Contraindications for abortion: what could be the causes and consequences

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

Women have abortions for various reasons. But in any case, you need to know that this operation has unpleasant consequences. But sometimes it can't be done. All contraindications to abortion are described in the article.

Reasons

Man has the right to choose and power over personal actions. Now there are no obstacles to abortion, only the desire of the woman is needed. This operation can be performed at 12-22 weeks. But this does not mean that the procedure is safe. And it is not customary to talk about it openly. Abortion is a personal matter for every woman. In Russia, the European example will allow to reduce their number, where it is possible to leave a born child anonymously.

There are women who end their pregnancy for career reasons. Some are afraid that they will not be able to feed another baby. Sometimes the reason lies in the condemnation from being born out of wedlock. Also, the case may be in a difficult financial and social situation. But it is important to remember about contraindications to abortion.

Indications

The procedure has absolute indications. Typically, the procedure is scheduled for:

• age 35+;
• having 3 or more children;
• disability or genetic pathology in a newborn baby;
• anomalies in the development of the embryo or fetus;
• threat to the life and he alth of the mother.

It is forbidden to force women to have an abortion. If there are indications for this procedure, then the doctor must inform about the likely risks and consequences, but the final decision remains with the patient.

When should the operation not be performed?

Are there any contraindications for abortion? They do exist. Usually they are associated with a state of he alth. Contraindications to abortion include:

1. Allergy to products that are used during or after surgery.
2. Ectopic pregnancy.
3. Anemia of blood or blood clotting disorder.
4. Acute inflammation in the body.
5. Kidney failure.
6. Pregnancy with long-term use of contraceptives.
7. Continuous and long course of corticosteroids.
8. Asthma.
9. Term more than 7 weeks.

These are just general contraindications for abortion. In any case, a preliminary consultation with a doctor is necessary. Only a specialist can determine the level of danger of this operation. There are also contraindications for abortion, depending on the type of procedure.

Medicated

This procedure is performed without surgery or anesthesia for up to 9 weeks. In this case, you need to take a pill that does not allowthe effect of progesterone on the uterus, which terminates the pregnancy. After that, the women leave the clinic.

Usually, after a few days, bleeding occurs, similar to menstruation. After this, a secondary ultrasound examination is required. Contraindications for medical abortion include:

• ectopic pregnancy;
• infection and inflammation in the genital tract;
• blood clotting disorders;
• hypertension;
• uterine fibroids;
• severe ailments of the heart, liver, stomach, adrenal glands.

There is a small percentage that the drug will not have the desired effect, and there will be no abortion. Doctors usually warn against abortion pills.

Because this procedure disrupts the hormonal system, there may be consequences in the form of menstrual irregularities and heavy bleeding. There may also be incomplete rejection of the fetus, in which case surgical intervention is necessary. Contraindications for medical abortion must be taken into account, otherwise you can harm your he alth.

Vacuum abortion

This procedure takes up to 5-6 weeks. It uses local or general anesthesia. The procedure is performed by a doctor within 10 minutes. Within a few days after this, pain appears, bleeding is likely for 10 days. After the procedure, ultrasound control is required.

There are contraindications for vacuum abortion. It is usually not allowed to be done at:

• more than 7 weeks;
• inflammation of the genital tract;
• urogenital infections;
• fresh scars in the uterus;
• blood clotting disorders;
• ectopic pregnancy.

There may be an incomplete abortion when performing this procedure. In this case, the abortion is repeated in the classic way of curettage. The consequences include the occurrence of severe bleeding, infection in the uterus, menstruation failures, endocrine disorders.

There are also delayed effects of this abortion. They can show up after a few years. These complications include endometriosis and infertility. This type of procedure is also called a mini-abortion. Its contraindications must be told by the doctor to all women who decide on this procedure.

Surgical method

This is a surgical curettage. The procedure is performed during pregnancy up to 12 weeks using intravenous anesthesia. During an abortion, the cervix is opened with a special tool, and then a metal loop, a curette, is used to scrape the uterus. But there are contraindications for medical abortion of this type. It cannot be done at:

• inflammation and infections of the genital tract;
• blood clotting disorders;
• individual intolerance to the funds used in the procedure;
• sources of purulent infection.

