Abortion in all its aspects

Abortionor termination of pregnancy It is the termination of a pregnancy in the uterus by special methods. Termination of unwanted pregnancies is a legal and contemporary right granted to adult women in our country.

Abortion (curettage with its original pronunciation) is applied only by the Gynecology and Obstetrics Specialist in health institutions or clinics. Of course, this process is between the doctor and the patient.

According to our laws, unwanted pregnancies are at the request of the woman. to the 10th week of pregnancy until it can be terminated. If the pregnant woman is married, the consent of her spouse is required, while if she is not married and has completed the age of 18, her own will and consent is sufficient. For women under the age of 18, parental consent is required.
In addition, such situations should be reported to the competent authorities.

If the pregnancy is medically inconvenient for the mother or the baby (in case the baby is disabled or the mother is too sick to continue the pregnancy), pregnancies longer than 10 weeks can also be terminated. In such a case, more than one specialist doctor should make a committee decision.

All the risks of abortion increase as the gestational week gets older.

The legal limit has also been determined for these reasons. Termination of pregnancies older than 10 weeks is more problematic medically.

Therefore, when the decision to have an abortion is taken, it is necessary not to exceed the 10th week, which is the legal limit. Even if there is no delay in menstruation, a gynecologist should definitely be examined in case of suspicion of pregnancy.

One of the frequently asked questions is how to get pregnant instead of abortion. some drugs whether it can be terminated using The abortion drug (RU-486), which is used in some countries abroad, is not sold in Turkey. It is also used in menstrual delay and among the public. menstrual removerPills and injections known as pregnancy termination do not work.

termination of pregnancy vacuumwith the technique, that is, into the injector drawing with negative pressureimplemented in the form.

Abortion actually literally means “scraping”. It can also be applied for different purposes such as taking tissue from the uterus. In other words, curettage (abortion) can be used not only for termination of pregnancy, but also in other situations.

Diagnostic curettage can be performed in bleeding disorders and postmenopausal bleeding. In addition, in infertility studies, abortion can rarely be applied to determine whether ovulation occurs or not.

What are the types of abortion?

1. Pregnancy Discharge

It is the most common form of abortion in women of childbearing age. It is done with the aim of terminating unwanted pregnancies.

2. Probe Curettage

It is a diagnostic procedure for bleeding disorders and more often for post-menopausal bleeding. The inside of the uterus is curetted (scraped) with special instruments called curettes. In severe and prolonged bleeding, it can be done both to understand the underlying cause and to stop the bleeding.

Thanks to this procedure, endometrial hyperplasia, uterine cancers, age-related weakening (atrophy) in the uterus can be diagnosed.

3. Fractionated curettage

The purpose of application is almost the same as probe curettage. However, here, separate samples are taken from the endometrium layer lining the inside of the uterus and the layer lining the cervical canal and sent for pathological examination. It is an important diagnostic tool in the differentiation of uterine cancer and cervical cancer.

4. Revision curettage

It is the name given to the curettage performed to clean the remaining parts after a spontaneous abortion. Even if it is thought that the abortion is complete, that is, there is no part left inside, revision curettage should be performed.

In addition, if it is suspected that there are pieces of placenta (child’s partner) inside after birth, these remaining pieces can be removed with special curettes. This procedure is also called revision curettage.

5. Endometrial Dating (updated)

In the diagnosis of infertility, a sample can be taken from the uterus on the 21st day of menstruation in order to determine whether there is ovulation or not.

After ovulation, the endometrium enters the secretion phase with the effect of the hormone progesterone. The purpose of endometrial dating is to understand whether the endometrial status is compatible with the menstrual cycle. For this purpose, a single sample is taken from the uterus with a special curette.

It is gradually losing its validity today.

What is the technique of abortion for termination of pregnancy, how is abortion applied?

The vagina and cervix are cleaned with disinfectant liquids to prevent germs during the procedure, and a speculum is attached to fix the cervix and the cervix is ​​held with a tool called a single tooth. This procedure can be done by anesthetizing or by local anesthesia. Local anesthesia can be applied more easily in women who have had a normal delivery before.

