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How to Abort Pregnancy?

A pregnancy abortion, whether by choice or due to consequences, can be aborted either with medicine or surgery. This piece of content is intended to guide you on the options available for safely terminating a pregnancy. It's important to make informed decisions and always consult with a trained and certified gynecologist before making any decision related to abortion. For expert advice and safe abortion, you can consult our gynecologists. Book your appointment today.

A pregnancy abortion, whether by choice or due to consequences, can be aborted ... Read More

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How to Abort Pregnancy?

Pregnancy can be a joyous event for many, but not every woman is ready to take on the responsibilities it brings. If you find yourself in a situation where you need to terminate a pregnancy, it’s crucial to understand your options.

There are two main ways to abort a pregnancy:

  • Medical Abortion: This involves taking medications that cause your body to expel the pregnancy tissue. These medicines are usually effective up until 10 weeks of gestation.
  • Surgical Abortion: This is a procedure done by trained doctors in an operation theatre (OT). Doctors may use methods such as vacuum aspiration or dilation and curettage (D&C). These procedures are usually safe and quick, with recovery times varying from a few days to several weeks.

Always remember, whatever method you choose, it should be done under the supervision of a professional healthcare provider.

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How to Abort a 5-Week Pregnancy?

If you’re looking to terminate a pregnancy that’s about 5 weeks along, medical abortion is typically the preferred choice. At this stage, surgical interventions are usually not necessary.

The procedure involves taking two types of medications:

  • Mifepristone: This drug makes the womb unsuitable for the foetus by blocking the hormone progesterone, which is needed for pregnancy.
  • Misoprostol: Taken 24-48 hours after mifepristone, it causes uterine contractions to expel the pregnancy tissue.

While medical abortion is generally safe, it’s essential to have it performed under a doctor’s guidance to manage any possible side effects or complications. Regardless of the circumstances, remember that you have options, and there are medical professionals ready to help you through this difficult time. Always consult with a healthcare provider before making any decisions about aborting a pregnancy.

How to Abort a 10-Week Pregnancy?

Aborting a pregnancy at 10 weeks can be quite stressful and overwhelming. This process is performed under medical supervision in a safe, controlled environment. It’s important to understand what’s involved before making the decision. A 10 week pregnancy abortion can be aborted by medicine or may require surgical intervention.

  • Medication Abortion: In this case, you will take prescribed medications like Mifepristone and Misoprostol, available in most health clinics and hospitals. These medications work together to terminate the pregnancy.
  • Surgical Abortion: This method is generally used after the 9th week of pregnancy. A suction or aspiration abortion is a procedure where a doctor removes the pregnancy through the cervix with gentle suction.

Remember, it’s crucial to consult with your doctor before you make any decision.

How to Abort a 15-Week Pregnancy?

In India, abortion after 15 weeks requires special consideration due to legal and health issues. At this stage, a surgical procedure is required and should only be done under medical supervision. There are 2 surgical procedures to abort a 15-week pregnancy:

Dilation and Curettage (D&C)D&C is a surgical procedure where the cervix is dilated, and a special instrument is used to scrape the uterine lining to remove tissue. It’s commonly performed for diagnostic purposes, treating heavy bleeding, or after a miscarriage.

Dilation and Evacuation (D&E): D&E is the most common method used for aborting a pregnancy at 15 weeks. Here, the cervix is prepared and dilated, and then the doctor uses instruments to remove the pregnancy.

It’s important to note that these procedures should always be carried out by a trained medical professional in a trusted healthcare facility.

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What happens in Medical Abortion?

Medical abortion uses two different medicines to terminate a pregnancy:

  • Mifepristone: This medicine blocks progesterone, a hormone required for the pregnancy to continue. Once blocked, the lining of the uterus breaks down and the pregnancy cannot continue.
  • Misoprostol: Misoprostol makes the womb contract, causing cramping, bleeding and the loss of the pregnancy similar to a miscarriage.

This process of medical abortion is effective within the first 10 weeks of pregnancy. After taking these medicines, it’s essential to have a follow-up with your doctor to ensure the abortion is complete.

Remember, an informed decision is always the best decision. Always consult with your doctor and understand all the implications before opting for any procedure.

What Happens in Surgical Abortion?

Surgical abortion, also known as an in-clinic abortion, is a procedure performed by a doctor to terminate pregnancy. It typically involves a few steps:

  • Pre-procedure check-up: This includes a general health examination, an ultrasound scan to confirm the gestational age, and blood tests.
  • Anaesthesia: A local or general anaesthesia is administered to block pain. Local anaesthesia numbs the cervix while in the case of general anaesthesia, you’ll be asleep during the procedure.
  • Procedure: The doctor will dilate the cervix and insert a thin tube into the uterus. A machine is then used to gently suction out the pregnancy from the uterus.
  • Aftercare: You may need some rest in the clinic before going home. Most women can resume their usual activities within a day or two after the procedure. You’ll have a follow-up appointment with your doctor to ensure everything is well.

Which Abortion Method Is Better - Medical or Surgical?

