Types of abortions at different terms

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

Unfortunately, in the lives of girls and women there are situations when the pregnancy must be terminated. This happens due to he alth indicators, and sometimes due to life circumstances. None of us has the right to blame a woman who voluntarily took this step, since only she knows the reason for such behavior. In order for a woman to cause minimal harm to her he alth, she must be aware of all the features of this procedure. In the article we will look at what types of abortions are and what are their consequences in the future.

Surgical abortion

Surgical abortion can be performed up to 13 weeks (depending on indicators). After such a procedure, a woman can go home the same day. However, she must be under the supervision of doctors for several hours so that they can monitor her condition and, if necessary, provide emergency assistance.

If a girl who has not previously given birth decided on a surgical abortion, then a special kelp dilator is preliminarily placed, which is located approximately four hours incervical canal. During this time, it swells and thereby expands this channel, which greatly facilitates the work of the doctor. But this method is rarely resorted to, basically, already closer to the 12th week, when other methods cannot be used.

Vacuum abortion

Previously, a woman should be warned that, starting from twelve o'clock at night and until the onset of the procedure itself, she should not eat anything. First of all, this is due to the fact that general or local anesthesia will be administered to her. Either way, she won't feel anything. More often, with this type of abortion, they resort to local anesthesia, but much here depends on the desire and performance of the patient.

The process itself only takes ten minutes. After that, the girl is transferred to the ward, where she stays for several more hours under the close supervision of specialists. For some time, a woman may be accompanied by periodic pain in the abdomen. This is due to the fact that the uterus has already begun to increase, and after the termination of pregnancy, it begins to shrink sharply. In addition, minor bleeding may occur for ten days, which is not as heavy as normal menstruation. Cases of infertility after this type of abortion in the early stages are extremely rare.

Medicated abortion

The safest type of abortion is medical. However, it also has a few "buts". It is more often prescribed to women who have previously given birth. You can only do it until nine.weeks of pregnancy, starting from the first day of your last period.

When you see your doctor early on with the decision to terminate your pregnancy, he or she may offer you several options to resolve your issue. If you have settled on such a form as medical abortion, then you must follow all the doctor's instructions right on time. To begin with, you will be prescribed an ultrasound examination to accurately determine the gestational age. You will then be scheduled to see the doctor for a pill that will induce a miscarriage. After taking this pill, there will be no turning back. After two days, you simply have to return to the hospital again to take the second pill. Its task is to stimulate uterine contractions.

Within a few hours after taking the second pill, you will start bleeding, during which the fetus should come out. At this time and for about six more hours, it is better to be under the supervision of a doctor, since there have been cases when women have had too much bleeding and need help. After the onset of bleeding, severe pain in the lower abdomen is possible - these are uterine contractions. You can take various painkillers, as some patients complain of severe spasms. And someone has no pain sensations at all.

After 2-3 weeks, a woman should go to the doctor to check if the uterus has contracted, if inflammation has begun, if there are particles of the fetus, which is extremely rare.

Late abortion

Types of abortions and timing vary greatly according to the indications that the girl has. But there are also late abortions. When the thirteenth week of pregnancy ends, it is strictly forbidden to carry out the above types of operations. Otherwise, the uterus or cervix may be severely damaged. In such cases, the abortion procedure can be carried out in several stages.

Preparatory

The first stage, as in surgical abortion, is the softening of the cervical canal, which is necessary for the extraction of the fetus. But here this process no longer takes four hours, but from 12 to 36 hours, depending on the time and indicators.

After the insertion, the woman can go home and then appear at the appointed time, or she can stay in the clinic. This procedure is completely painless. It is also important to know that not every clinic carries it out.

Main

Next, the second stage is carried out, at which the doctors are tasked with stimulating uterine contractions. For this, there are special preparations that can be administered with a dropper, through the cervical canal or directly into the uterus through the abdominal wall. There is an alternative option for inserting the pill through the vagina, which is the easiest and least painful.

After the injection of the drug, active uterine contractions begin, which leads to the expulsion of the fetus. This process can be extremely painful and lengthy. Sometimes it lasts more than 40 hours. In addition to pain, a woman may experiencenausea and even vomiting. In order to alleviate her plight, various topical painkillers can be administered.