Then, the cervix is ​​widened sufficiently with tools called bougies. It is entered into the uterus with a plastic material called mixed cannula. The uterus is emptied by applying negative pressure through the cannula.

What will happen after the abortion?

If you have been put to sleep after the abortion, it would be appropriate to be kept under observation for a while. An average of half an hour is sufficient. If the procedure is performed with local anesthesia, then the observation can be kept shorter. It is very important to control bleeding. If there is no problem, you can be sent home by writing a prescription. The prescription should include antibiotics, pain relievers and, if necessary, astringents. Eating and drinking are allowed. If you are asleep, you should avoid driving or doing work that requires attention for 8-10 hours.

You must come for a check-up after 1 week. You should definitely inform your doctor in case of fever, excessive bleeding and excessive pain.

That day and the next few days, you may have mild menstrual-like pain in your groin. Pain relievers can be used.

You may have spotting bleeding for 3-4 days after the procedure. Small clots or pieces may come along with the bleeding. This is completely normal and even a little bleeding is helpful to avoid clots in the uterus. On the other hand, the absence of bleeding is not an abnormal situation. In this case, a clot may accumulate in the uterus. It can cause severe pain later on. There may be sudden bleeding. You should also inform your doctor if excessive bleeding occurs.

After the procedure, you can take a bath while standing, but as long as the bleeding continues, it is inconvenient to go into the pool or the sea.

It is not appropriate to have intercourse for about a week after the procedure, since the cervical dilation procedure is applied. As long as the bleeding continues, sexual intercourse is inconvenient. You can have intercourse after the bleeding is over.

If you have an unexpected fever after abortion, contact your doctor.

Another frequently asked question is whether women who have an abortion in their first pregnancy will be able to get pregnant again.

Under appropriate conditions, there is no danger in termination of pregnancy, which is duly performed by experienced gynecologists. In ancient times, without the use of vacuum technique, only “curette” In abortions made using the use of abortions, the possibility of damaging the inside of the uterus was higher. In addition, in previous years, such a belief has come from the past to the present, since the possibility of infection (inflammation) is higher after the procedure due to the lack of effective disinfectants and antibiotics.

However, nowadays hygienicIn abortions performed by experienced gynecologists in an environment and with appropriate technique, the possibility of an undesired problem occurring after the procedure, even if it is the first pregnancy, is almost negligible.

Attention !

In very small pregnanciesSometimes the product of conception may not be discharged and the pregnancy may continue to grow in the uterus. For pregnancies less than 5 weeks this is even more common. If it is noticed, it may be necessary to repeat the abortion 1 week later. For this reason, the earliest of abortion is 5-6. It is important to do it every week and to go to the control.

post abortion “remain part”why?

Within the limits of legal pregnancy evacuation (<10 weeks of gestation) and duly performed abortions, the problem of incomplete removal of some parts of the pregnancy may occur at a rate of approximately 3-5%. especially in the womb myomaThis problem may arise in cases where the normal anatomy of the uterine cavity is disrupted due to fibroids.

This situation manifests itself in the form of bleeding that continues even after a week or two. Sometimes, if a piece is left in the abortion process, especially during the big weeks of pregnancy, it can be observed that the piece is expelled from the vagina along with bleeding.

definitive diagnosis ultrasoundplaced by inspection.

If we are not completely sure that the piece is left, some drugs and antibiotics are given to increase uterine contraction.

In cases where it is certain that parts remain, a second procedure, even if shorter, is carried out to clean these parts. abortionprocess is implemented.

Accumulation of blood in the uterus after abortion

It can be seen in abortion practices especially in very small weeks of pregnancy and in women with very narrow cervix.