The choice between a medical and surgical abortion largely depends on personal preferences, gestation period, and individual health conditions.

Medical abortions can be done in the early stages of pregnancy typically up to 10 weeks. It involves taking medication in two steps under the supervision of a healthcare provider.

On the other hand, surgical abortions are performed in a clinic or hospital by a doctor and can be done later in pregnancy.

Both methods are safe and effective when done by a qualified doctor. They have different benefits:

  • Medical abortions may feel more natural, like a miscarriage.
  • Surgical abortions are quick, taking only about 5-10 minutes plus recovery time.

However, it’s important to discuss with your doctor to understand which method is most suited for you.

Risks in Medical Abortion

While medical abortions are generally safe, like any medical procedure, they carry some risks. The following are some potential risks:

  • Incomplete abortion: This means some pregnancy tissue may remain in the uterus, requiring further medical treatment.
  • Infection: Though rare, there’s a minor risk of developing an infection after a medical abortion.
  • Excessive bleeding: Some women may experience heavy bleeding or hemorrhaging.
  • Allergic reactions to the medication used: Such reactions can occur for some women to specific medications.

Remember, these risks are quite rare and most women undergo the procedure without any complications. If you have any concerns or encounter any unusual symptoms, contact your doctor immediately. They are there to support you throughout the process.

Risks in Surgical Abortion

Surgical abortion, also often referred to as an operation, is a well-established medical procedure. However, like all surgeries, it carries with it certain risks. While most of these risks are rare, it’s important to be aware of them before stepping into the operation theatre (OT):

  • Infection: There is a slight risk of developing an infection in the womb, which may require antibiotic treatment or, in some cases, another surgical procedure.
  • Damage to the womb: There’s a small chance of the OT instruments causing damage or perforation to the womb.
  • Excessive bleeding: Although unusual, some women may experience heavy bleeding or a blood clot in the womb post-abortion.

What to Expect After Medical Abortion?

A medical abortion involves taking two different medications to end a pregnancy. It’s a process that can be done at home in a safe and comfortable environment, under the supervision of your family doctor. Here’s what you should expect post-procedure:

  • Light bleeding and spotting for up to 2 weeks.
  • Mild to moderate cramps similar to period pains.
  • Temporary hormonal changes which might make you feel more emotional than usual.

Do reach out to your doctor immediately if you experience severe bleeding or pain.

What to Expect after Surgical Abortion?

After a surgical abortion, you’ll likely spend a few hours in recovery before being discharged from the hospital. Most women can return to their regular activities within a day or two. Common experiences include:

  • Slight abdominal discomfort for a day or two.
  • Bleeding and spotting for up to 2 weeks.
  • Emotional changes due to hormonal shifts.

Contact your doctor immediately if you have heavy bleeding, severe abdominal pain or symptoms of an infection such as fever or chills.

Recovery after Abortion

Whether you’ve undergone a medical or surgical abortion, the recovery process requires care and compassion towards your body. Here are some tips for smooth recovery:

  • Rest and recuperate: Allow your body time to heal. Avoid heavy lifting and vigorous exercise for a couple of weeks.
  • Stay hydrated: Drink lots of fluids and eat a balanced diet to replenish your body.
  • Pain management: Over-the-counter painkillers can help manage cramps. If the pain is severe, consult your doctor.

Always remember, recovering from an abortion – both physically and emotionally – takes time. Don’t hesitate to seek the support you need during this period, whether from professionals or loved ones.

FAQs

How does medical abortion work?

The process of medical abortion involves two steps. Firstly, you take a pill called Mifepristone, which blocks the hormone progesterone. Without progesterone, the lining of the uterus breaks down, ending the pregnancy. 24 to 48 hours later, you take the second medicine, Misoprostol which causes the uterus to empty.

Will I need to visit the doctor multiple times for a medical abortion?

Typically, at least two visits to your doctor are required for a medical abortion. The first visit is for an ultrasound and to take the first medicine, while the second visit is to confirm that the pregnancy has been terminated.

Is medical abortion painful?

You might experience moderate to heavy cramping and bleeding after taking Misoprostol. Over-the-counter pain relievers can help manage the pain. In case your pain is severe or lasts for too long, you should immediately contact your doctor.

Are there any side effects or risks associated with medical abortion?

While medical abortion is generally safe, it may cause side effects like nausea, vomiting, diarrhoea, and chills or fever. There’s also a small risk of serious complications like heavy bleeding or infection.

How long does it take to recover from a surgical abortion?

Recovery times vary based on individual health and the stage of pregnancy. Most women can return to regular activities within a few days. Your doctor will provide specific instructions on rest, diet, and physical activities post the procedure.

Can surgical abortion impact future pregnancies?

Most women who have had a surgical abortion go on to have healthy pregnancies in the future. However, repeat surgical abortions may sometimes cause scarring in the uterus, leading to future fertility issues.

Is surgical abortion safe?

Yes, when performed by a trained and certified gynecologist, surgical abortion is one of the safest medical procedures. Complications are rare, but may include infection, heavy bleeding or damage to the cervix or uterus.