2023 Author: Priscilla Miln | [email protected]. Last modified: 2023-11-26 06:25
Where to get an abortion on a long term? There are many clinics, but there must be good reasons for this. Not every doctor will take on such a responsibility. When planning an abortion, you need to understand that it has a large number of adverse consequences. Only a doctor has the right to prescribe an abortion at such a time, based on medical indications that are unfavorable for the mother or fetus.
If a pregnant woman has contraindications to childbirth that threaten her life and well-being, then she is advised to undergo surgical abortion. Another factor, according to which an abortion can be performed at a long time, is a severe anomaly in the fetus.
Terms up to 12 weeks
There is no difficulty in having an abortion in the first weeks of pregnancy. There are much fewer clinics where you can have an abortion for a long time. In accordance with the law, any lady has the opportunity to terminate an unwanted pregnancy up to 12 weeks. The faster to doabortion, the less will be the negative consequences for the patient in the future. The most harmless to the well-being of the ladies consider drug termination of pregnancy. The period when it is allowed to be performed should not be more than 7 weeks. Another relatively safe abortion method is vacuum aspiration. It is allowed to carry it out up to 12 weeks.
If medical or vacuum termination of pregnancy in the early stages failed, the doctor will advise medical abortion. It is performed through surgery. There is a pattern: the longer the period during the abortion, the greater the consequences after the operation. These include both the patient's physical problems and mental disorders.
Reasons and indications
On the initiative of the patient, it is impossible to carry out a late abortion intervention. Such permission can only be given by the medical commission. Its representatives make a positive decision and give approval for the procedure in such situations:
- Conception occurred due to violent sexual acts against a girl.
- It was revealed that the child is outside the uterine body.
- Abortion at a later date can be carried out in the presence of fetal anomalies: genetic abnormalities, abnormal laying of organs, pathogenic effects on the child of external factors (radiation, chemical elements or physiological effects).
- Fetal death.
- Physical immaturity of the patient, for example, if conceptionoccurs in a girl under the age of fifteen.
- Presence in a girl of painful conditions that threaten her life, for example, urinary, endocrine, blood-clotting pathologies or diseases of the peripheral structures of the nervous system.
- The patient, while in position, suffered from serious illnesses or underwent therapy that could adversely affect the formation of the child (carcinomatosis, rubella, or antibiotic therapy). In this case, the medical council is able to approve a positive decision to terminate the pregnancy at a later date.
Sometimes such a conclusion is made in situations where a pregnant woman did not know about her situation for a long time, therefore she led an immoral lifestyle without restrictions (took alcohol, drugs). At the same time, the lady registered in the antenatal clinic is not a member and does not intend to become a mother. In this case, doctors conduct an examination to clearly see what pathologies are present in the crumbs. If they are found, then an abortion is performed.
It is worth paying attention to the reviews of those who had an abortion for a long time. Women write that he caused irreparable harm to both physical and mental he alth.
After 12 weeks of pregnancy, the girl will not be able to perform the abortion procedure of her own free will. How long is it permissible to terminate a pregnancy? Practitioners know the episodes when the ladies carried out abortive intervention and at 8 months. However, from a moral point of viewit is believed that after 3 months in the uterus there is a tiny little man who has the right to exist. Therefore, it will be necessary to justify that the destruction of this life is expedient. A clinic that does long-term abortions will want to know the cause. After all, it can be carried out because of the social status of a woman:
- The death of a spouse.
- Lack of housing.
- Having more than 4 children in the family.
- Mother's small age (under 16).
- Pregnancy due to rape.
- Arrest of father or mother.
It should be noted that there are many "important" social reasons for abortion. In Russia and other civilized countries, late abortion is allowed only for medical reasons, and in some states it is prohibited under any circumstances.
What should I do before an abortion?
Since late-term abortion can be carried out according to special indications, the lady is obliged to undergo a full examination before the operation (not only by a gynecologist, but also by specialists of other profiles). As a rule, the examination involves the mandatory implementation of a gynecological examination in the chair and the delivery of laboratory tests - bacterial culture from the cervical canal, smears from the urethra and vaginal cavity, biochemical and general blood and urine tests.
In addition, the patient is prescribed tests for HIV, Rh factor and group, antibodies to hepatitis C, syphilis, etc. In addition, FOG may be required,ultrasound express diagnostics of the pelvic organs, cardiogram. After receiving all the results of the examination, the pregnant woman consults a professional of the therapeutic profile and related speci alties - a gynecologist, an endocrinologist, an oncologist.
Further, doctors decide on termination of pregnancy and on what method this abortive intervention will be carried out. Until the 20-week period, interruption is performed in an abortion clinic. After 20 weeks, the procedure is carried out in a hospital obstetrics department.
- The patient needs specialized psychological help and support.
- The lady must be informed about the various methods of abortion.
- The doctor must advise the patient about the likely negative consequences and complications associated with abortion.
After the procedure, the woman should stay in the clinic until the recovery period is over. Then she should undergo a final examination. What are the disadvantages of late term abortion? Firstly, surgical intervention can adversely affect the state of he alth and provoke complications. Secondly, abortion is considered an invasive operation, which makes it quite painful. Thirdly, the woman may experience bleeding and spasms. Fourthly, anesthesia used during the procedure can provoke discomfort.
According to the statistics of medical institutions, about 2% of women out of the total number of abortions perform late-term abortions.
What are the methods?
The choice of abortive intervention depends on the duration of pregnancy and the general he alth of the woman. There are 3 methods of late abortion: saline flooding, induced delivery and small caesarean section. With saline infusion, a puncture is made in the amniotic sac. Ultrasound-guided hypertonic fluid (sodium chloride) is injected, causing the fetus to die, causing a miscarriage. Artificial childbirth is possible due to specific substances that activate contractions in a pregnant woman. Further, everything is done, as in a typical birth. If a surgical method is chosen for the abortion, then the patient undergoes a mini-caesarean section on the cervix and in its lower region in order to extract the fetus. This method is used if pregnancy threatens not only the well-being, but also the life of the pregnant woman.
Abortion by partial birth
This abortion procedure is rarely used in obstetric practice. The entire interruption procedure takes approximately 3-4 days. Termination of pregnancy by this method begins with the expansion of the cervix. In order to facilitate the patient's well-being, it is recommended to drink antispasmodics. Around the second day, the lady begins to feel contractions.
With the assistance of ultrasound technology, the doctor establishes a fetal presentation, then covers the legs of the fetus with special clamps and pulls the embryo out, while the head remains inside the female body. In order to prevent ruptures of the birth canal, the doctor cuts the neck of the fetus and pumps out the brain from the skull with a special suction. ATAs a result, the head of the fetus is reduced in size and is easier to remove outside. Further, with the assistance of vacuum aspiration, placental tissues are sucked off, and the uterine cavity is scraped out with a curette, freeing from embryonic fragments and blood clots.
Such an abortion process is almost no different from the classic caesarean procedure. In the lower abdomen of a woman, the surgeon makes a small incision, through which the fetus is taken out. When the fetus is alive, it is killed. Such an abortive procedure may adversely affect the subsequent reproductive abilities of the patient, but sometimes such an intervention cannot be dispensed with.
Usually a small caesarean section for termination of pregnancy in the later stages is prescribed if there are contraindications for spontaneous childbirth. In most cases, doctors resort to this method in urgent situations, if an immediate extraction of the fetus is necessary.
Pour or saline abortion
From a psychological point of view, the s alt abortion method is quite serious, which is used to terminate a pregnancy in the later stages. It is justified in cases where developmental pathologies are found in the fetus, but with other types of abortion (for example, during artificial birth), it can be born alive. Fill progress:
- A needle is inserted into the amniotic sac. Through it, amniotic fluid is pumped out (approximately 200 milliliters).
- Next, a mixture of chloride is injected into the bubblesodium.
- Under the influence of this solution, fetal cardiac arrest occurs.
- This abortive method is very cruel, because under the influence of s alt, the fetus feels unimaginable suffering, receiving significant burns of absolutely all planes of the body and mucous internal organs.
- A woman clearly feels everything that happens to the baby.
- Two days after the death of the fetus, the woman is provoked by artificial labor.
Such abortion often leads to emotional trauma in women. Often the sight of the skin of children killed in this way terrifies even the medical staff. The worst thing is that some children after such a blasphemous method of killing are born alive. Most of them die within 24 hours, but there have been cases when such children survived, although they became completely disabled.
Complications of late abortion
With each method of abortion in the later stages, the problems are very serious, so the pregnant woman is warned about them in advance. In some cases, this information forces the woman to change her mind. After the procedure, you should undergo a rehabilitation course that helps restore mental he alth, the state of the reproductive organs and the body as a whole.
Complications in the abortion process
Cervical ruptures are not uncommon at the time of the operation, which can cause difficulties during subsequent births. Serious injury to the uterus sometimes occurs, including perforation.
In addition, with late abortionsperiods often experience bleeding
Another unpleasant moment are fragments of the placenta remaining in the uterine cavity. In such cases, curettage is carried out.
Complications after the procedure
After a long-term abortion, the following complications may occur::
- Inflammation, suppuration of the endometrium - the inner mucous layer of the body of the uterus. This is fraught with difficulties with subsequent conception.
- Infections of the ovaries and fallopian tubes. Dangerous with the possibility of fusion of the fallopian tubes.
- Adhesions in the fallopian tubes can cause an ectopic pregnancy.
- Hormonal failures initiated by sudden termination of pregnancy.
- Burdens due to Rhesus conflict. In case of a negative Rh factor, medication is needed.
- The threat of miscarriages at various times in subsequent pregnancies is enormous.
- Infertility. Therapy may not be effective.
Who is contraindicated?
Late abortion has many contraindications, which include coagulopathic conditions associated with blood clotting disorders, which is why there is a risk of post-abortion bleeding.
Also contraindications for such an interruption are:
- First pregnancy and no medical indications.
- Exacerbated chronic pathologies.
- Long-term hormone therapy with glucocorticosteroids.
- Infectious diseases and inflammation of the reproductive organs.
If the patient has at least one limitationfor an operation, then the doctor must clearly explain the real prerequisites for refusing such an intervention, its dangers and consequences.
Women in reviews of abortions at a long pregnancy, even many years after the procedure, are very sorry about what happened. Many write about severe psychological trauma, prolonged depression after an abortion. Many of these women managed to get pregnant again and safely give birth to a he althy baby. They write that they went for an abortion only for medical reasons and warn all women that they need to be very careful about their he alth in order to reduce the risk of developing pathologies in the fetus.
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