Continuing bleeding after abortion in small weeks of pregnancy accumulates in the uterus, which causes stretching of the uterus and cramp-like groin pain. In the examination, it is determined that the uterus is larger than normal and that there is blood accumulation in it, and the cervix is ​​widened and the uterus is emptied and the problem is solved. This is not an uncommon problem.

Menstrual delay after abortion

The first menstruation after abortion is usually seen 4-6 weeks later. The day of abortion is considered the first day of menstrual bleeding, and it is expected that the first menstruation will occur after a period of time, which is normally seen once in a few days. Sometimes this period can be extended up to 50-60 days.

If menstruation is not seen on the expected day, a gynecological evaluation should be made. If the cause of the delay is the continuation of the pregnancy or the formation in the uterus Asherman SyndromeIf it is not a problem such as the formation of dense adhesions in the uterus and accordingly low menstrual bleeding or inability to see menstruation, menstruation is achieved by using drugs.

What kind of anesthesia is used in abortion?

termination of pregnancy put to sleepor local anesthesia can be done with Since the cervix is ​​small and closed in women who have not given birth before, it is more comfortable to open the cervix by putting them to sleep. The process itself takes 10-15 minutes, and in the case of sleeping, the whole process takes an average of 30 minutes. Abortion can also be performed with local anesthesia in women who have given birth normally before.

What are the most common problems during the procedure in abortion performed under local anesthesia?

Hypersensitivity to the anesthetic applied in local anesthesia or sudden fainting sensation: This is a temporary and benign condition. It is seen in about 1-2% of cases.

The most common problem immediately after abortion is nausea and vomiting. Sometimes a feeling of fainting may also occur. This situation is seen in approximately 1-2% and is a temporary condition that does not pose a life-threatening condition.

-Sometimes, the cervix can be hard and narrow so that it does not allow the cannula to pass, causing the process to be interrupted. The evacuation is delayed for a few days after the application of a drug that opens the cervix.

Approximately after the abortion procedure, which is performed under sleep, 1 hour laterYou can return to your home.

One week later for control It is imperative that you come again. In this control examination, you will also be informed about family planning and the method of contraception that is suitable for you will be explained.

A voluntary abortion cannot be legally performed after ten weeks. However, if there is a medical need, this situation can be documented by 3 experts, together with the evidence, in the hospital environment and this situation is reported to the necessary authorities.

If the pregnancy is medically inconvenient for the mother or the baby (in case the baby is disabled or the mother is too sick to continue the pregnancy), pregnancies longer than 10 weeks can also be terminated. In such a case, more than one specialist doctor should make a committee decision.

All the risks of abortion increase as the gestational week gets older.

The legal limit has also been determined for these reasons. Termination of pregnancies older than 10 weeks is more problematic medically.

Therefore, when the decision to have an abortion is taken, it is necessary not to exceed the 10th week, which is the legal limit. Even if there is no delay in menstruation, a gynecologist should definitely be examined in case of suspicion of pregnancy.

One of the frequently asked questions is how to get pregnant instead of abortion. some drugs whether it can be terminated using The abortion drug (RU-486), which is used in some countries abroad, is not sold in Turkey. It is also used in menstrual delay and among the public. menstrual removerPills and injections known as pregnancy termination do not work.

termination of pregnancy vacuumwith the technique, that is, into the injector drawing with negative pressureimplemented in the form.

Abortion actually literally means “scraping”. It can also be applied for different purposes such as taking tissue from the uterus. In other words, curettage (abortion) can be used not only for termination of pregnancy, but also in other situations.

Diagnostic curettage can be performed in bleeding disorders and postmenopausal bleeding. In addition, in infertility studies, abortion can rarely be applied to determine whether ovulation occurs or not.

What are the types of abortion?

1. Pregnancy Discharge

It is the most common form of abortion in women of childbearing age. It is done with the aim of terminating unwanted pregnancies.

2. Probe Curettage

It is a diagnostic procedure for bleeding disorders and more often for post-menopausal bleeding. The inside of the uterus is curetted (scraped) with special instruments called curettes. In severe and prolonged bleeding, it can be done both to understand the underlying cause and to stop the bleeding.

Thanks to this procedure, endometrial hyperplasia, uterine cancers, age-related weakening (atrophy) in the uterus can be diagnosed.

3. Fractionated curettage

The purpose of application is almost the same as probe curettage. However, here, separate samples are taken from the endometrium layer lining the inside of the uterus and the layer lining the cervical canal and sent for pathological examination. It is an important diagnostic tool in the differentiation of uterine cancer and cervical cancer.

4. Revision curettage

It is the name given to the curettage performed to clean the remaining parts after a spontaneous abortion. Even if it is thought that the abortion is complete, that is, there is no part left inside, revision curettage should be performed.

In addition, if it is suspected that there are pieces of placenta (child’s partner) inside after birth, these remaining pieces can be removed with special curettes. This procedure is also called revision curettage.

5. Endometrial Dating (updated)

In the diagnosis of infertility, a sample can be taken from the uterus on the 21st day of menstruation in order to determine whether there is ovulation or not.

After ovulation, the endometrium enters the secretion phase with the effect of the hormone progesterone. The purpose of endometrial dating is to understand whether the endometrial status is compatible with the menstrual cycle. For this purpose, a single sample is taken from the uterus with a special curette.

It is gradually losing its validity today.

What is the technique of abortion for termination of pregnancy, how is abortion applied?

The vagina and cervix are cleaned with disinfectant liquids to prevent germs during the procedure, and a speculum is attached to fix the cervix and the cervix is ​​held with a tool called a single tooth. This procedure can be done by anesthetizing or by local anesthesia. Local anesthesia can be applied more easily in women who have had a normal delivery before.

Then, the cervix is ​​widened sufficiently with tools called bougies. It is entered into the uterus with a plastic material called mixed cannula. The uterus is emptied by applying negative pressure through the cannula.

What will happen after the abortion?

If you have been put to sleep after the abortion, it would be appropriate to be kept under observation for a while. An average of half an hour is sufficient. If the procedure is performed with local anesthesia, then the observation can be kept shorter. It is very important to control bleeding. If there is no problem, you can be sent home by writing a prescription. The prescription should include antibiotics, pain relievers and, if necessary, astringents. Eating and drinking are allowed. If you are asleep, you should avoid driving or doing work that requires attention for 8-10 hours.

You must come for a check-up after 1 week. You should definitely inform your doctor in case of fever, excessive bleeding and excessive pain.

That day and the next few days, you may have mild menstrual-like pain in your groin. Pain relievers can be used.

You may have spotting bleeding for 3-4 days after the procedure. Small clots or pieces may come along with the bleeding. This is completely normal and even a little bleeding is helpful to avoid clots in the uterus. On the other hand, the absence of bleeding is not an abnormal situation. In this case, a clot may accumulate in the uterus. It can cause severe pain later on. There may be sudden bleeding. You should also inform your doctor if excessive bleeding occurs.

After the procedure, you can take a bath while standing, but as long as the bleeding continues, it is inconvenient to go into the pool or the sea.

It is not appropriate to have intercourse for about a week after the procedure, since the cervical dilation procedure is applied. As long as the bleeding continues, sexual intercourse is inconvenient. You can have intercourse after the bleeding is over.

If you have an unexpected fever after abortion, contact your doctor.

Another frequently asked question is whether women who have an abortion in their first pregnancy will be able to get pregnant again.

Under appropriate conditions, there is no danger in termination of pregnancy, which is duly performed by experienced gynecologists. In ancient times, without the use of vacuum technique, only “curette” In abortions made using the use of abortions, the possibility of damaging the inside of the uterus was higher. In addition, in previous years, such a belief has come from the past to the present, since the possibility of infection (inflammation) is higher after the procedure due to the lack of effective disinfectants and antibiotics.

However, nowadays hygienicIn abortions performed by experienced gynecologists in an environment and with appropriate technique, the possibility of an undesired problem occurring after the procedure, even if it is the first pregnancy, is almost negligible.

