Abortion is premature termination of pregnancy.When pregnancy is interrupted by a natural cause it is miscarriage or loss of pregnancy.
When measures are taken to stop pregnancy, medication or surgery is therapeutic abortion or product / induced abortion.
The most common way to interrupt a pregnancy is through surgical abortion. However, drug abortion is widespread especially after the approval of the use of RU-486 (Mifepristone) in 2000. Regardless of the method used, surgical or medicinal, after abortion, regular checks are required at specialist and family planning. The checkup includes a physical and pelvic exam to see if healing is appropriate.
Reasons why women choose abortion
The most common reasons are:
Illegal abortion is abortion performed by staff without proper medical training and presents a much higher risk of complications than that performed by qualified personnel.
Pregnant teenagerAbout 30% of pregnant adolescents choose abortion. In about 60% of women under the age of 18 who have had an abortion, at least one parent knows about this abortion and supports the daughter's choice.
The most common reasons adolescents choose abortion are:
Medication abortion, meaning the use of medication to stop a pregnancy, is 98% effective if it is done within the first 9 weeks of pregnancy. As the pregnancy nears the end of the first trimester, the medication is no longer sufficient to induce abortion. In this case, a surgical abortion is also required to obtain a complete abortion (removal of all traces of fetal tissue from the uterus).
The therapeutic plan in a medical abortion includes a first medical consultation and medication administration, followed by 3-4 days after the second consultation and medication (according to another therapeutic plan, the second medication administration is also allowed at home).
Vaginal bleeding lasts on average 14 days. After about 2 weeks after the second medical consultation a check is mandatory to see if the evolution is appropriate.
Medical follow-up before and after abortion includes physical examinations and laboratory tests, informing the patient about the possible consequences of abortion, self-care instructions, information about possible accusations for which to be presented to the specialist and family planning.
The drugs currently used to induce abortion are:
Surgical abortionSurgical abortion interrupts the pregnancy by surgically removing the contents of the uterus. Depending on the age of pregnancy in weeks, different procedures are used for surgical abortion.
Medical follow-up before and after surgical abortion includes physical examinations and laboratory tests, informing the patient about possible consequences of abortion, self-care instructions, information about possible accusations for which to be presented to the specialist and family planning.
The surgical techniques used for pregnancy in the first trimester (week 3-12) are:
The surgical technique used for pregnancies in the second trimester is cervical dilation and uterine evacuation, which is actually a combination of aspiration, dilatation and curettage, using surgical instruments such as forceps to remove fetal tissue and placenta from the uterus. This method is more commonly used for second trimester pregnancies than inducing abortion (medication) because it presents a lower risk of complications.
The possible non-surgical method in pregnancy in the second trimester is the induction of abortion using medication that produces uterine contractions followed by expulsion of the fetus from the uterus. Due to the increased risk of complications this method is rarely used.
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