Unfortunately, there are not always two stripes ontest cause boundless joy. Life sometimes presents a variety of surprises, and not always pleasant ones. And the situation develops in such a way that a woman decides to terminate a pregnancy. We respect a woman's right to choose, so we will not give any assessment of the moral and ethical side of this issue. But since the situation has developed in this way, let's figure out which of all the evils will be the least. Of course, the safest thing for a woman's health is to terminate a pregnancy in the early stages. This is explained very simply. What happens to a woman's body after fertilization of the egg? It begins to rebuild very quickly, adapting to its new state. And such changes occur every day, more and more actively. And then the fetus is removed from the body. The body is in real shock. As you understand, complications can be unpredictable. And the longer the pregnancy, the stronger these changes in the body. And this means that the "shock" to the body will be stronger, the longer the pregnancy. And you should never ignore this fact, because the complications can be very, very serious - from hormonal imbalance to the development of secondary infertility. That is why doctors recommend not to waste time, once you have made such a decision. Of course, early termination of pregnancy is not easy either. But it is much safer than abortions performed at a later stage. And you need to remember that an abortion after the 12th week of pregnancy requires very compelling circumstances. And it is extremely difficult to obtain permission to perform such an abortion. And there is no need to talk about the harm that is caused to the body. You should not risk your health like that. Let's look at ways to terminate a pregnancy at an early stage.
Medication abortion
In recent years, it has become increasingly popularacquires a medical termination of pregnancy at an early stage. The essence of this method is simple - taking certain drugs that block the production of the hormone responsible for maintaining pregnancy - progesterone. For obvious reasons, we will not give the names of these drugs - a medical abortion must be carried out under the strict supervision of a doctor. The abortion itself is performed in three stages:
- Consultation and examination of a gynecologist
Immediately before the abortion, the womanmust undergo an examination by a gynecologist. The doctor will conduct a manual examination on a gynecological chair, an ultrasound examination of the uterus - this is necessary to determine the exact gestational age and individual characteristics of the woman's body. After this, the doctor must make sure that the woman has no contraindications to the use of a drug used to terminate a pregnancy. If the doctor does not find any obstacles to performing a medical abortion, the woman will be told in detail about the drug itself and the principle of its action. After this, the woman must sign a contract for the provision of medical services.
- Taking the medicine
After the woman takes the pills,for some time she must remain in the hospital, under the strict supervision of a gynecologist. As a rule, this takes several hours. After all, it is in the first hours after taking the drug that the body can react negatively to it. Therefore, doctors play it safe. After this, the woman goes home. Within two days, bleeding should begin, the duration of which can be quite long - up to two weeks. It is at this time that the complete expulsion of the fertilized egg from the uterine cavity occurs. As a rule, this process occurs quite smoothly. But in some cases, such phenomena as headache, nausea and nagging pain in the lower abdomen may be observed. In such cases, it would be wiser to inform the doctor who performed the termination of pregnancy about this.
- Final examination of a woman
After two weeks, the woman mustin order to see a gynecologist. The doctor will examine the woman, conduct an ultrasound examination to make sure that the body is recovering normally. In principle, this method of terminating pregnancy at an early stage has many advantages:
However, it was not for nothing that the expression about a spoon appearedfly in the ointment. There are also several disadvantages - or rather, two. Firstly, the drug for early termination of pregnancy is hormonal. And the dose of this hormone is quite high. This means that there is a risk of disruption of the normal hormonal background. And secondly, there are quite often cases when the fertilized egg does not come out completely. In this case, you still have to resort to curettage of the uterine cavity. And the risk of developing acute endometritis increases several times. By the way, if you have a fever and severe pain in the lower abdomen after a medical abortion, immediately call an ambulance! Most likely, your uterine mucosa has become inflamed. There are a number of contraindications to a medical abortion:
- Individual intolerance to a particular component of the drug.
- Violation of the normal process of blood coagulability.
- Acute illnesses or exacerbated chronic diseases.
- Pregnancy after the failure of the intrauterine device.
- The presence of a woman with malignant tumors.
- Uterine fibroids, endometriosis.
- Active smoking (more than 10 cigarettes per day).
Of course, it's up to you to decide. But regarding this method of terminating pregnancy, you should consult with several doctors at once.
Vacuum — aspiration
In case the pregnancy period is shorterfive weeks, the doctor may suggest terminating the pregnancy using vacuum aspiration or, as it is commonly called, a mini-abortion. Vacuum aspiration is a surgical method of terminating a pregnancy. Incidentally, mini-abortion is the most common today. To terminate a pregnancy, a vacuum aspirator is inserted into the vagina, which looks like a huge syringe with a nozzle, with the help of which the fertilized egg will be removed from the uterine cavity. Using a vacuum aspirator, the doctor creates negative pressure in the uterine cavity, which leads to the immediate separation of the embryo from the uterine mucosa. The average duration of such an abortion is 5 minutes. In most cases, it is performed under general anesthesia, if the woman has no contraindications. But even in this case, you should not be too scared. Of course, the sensations will not be the most pleasant, but you can tolerate them. As a rule, an ultrasound examination is performed immediately after vacuum aspiration - the doctor will see if the fertilized egg has been completely removed. Rarely, but still there are cases when additional curettage of the uterine cavity is required. Mini-abortion is a fairly gentle way to terminate a pregnancy, but it can also lead to the development of some complications:
- Intense pain in the lower abdomen, violation of the menstrual cycle.
- Violation of the hormonal background.
- Inflammatory processes of the genitourinary system.
Although, in fairness, it should be noted that such complications develop extremely rarely – in 5-7% of all cases.
Traditional surgical abortion
Traditional surgical abortion is performed before12 weeks of pregnancy. This method of pregnancy has been used for a very long time - many decades. To begin with, a woman must undergo a full medical examination: a general blood test and tests for all kinds of infections, an examination by a gynecologist, an ultrasound scan to clarify the gestational age. Previously, such an abortion was performed under local anesthesia, today in almost all cases such an intervention is performed under general anesthesia. Special instruments - dilators are inserted into the woman's vagina, with the help of which the cervix is opened. After this, the doctor scrapes the fetus with a special sharp instrument - a curette. In some clinics, this entire procedure is carried out under ultrasound control - this significantly reduces the risk of possible complications. And complications, alas, arise very, very often:
- Perforation of the uterus, damage to the cervix.
- Strong breakthrough bleeding.
- Violation of the normal process of blood coagulability.
- Infection of the uterine cavity.
- Peritonitis and endometritis.
- Development of secondary infertility.
As you can see, the prospects are not very bright,so if you have already decided to terminate a pregnancy, try to have an abortion as soon as possible. After all, vacuum aspiration causes much less harm to a woman's body. And be sure to consult a doctor about further contraception. Abortion should never become a method of family planning. Take care of your health! We recommend reading:
