Vaccine abortion, sometimes called a mini-abortionor vacuum aspiration, is a new approach to abortion technology by extracting the fetus with a special vacuum suction. This procedure is appointed by a gynecologist according to the patient's decision, or for such medical indications as fetal malformation, a chronic disease that threatens the health of the mother and the unborn child. Vacuum abortion lasts about 5 minutes, and within an hour a woman can be discharged. The advantages of vacuum abortion:
- Ability to abort pregnancy up to 2 weeks from the day of delay;
- operation under anesthesia;
- the whole procedure lasts about 5 minutes;
- removal of the fetus by vacuum suction, which is the safest;
- the rehabilitation period after surgery is much lower;
- there is no need to expand the cervix;
- The risk of serious consequences is much lower.
Contraindications to vacuum abortion
Successful operation requirespreparation, which provides for the exclusion of contraindications to abortion. Contraindication to carrying out vacuum aspiration are any gynecological, general inflammatory, infectious diseases. Also, a vacuum abortion will not be carried out if the pregnancy has already been interrupted, after which the term has not yet passed - 6 months. The abortion deadline is 5-6 weeks, so it is very important to follow your cycle and know all the symptoms of pregnancy. This limitation is due to the fact that during this period of time the fetus did not have time to attach itself to the uterus and it is easy to remove it with the help of vacuum suction. The earlier to interrupt unwanted pregnancy, the lower the probability of complications, but in any case it is present, as an artificial intrusion into the body can have unpredictable consequences. An important contraindication to vacuum abortion is ectopic pregnancy, which is dangerous for a woman's life. Ectopic pregnancy is a serious pathology requiring immediate intervention of specialists, it is accompanied by pains and colic in the lower abdomen, as well as unusual discharge. Ectopic pregnancy is detected by transvaginal ultrasound.
Preparing for a vacuum abortion
Vacuum abortion is an operation, therefore, to heryou need to seriously prepare. No doctor will undertake to perform the operation without a general blood and urine test, PCR analysis for hidden infections, bacteriological culture of the flora, beta-hCG analysis, ultrasound, blood group analysis, syphilis, hepatitis and HIV tests, smear on the flora. This list can be replenished if a woman is registered with a cardiologist or other physician with a narrow profile. The purpose of the above tests is to determine the state of health with the identification of all kinds of contraindications or abnormalities that can worsen a woman's health at the time of surgery and the future. PCR analysis allows you to see microbes that are not able to detect a simple smear on the flora. Carrying out the operation in the presence of any infection can cause inflammation of the uterus and lead to infertility. As for the blood test, he will reveal the internal state of the woman's body.
Anesthesia and surgery
Interruption of pregnancy by vacuumAspiration is performed on an outpatient basis under anesthesia. A uniform negative pressure is created in the uterus. This contributes to the fact that the fetal egg, which has not yet managed to tightly connect with the uterus, is easily separated from it, practically without bleeding. In the case of a vacuum abortion, the cervical injury is excluded, since there is no need for its expansion by instrumental means. To minimize all possible complications, the operation is performed under the control of an ultrasound device. More often, when vacuum abortion is used, local anesthesia is used, but at the patient's request, general anesthesia can be used. The operation must be performed in the presence of an anesthesiologist. The patient should be informed of the possible risks. To relax the cervix and reduce its muscular layer, special medications are introduced. Further, using a special dilator mirror, the vaginal mucosa is treated with an antiseptic. After the operation, the doctor is required to examine the aspirated contents to determine if the fetal egg is fully extracted. If the symptoms of complication do not appear for an hour after the operation, the patient is released home. To eliminate infectious complications, a special course of treatment is prescribed, which involves taking antibiotics and analgesic anti-inflammatory drugs. After abortion, antiplatelet agents are contraindicated, since they can provoke severe bleeding.
Rehabilitation and consequences
If after an abortion for 2 weeksthere are spotting, this is the norm. Also spasms in the lower abdomen are possible. Sexual life in the postoperative period must be stopped for at least 2 weeks. It is not recommended to use tampons and syringing. It is believed that vacuum abortion is safer than medical abortion. With vacuum interruption of pregnancy, bleeding is much faster, and the probability of an unsuccessful operation is very small. After abortion, you need to pay as much attention to yourself as possible. More rest, do not be nervous. It is impossible to name a certain rehabilitation period, as for each woman it is individual. For some, one month is enough, and some can not recover after six months. Of course, the most important role is played by the general state of health of a woman during the operation. It is not allowed to go in for sports during the rehabilitation period, to lift heavy objects. It is recommended to periodically measure blood pressure, temperature, heart rate. If abnormalities are found, consult a physician. Strictly forbidden to take hot baths, swim in swimming pools and open water. It is very important to eat properly and fully, as after an abortion the body is very exhausted. To exclude the risk of inflammation in the small pelvis, empty the bowel and bladder in time. If the operation was performed before 6 weeks of gestation, then there is a small probability (2%) that the pregnancy has survived. In case of refusal from abortion there is a real chance of normal development of pregnancy. But such a probability is very small, therefore, as a rule, in this case, they resort to a second interruption. Repeated abortion is performed surgically.
The risk of complications after abortion depends directly on:
- term of pregnancy;
- from the experience of a doctor;
- from the patient's state of health;
- from the number of abortions made;
- from the thoroughness of the preliminary examination.
There are 2 types of complications - early and late. Early complications are inflammatory diseases, strong bloody discharge, incomplete extraction of the fetal egg. Late complications include abnormal feeding of the embryo during subsequent pregnancy. This happens when the uterus is scraped out in case of incomplete vacuum abortion, which leads to microtrauma of the cervix, forming scarring on it.
Pregnancy after abortion
Conception after abortion is possible already in the firstmenstrual cycle, so contraceptives are recommended immediately after the resumption of sexual activity. After abortion it is necessary to undergo a course of treatment and restore the hormonal background, as violations in the hormonal system during subsequent pregnancy can provoke miscarriage. Vacuum abortion can be called the most gentle method, but in any case it is an artificial intervention that contradicts the laws of nature and can negatively affect the work of the woman's body, the ability to bear and give birth to a child in the future.