Artificial termination of pregnancy can be very dangerous
The entire period of pregnancy is divided into 3 conditional parts – 1, 2 and 3 trimester. Induced termination of pregnancy is an early abortion before 12 weeks, and late from 13 to 28 weeks. In addition, each of them is subdivided into stages. Such a division is necessary in order to choose the method of artificial termination of pregnancy as accurately as possible. After 12 weeks, the uterus enlarges because the placenta is fully formed and the fetus is already large enough. This makes it difficult to terminate pregnancy at a later date and the impossibility of carrying it out even by scraping the uterine cavity. And if you are going to do an artificial termination of pregnancy, then you need to contact only a qualified medical center .
Methods of artificial termination of pregnancy
The most relatively safe period for termination of pregnancy is considered the first 6 weeks, when it is possible to carry out medical or vacuum abortion. Special drugs of various groups that affect the function of the corpus luteum, the contractile activity of the uterus and cause abortion are used only up to 3 weeks.
Artificial termination of pregnancy using vacuum aspiration is carried out only in the early stages up to 5-6 weeks. This is a less traumatic method compared to curettage. A special device is introduced into the uterine cavity, creating negative pressure, as a result, the ovum is torn away from the wall, because in the early stages it is still weakly connected to the wall of the uterus and is easily removed. This termination of pregnancy is accompanied by less trauma to the uterus and little blood loss.
From 6 to 12 weeks, termination of pregnancy is carried out only by curettage. Such an abortion is performed in the operating room with special instruments. In the process of terminating a pregnancy with this method, the cervical canal is first expanded, and then scraping is carried out directly with a special loop. Before the first abortion, the woman’s Rh factor must be determined. This is necessary because there is a likelihood of the embryo inheriting the father’s Rh factor, and in the process of its destruction by the curette, fetal erythrocytes can enter the mother’s blood and cause sensitization of the mother’s body, which can negatively affect the bearing of subsequent pregnancies.
Artificial termination of pregnancy at a later date, from 13 to 28 weeks, is allowed only if there are justified medical and social indications and in the absence of health contraindications. There are the following options for the artificial termination of such a pregnancy: killing a child in the womb and causing an artificial birth; termination of pregnancy through partial entry, the head of the fetus is crushed with forceps; by the method of fetal evacuation, when complete dismemberment is carried out in the womb and removed in parts; the injection kills the fetus and natural childbirth begins; by cesarean section.
Contraindications for artificial termination of pregnancy
The following factors are considered as contraindications for abortion: acute inflammatory and infectious diseases of the genital area and other localization. Artificial termination of pregnancy is possible only after the foci of infection have been eliminated, because they pose a high risk and can cause serious complications. In any case, you first have to visit a gynecologist to pass all tests
Main medical indications for desirable artificial termination of pregnancy
All the reasons for the artificial termination of pregnancy are determined by the doctor after a thorough examination, these can be:
dangerous complications of pregnancy for the mother’s life;
precisely identified fetal malformations;
chronic liver disease (hepatitis C);
peptic ulcer of the stomach and duodenum;
the presence of malignant tumors;
diseases of the nervous system;
endocrine system diseases;
dangerous chronic lung diseases;
kidney disease or the absence of one kidney;
diseases of the cardiovascular system;
Possible complications after artificial termination of pregnancy
Complications can occur both at the time of artificial termination of pregnancy, and immediately after or even at a later date. Among the immediate complications are the following: leaving a part of the ovum, bleeding, perforation of the uterus, acute hematometer. Complications that do not appear immediately, but may occur: abnormalities in labor in subsequent births, ectopic pregnancy, ovarian dysfunction and menstrual irregularities, infertility, various inflammatory processes (parametritis, endometritis, peritonitis, sepsis, septic shock, and others).