Abortion literally means scraping, and as used in obstetrics and childbirth, it means taking tissue from the uterus. It’s not just for terminating a pregnancy.
Diagnostic curettage can be performed, especially in bleeding disorders and post-menopausal bleeding (probe curettage). Again, in infertility researches, abortion can be applied to understand whether there is ovulation or not.
Abortion for the purpose of termination of pregnancy is legally practiced until the 10th week of pregnancy in our country. If the baby is dead, if the baby has a serious abnormality (disability) incompatible with life, or if the pregnancy is medically inconvenient, abortion can be performed at later weeks of gestation.
Abortion can be done with general anesthesia by putting the patient to sleep, or it can be done with local anesthesia and regional numbing. The abortion process takes between 5 and 10 minutes on average. During the abortion, the patient does not feel any pain. After the procedure, the patient can go home and continue his normal daily life.
After abortion, there may be bleeding and mild groin pain similar to menstrual bleeding for an average of 1 week. Generally, 1 week after abortion, patients are called for control and ultrasound examination is performed.
Abortion is performed with special instruments called Karmen, similar to a large syringe. This device creates a vacuum effect, draws the contents inside the uterus with negative pressure and cleans the uterus in a sense. In the past, scraping was done with spoon-like instruments, which we call curette for abortion, but today, modern, disposable sterile instruments that cause the least side effects on the patient are used. With the introduction of these instruments, the duration of the abortion procedure and, in addition, the anesthesia, in addition to the prevention of adverse effects, was shortened.
One of the most important issues in abortion is that the instruments used for abortion are disposable, the environment is sterile and the doctor who performs the procedure is experienced in this regard. The risks after abortion performed under these conditions will be minimized.
An important issue that is wondered after abortion is whether the abortion process will adversely affect subsequent pregnancies. If the procedure is performed in accordance with the above-mentioned issues, there is usually no problem and does not constitute an obstacle for the patient to become pregnant in the future.