They may use the same methods that are used during the second trimester. A doctor or nurse will advise about the timing, but a woman should take the second medication, misoprostol, no more than 48 hours after taking the first, mifepristone. Mifepristone stops the pregnancy from developing. Misoprostol triggers the uterus to empty, which will begin 1—4 hours after taking the pill. A woman will experience cramping and bleeding as the uterus empties, which may feel like having an unusually heavy period.
Some women feel more severe cramping than others. Within around 4—5 hours , the pregnancy tissue will likely have passed from the body, but it can take longer. It may be a good idea to have a partner or friend close by for support while the tissue is passing. Vacuum aspiration is a type of surgical abortion that involves using gentle suction to end a pregnancy.
Doctors typically recommend this during the first trimester. They then apply medication or use an injection to numb the area. Next, they use thin rods called dilators to open the cervix, then insert a tube into the uterus. Then, they use either a manual or mechanic suction device to empty the uterus. Also, some women experience cramping for a few days following the procedure, and irregular bleeding or spotting can occur for several weeks.
The potential complications of vacuum aspiration include bleeding and infection. However, the risk of these complications is low. Dilation and evacuation is a type of surgical abortion that doctors commonly use during the second trimester. A doctor may give a general anesthetic before performing a dilation and evacuation. This type of anesthetic ensures that a person does not feel anything during the procedure. Then, they use dilators to open the cervix. Next, they remove the pregnancy tissue with small forceps.
Finally, they use suction to remove any remaining tissue. Mild pain and cramping can occur for a few days after the procedure, and there may be some bleeding for up to 2 weeks. The risk of injury to the uterus or other organs during a second-trimester abortion is less than 1 in 1,, according to The American College of Obstetricians and Gynecologists. Labor induction abortion is a late-term method of ending a pregnancy in the second or third trimester.
Labor induction involves using medications to start labor, which causes the uterus to empty over a period of around 12—24 hours. These allow your legs to be positioned so that your doctor can view your vagina and cervix. Your health care provider may numb your cervix so you feel little pain during the procedure. Small rods called dilators will be put in your cervix to gently stretch it open.
Sometimes laminaria sticks of seaweed for medical use are placed in the cervix. This is done the day before the procedure to help the cervix dilate slowly. Your provider will insert a tube into your womb, then use a special vacuum to remove the pregnancy tissue through the tube. You may be given an antibiotic to reduce the risk of infection. Why the Procedure is Performed.
Reasons a surgical abortion might be considered include: You have made a personal decision not to carry the pregnancy.
Your baby has a birth defect or genetic problem. Your pregnancy is harmful to your health therapeutic abortion. The pregnancy resulted after a traumatic event such as rape or incest. Surgical abortion is very safe. It is very rare to have any complications.
Risks of surgical abortion include: Damage to the womb or cervix Uterine perforation accidentally putting a hole in the uterus with one of the instruments used Excessive bleeding Infection of the uterus or fallopian tubes Scarring of the inside of the uterus Reaction to the medicines or anesthesia, such as problems breathing Not removing all of the tissue, requiring another procedure.
After the Procedure. Follow instructions for how to care for yourself at home. Make any follow-up appointments. Outlook Prognosis. Problems rarely occur after this procedure. Alternative Names. Medical abortion uses pills rather than surgery.
An early medical abortion up to nine weeks is more like a natural miscarriage. A later medical abortion is more like inducing a labour.
Surgical abortion by vacuum aspiration is a minor procedure taking a few minutes, usually performed with you awake. General anaesthetic is routine in some clinics and according to need in others. The method of abortion varies from region to region. Generally you will have to a resident of an area to access the services offered there. In a few areas of the country you will need to travel to get your abortion care.
If this is the case your local District Health Board will organise the referral and assist with transport costs. Areas where this happens are South Canterbury and the West Coast - see information given in Where to go. Abortion is very safe, but all methods carry some risk. The risk is dependent on the stage of pregnancy at which the abortion is carried out as well as the procedure used.
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