Final

In the third stage, doctors remove the placenta. In most cases, with late abortion, only two stages are performed, since the placenta comes out with the fetus. But there are cases when the fetus is delayed or the woman begins to bleed heavily. And also cases when the placenta does not come out completely are not excluded. With such indicators, scraping of its remains is carried out. This procedure is painless as it is performed under local or general anesthesia.

After such an abortion, the mammary glands can produce milk, which must be reported to the doctor. In such cases, special drugs are prescribed that stop the lactation process.

Consequences of abortion

It should be said about the various infections that can enter the uterus during the operation. Even if the abortion was performed in absolutely sterile conditions, the risk of infection remains. If a woman had any gynecological diseases before the operation, the risk of infection increases. From the uterus, the infection can quickly enter the general circulation, and from here more serious problems emerge, up to blood poisoning. This is especially common if the abortion is done outside of a hospital setting.

Bleeding is quite common. They can be minor and end on their own, or they can be quite plentiful. If you don't providehelp a woman with bleeding after an abortion, she may even have her uterus removed.

During the operation, the cervix has to be artificially dilated. The longer the gestation period, the more the expansion is done. In the process, it can be severely damaged. In the future, this can cause miscarriages.

Infertility is the main danger of abortion. It occurs due to the fact that during curettage, scars form on the walls of the uterus, which then block special channels through which embryos can enter the uterus. As a result, pregnancy does not occur. It's fine if the embryos just die at this stage, but most of them can attach themselves to the walls of the cervix and cause an ectopic pregnancy. Within a few weeks, the cervix ruptures and the woman needs urgent surgery. It is also important that with a previous ectopic pregnancy, the risk of its recurrence increases dramatically.

Of the most harmless consequences, hormonal imbalances and an irregular menstrual cycle can be distinguished. These consequences are easily eliminated with the help of drugs.

Prevention of post-abortion disorders

When we figured out abortions, the types and consequences of these operations, we need to talk about how to prevent various disorders in the body after this procedure.

The first week after an abortion, it is necessary to measure body temperature daily, try not to overcool and exclude significant physical exertion. If you are experiencing an increasebody temperature or severe pain in the lower abdomen, spotting, then these are serious reasons to immediately seek help from a specialist.

The first two weeks, refrain from taking a bath or swimming in the pool. In addition, it is better not to have sexual contact until the first menstruation after the operation. This is a good prevention of getting into the wound of various sexual infections.

After 14 days after the operation, it is imperative to visit your gynecologist and undergo an ultrasound scan. Consult with a specialist about methods of contraception. If you decide to give birth some time after the abortion, then consult a gynecologist in advance, who will help you develop an individual scheme for preparing for conception.

Post-abortion depression

It has long been known that abortion has a negative impact not only on the physical condition of a woman, but also on her psyche. Girls are very much going through this process, regardless of whether she voluntarily went for this operation or for medical reasons. There are some symptoms by which you can easily determine that a woman needs psychological help:

• a woman has dreams about her operation, she returns to this day from time to time, remembers the child;
• she experiences severe psychological pain, anxiety, if she passes by the clinic or in her presence there is talk of pregnancy, its termination;
• she remembers the date of the operation and countselapsed time, and possibly waiting for the date when the baby was supposed to be born;
• mental amnesia, when a woman refuses to remember that day or any facts from it.

But there are other symptoms that affect the physical condition as well:

1. Bad sleep, frequent insomnia.
2. A woman cannot concentrate on one thing, she is often nervous for no reason, sometimes aggressive.
3. Apathy, suicidal thoughts.
4. A woman cannot forgive herself, periodically blames her for what she has done.
5. There are cases when women begin to abuse alcohol, smoke.
6. Loss of appetite, some can't stop their hunger.

Conclusion

As you can see, there are several ways to terminate a pregnancy, and each of them has its own characteristics and consequences. It is almost impossible to avoid the consequences of an abortion. At least one of the listed items is observed in women who have experienced an abortion. If you decide on such an operation voluntarily, then think over your decision several times. And if there were medical indications for this, then do not focus on this event, but immediately think about the treatment and planning for a future, this time necessarily a he althy and successful pregnancy.