Understanding Intricacies of Abortion procedure

Posted on 17. Mar, 2010 in Birth Control, Pregnancy & Birth



Abortion procedure entails surgical and non-surgical (medical) methods.

Surgical abortion involving surgical removal of uterus contents is offered in several facilities for women in their sixth to sixteenth week of pregnancy which is ascertained on the basis of their last experienced normal menstrual periods. Vacuum aspiration used for abortion procedure is of two types:

  • Manual Aspiration
    The method could be used in case a woman is in her fifth to twelfth week of gestation subsequent to her last periods (initial part of first trimester). The woman is administered local anaesthesia after which a specifically intended needle is used for applying suction. This procedure is not obtainable in all places; however it could be more obtainable as compared to the machine vacuum aspiration in a number of topographical areas.
  • Machine Aspiration
    This method is a prevalently employed in the initial fifth to twelfth gestational week (initial three months of pregnancy). After administration of local anaesthesia, a hallow tubular structure or cannula affixed via tubing to a pump and bottle is introduced inside the uterus that offers a mild vacuuming effect when the pump is operated leading to gentle removal of tissue within the uterus. Misoprostol drug could be administered prior to the method or a cervical osmotic dilator placement in cervix hours or days prior to the procedure to bring about cervical dilatation.Women in their twelfth to sixteenth week of gestation could be needed to undergo a two day lasting method. The accurate evaluation of pregnancy is ascertained by ultrasound scanning during the day of the method. A minimal twenty-four hours in advance of setting up a doctor’s appointment is often required by calling up the clinic. During the day of the abortion method, the patient would be spending from 4-6 hours in the facility that could comprise of the below mentioned steps for the abortion surgical procedure.

    • Inclusive medical past, permissions and registration.
    • Ultrasound scans for ascertaining pregnancy.
    • Laboratory work for obtaining crucial signs, drawing blood samples to check haemoglobin count and Rhesus or Rh factor.
    • Counselling for purposes of completing medical form and answering patient queries.
    • Operation employing twilight anesthesia.
    • Recuperation phase.

The abortion charges include the above mentioned services. Women having Rhesus-negative blood group require Rhogam and those women having cardiac murmur problems would have to shell out supplementary fees.

Non-surgical (Medical) Procedure

Non-surgical abortion, at times known as medical abortion is the method in use for termination of pregnancy begun forty-nine days or lesser from the last periods. Duo drugs employed are Misoprostol and Mifepristone.

Misoprostol functions by blocking a hormone crucial for pregnancy continuation. Misoprostol brings about uterine contractions and both these drugs help in ending pregnancy. As there is at all times a likelihood of failure in this procedure, hence one must be prepared to undergo a surgical procedure in case non-surgical method has failed. Furthermore, a woman must be ready for committing to a minimum of duo trips to the facility, be in normal health and be having instant, dependable transport on the occasion of any urgent situation.

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