Attention !

In very small pregnanciesSometimes the product of conception may not be discharged and the pregnancy may continue to grow in the uterus. For pregnancies less than 5 weeks this is even more common. If it is noticed, it may be necessary to repeat the abortion 1 week later. For this reason, the earliest of abortion is 5-6. It is important to do it every week and to go to the control.

post abortion “remain part”why?

Within the limits of legal pregnancy evacuation (<10 weeks of gestation) and duly performed abortions, the problem of incomplete removal of some parts of the pregnancy may occur at a rate of approximately 3-5%. especially in the womb myomaThis problem may arise in cases where the normal anatomy of the uterine cavity is disrupted due to fibroids.

This situation manifests itself in the form of bleeding that continues even after a week or two. Sometimes, if a piece is left in the abortion process, especially during the big weeks of pregnancy, it can be observed that the piece is expelled from the vagina along with bleeding.

definitive diagnosis ultrasoundplaced by inspection.

If we are not completely sure that the piece is left, some drugs and antibiotics are given to increase uterine contraction.

In cases where it is certain that parts remain, a second procedure, even if shorter, is carried out to clean these parts. abortionprocess is implemented.

Accumulation of blood in the uterus after abortion

It can be seen in abortion practices especially in very small weeks of pregnancy and in women with very narrow cervix.

Continuing bleeding after abortion in small weeks of pregnancy accumulates in the uterus, which causes stretching of the uterus and cramp-like groin pain. In the examination, it is determined that the uterus is larger than normal and that there is blood accumulation in it, and the cervix is ​​widened and the uterus is emptied and the problem is solved. This is not an uncommon problem.

Menstrual delay after abortion

The first menstruation after abortion is usually seen 4-6 weeks later. The day of abortion is considered the first day of menstrual bleeding, and it is expected that the first menstruation will occur after a period of time, which is normally seen once in a few days. Sometimes this period can be extended up to 50-60 days.

If menstruation is not seen on the expected day, a gynecological evaluation should be made. If the cause of the delay is the continuation of the pregnancy or the formation in the uterus Asherman SyndromeIf it is not a problem such as the formation of dense adhesions in the uterus and accordingly low menstrual bleeding or inability to see menstruation, menstruation is achieved by using drugs.

What kind of anesthesia is used in abortion?

termination of pregnancy put to sleepor local anesthesia can be done with Since the cervix is ​​small and closed in women who have not given birth before, it is more comfortable to open the cervix by putting them to sleep. The process itself takes 10-15 minutes, and in the case of sleeping, the whole process takes an average of 30 minutes. Abortion can also be performed with local anesthesia in women who have given birth normally before.

What are the most common problems during the procedure in abortion performed under local anesthesia?

Hypersensitivity to the anesthetic applied in local anesthesia or sudden fainting sensation: This is a temporary and benign condition. It is seen in about 1-2% of cases.

The most common problem immediately after abortion is nausea and vomiting. Sometimes a feeling of fainting may also occur. This situation is seen in approximately 1-2% and is a temporary condition that does not pose a life-threatening condition.

-Sometimes, the cervix can be hard and narrow so that it does not allow the cannula to pass, causing the process to be interrupted. The evacuation is delayed for a few days after the application of a drug that opens the cervix.

Approximately after the abortion procedure, which is performed under sleep, 1 hour laterYou can return to your home.

One week later for control It is imperative that you come again. In this control examination, you will also be informed about family planning and the method of contraception that is suitable for you will be explained.

A voluntary abortion cannot be legally performed after ten weeks. However, if there is a medical need, this situation can be documented by 3 experts, together with its evidence, and can be done in the hospital environment and this situation is reported to the necessary authorities.

If the pregnancy is medically inconvenient for the mother or the baby (in case the baby is disabled or the mother is too sick to continue the pregnancy), pregnancies longer than 10 weeks can also be terminated. In such a case, more than one specialist doctor should make a committee decision.

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