The doctor must take into account individual intolerance to medications. It is required to exclude allergies to the active ingredient mifepristone and other drug substances. Butusually women have hypersensitivity, which manifests itself in the form of a small rash, hives.

Negative symptoms are eliminated by antihistamine tablets. Abortion with medication should be prescribed only by a doctor. The procedure must be performed in medical institutions where patients are able to receive timely and qualified assistance.

How are contraindications identified?

Establish contraindications based on the examination, which is assigned before each operation. It consists of:

• blood and urine tests;
• HIV and RW test;
• determining the blood group and Rh factor;
• coagulograms;
• vaginal swabs for flora;
• ECG.

If the disease, which is a contraindication, can be cured relatively quickly, the pregnancy is terminated after that on a general basis. It is better not to have an abortion during the first pregnancy. This can lead to infertility and various complications. A high risk is the first abortion for women with a negative Rh.

Danger

A doctor may refuse to perform an abortion on a woman if there are circumstances that threaten her general and reproductive he alth. Usually specialists are not willing to terminate a pregnancy in the following situations:

• girls under 18 without the consent of their parents, husband, guardians;
• surgical abortion is not performed in the presence of diseases for which anesthesia is prohibited;
• if availablediseases of the reproductive system, due to which abortion can lead to infertility;
• critical disorders of the hormonal system.

In these cases, abortion would be a dangerous procedure. It is necessary to consult a doctor about all the negative manifestations of this manipulation. Only then should a decision be made.

Danger of first abortion

Aborting a pregnancy has a risk to a woman's he alth. But he is especially dangerous if she is the first. Complications include:

1. "Primary miscarriage." This means that the body remembers everything about the first pregnancy and can follow the same actions in the future.
2. Impossibility of bearing. The cervix, opened by artificial intervention, loses its tone and elasticity. This greatly affects the ability to bear a child.
3. Failure of the menstrual cycle. The procedure disrupts the activity of the endocrine glands. The hormonal system is out of order. Your periods will be irregular. This affects mental he alth, can lead to obesity and sexual pathologies.
4. Probable damage to the walls of the uterus, infection.

To make abortion less traumatic and reduce the consequences, you need to choose a medical or vacuum option. After all, the surgical method is always dangerous.

How to avoid abortion?

A woman should be told about contraindications to this procedure. If they are, then an alternative method is required. There issocial and psychological services that work with women who want to terminate a pregnancy. Many of them are unwilling to have an abortion after listening to the baby's heartbeat.

A woman can tell a psychologist about her problems, find a way out, solve problems. During the so-called week of silence, psychologists and social workers talk to women. As practice shows, the work of such organizations reduces the number of abortions by 20%.

Women for some reason want to terminate their pregnancy secretly, in inappropriate conditions, although the number of criminal abortions has decreased due to their legalization. If you are sure of getting help and support, you can give birth to a child without a husband. And because of the lack of material and social protection, abortions occur.

Psychologists should cite the statistics of obstetric clinics, where many women become infertile after such an operation. You should also talk about the risks of bleeding. After a blood transfusion, there is a risk of serum hepatitis, and this will cause severe consequences. There is also a possibility of a medical error - infection.

At the 2nd stage, the doctor should be told that almost 60% of aborted women suffer from mental disorders. They feel guilty, self-critical, which causes irritability, mood swings, depression, fears, and nightmares. And if they manage to get pregnant, then new problems may arise - acute and chronic ailments. There is a risk of miscarriage, ectopicpregnancy, the birth of a child with low birth weight, a deviation in the development of the baby.

Consequences

In addition to remorse, there is stress and a number of ailments. The risk of infertility and mental disorders increases. In the future, this leads to the risk of miscarriage and a decrease in fertility. But some families want to have children, but can't.

Some women tend to have mood swings, depression, and exaggerate problems during pregnancy. Others need financial support, which they are afraid to ask for in the relevant authorities. Households should also be tolerant.

A woman needs to think carefully before terminating a pregnancy. Understand the importance of this step. It is also important to consider contraindications and negative he alth effects.