Overview & Description
When a woman chooses to end a pregnancybefore the child is ready to be born,it is called an abortion. The fetus may be removed from the woman’suterus using one of two methods:
A surgical abortion is a medical procedurethat takes an embryo or fetus from the uterus before it is able to live on itsown. An abortion may be termed elective, because it is a chosen course of action,rather than a naturally occurring bodily process. (A naturally occurring abortion isalso known as spontaneous.) Sometimes, an abortion is called therapeutic. This meansit is a treatment used to protect the health of the woman. That is, to continuethe pregnancy would endanger the woman’s health.
Who is a candidate for the procedure?
Any woman who chooses to end a pregnancy for healthor personal reasons is a candidate for an elective abortion. Abortionsare legal in the United States during the first 12 weeks of pregnancy.After that, the legality of abortion is regulated by each state.
How is the procedure performed?
Before doing an abortion, a doctor will confirm that the womanis pregnant as well as the approximate age of the fetus. Apelvic exammight be done to check the size of the uterus. Lab studies will rule outanemia,determine the woman’s Rh factor,and screen for sexually transmitted diseases.The doctor should offer information about the procedure used.Psychological support should be given as needed.
Some of the options for surgical abortion in thefirst trimester of pregnancyare:
Some of the options for surgical abortions after14 to 15 weeks of pregnancy include the following:
Preparation & Expectations
What happens right after the procedure?
A woman who has a surgical abortion will be watched closely fora short time to make sure that her blood pressure, pulse, and bleedingremain stable. She will then be allowed to go home. In 2 to 4 weeks,she will have a return visit to the health care provider to check for problems.
After any abortion, a woman withRh-negativeblood should be given a shot of Rh immune globulin, unless the father alsohas Rh-negative blood. The woman may be prescribed a pain medicine.Sometimes, antibiotics are used as well to prevent infection.
Home Care and Complications
What happens later at home?
At home, a woman should take these steps.
If a woman has no problems after the abortion, it is likelythat she will be able to get pregnant at a later time. A follow-up visitwith a doctor should include a pelvic examto make sure the uterus is shrinking in size. This office visit is also a goodtime for a woman and her doctor to talk about birth control.This will help the woman choose a method that will work well for her.
What are the potential complications after the procedure?
Any type of abortion can cause heavy bleeding that mightrequire a D&Cor blood transfusion.There are other possible complications linked to each type of abortion.Early abortions tend to be much safer than later ones. In the firsttrimester of pregnancy, rare complications of a D&Care:
These problems are far more likely to happen when a D&Eis done after 12 weeks of pregnancy. At that time, the uterus is largerand softer. This means more tissue must be removed.
In late abortions, putting very concentrated salt solutions,urea, or prostaglandin into the amniotic fluid can cause the problemslisted below:
Sometimes, too much of the uterine lining is scraped away,causing scar tissue to form within the walls of the uterus. The scartissue can cause infertility.
Article type: xmedgeneral