoid abortion by using contraception than to experience medical manipulations.

Types of abortions

So, if a woman hesitates whether or not to give birth to her first child, second or third, she can go for an abortion. As mentioned above, medical termination of pregnancy is allowed up to the twelfth week. Moreover, the operation should take place only in a hospital and after the woman has passed the examination.

Options for getting rid of an unwanted pregnancy in this situation include the following:

• medical abortion - carried out only at very early stages of pregnancy;
• vacuum aspiration of the fetal egg - done for up to 5 weeks;
• medical abortion - acceptable for a period of six to twelve weeks.

Which one is suitable for a particular woman, only the attending physician will decide. The use of any type of abortion depends on how long the child is in the mother's womb. In the early stages, medical or vacuum is carried out.

In any case, every woman who decides to have an abortion should know that after this procedure,be consequences not only physical, but also psychological.

Quite often, inflammatory processes occur in the pelvic organs. They threaten subsequent miscarriages, disruption of hormone levels, and infertility.

If a woman has a negative Rh blood, then having an abortion now, later, deciding to have a baby, she may simply not be able to bear it because of the Rh conflict.

After an abortion, there is a hormonal imbalance, because all systems and organs worked to ensure that the embryo develops and grows normally, and suddenly it is gone … Uterine bleeding may begin, which will require repeated surgical intervention. During the operation, the doctor may accidentally violate the integrity of the uterus itself, its cervix and their mucous membranes.

Failed mothers sometimes succumb to nervous breakdowns and depression.

After a blind curettage is carried out, scars often form. And if the woman later wants to get pregnant again, the embryo will not eat very well because of them.

It is important for every woman to remember that abortion is a tactile operation. Even if it is carried out by a highly qualified specialist. And the fact that no negative effects were noticed immediately after the abortion does not mean that some complications will not begin in the future. You need to know about all this before deciding for yourself whether or not to give birth to a child. And be fully aware that whatever happens next will be the result of your own decision.

The types of abortions have already been mentioned. Butwhat is the cost of abortion? It consists of the cost of anesthesia, surgery, consultation with a gynecologist, ultrasound, tests, the woman's stay in the hospital.

If the patient has not yet done a blood group and Rh factor test, then you need to do it. The price of an abortion in medical clinics in Russia varies from five to twenty thousand rubles. The operation will be cheaper in sparsely populated areas and more expensive in big cities.

Medicated abortion

How long does a medical abortion take? It is done if the gestational age is no more than five weeks. This is the most gentle of all types of abortion. The cost of such an abortion is directly dependent on the drug: domestic "Mifepristone" - 7 thousand rubles, imported "Mifegin" - 15,000 rubles.

This option is suitable if a woman has a choice whether or not to give birth to a third child. After all, when there are already two kids at home, who often have no one to leave with, this will be at least some way out of the situation.

Pills should be taken in the clinic, under the supervision of a doctor. All the rest of the time, the woman is in her usual environment, at home. That is where the miscarriage occurs. In this case, even hospitalization is not needed. Just need to clarify: no matter how long a medical abortion is done, this procedure is paid, even if the patient has a medical policy.

Vacuum abortion

Before a vacuum abortion (or mini-abortion), a woman should not eat for 12 hours before the operation. Anesthesia is used, everything goes painlessly within ten minutes. Such an abortionperformed at 4-5 weeks gestation.

This is a rather gentle operation, in which the vessels of the uterus are not damaged. Since metal dilators are not used, there is no injury to the cervix. This is very good, because the risk of miscarriage is subsequently reduced.

Price ranges from eight to twelve thousand rubles. In some clinics, it costs twenty thousand. The minimum cost is 6,500 rubles, but here, most likely, tests and related medical services will be calculated separately.

Surgical abortion

This operation is prescribed for women whose gestational age is from six to twenty-two weeks. It is performed on an outpatient basis. That is, the patient does not have to stay in the hospital, she can return home on the same day.

The operation is also performed on nulliparous women. Thanks to surgical intervention, the tissues of the fetal egg are destroyed, then they are removed with a curette: the doctor scrapes all the walls of the uterus from the inside to separate the top layer of cells.

In time it takes from 15 to 30 minutes. This method is highly effective and does not require repeated intervention. The average cost in Russia is from seven to fourteen thousand rubles.

If a woman goes for an abortion during her first pregnancy, then the price will depend on the term and, of course, the best option for getting rid of the fetus. By the way, the clinic usually quotes the cost of the operation, so you need to prepare for additional expenses. The initial appointment with a specialist will cost from 450 to 800 rubles. You will need to take tests: for hepatitis, Rh factor and HIV - 200 rubles each, a gynecological smear - at least 250 rubles.

An ultrasound may also be required. The cost of the study will also vary depending on the maturity of the fetus. Up to five weeks - about 400 rubles. In the future, the cost is higher. That is, the total amount of the preliminary study is at least one and a half thousand rubles.

Conclusion

If life turns out in such a way that a woman faces the question of whether to give birth or not, she needs to understand that never and under no circumstances should she postpone the appearance of a child until later. After all, this notorious “later” may never come. Many years later, a woman who has had an abortion will regret her choice and think about how grown-up, smart and beautiful her baby could be now.

And don't think that as soon as everything "settles down" - there will be no problems with housing, with money, with a comfortable job, you can start thinking about increasing your family. You just have to want to be a mom! Indeed, with the advent of naked and rosy-cheeked happiness, life changes dramatically. And let there be sleepless nights and experiences, the great joy that this little miracle exists will not detract from anything. Life will not become penniless and unbearable. And even if you have to deny yourself some ordinary things, most women will be happy to buy diapers, toys and baby food than a new dress.

Therefore, summing up the above, I would like to say this: if a woman has becomehappy owner of the test with two stripes, no matter what, she needs to give birth. She will never regret it. If she still thinks about what she should decide on in this situation and what is the percentage of infertility after abortions, it is better to let her quietly say to herself: “I am happy now and here. And I really dream of becoming a mother!”