Abortion is the termination of unwanted pregnancy, and there are two types of abortions: medical abortion and surgical abortion. Surgical abortion, also known as surgical termination of pregnancy, is a procedure during which the obstetrician-gynecologist uses surgical instruments to remove the pregnancy from the uterus.
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Surgical Abortion Procedure
For a woman who is in 7 to 12 weeks of gestation period, abortion by surgical procedure is the only option. It is a completely safe procedure performed by gynecologist with several years of practice in the same. It is very essential for a female to choose a certified and registered clinic and an experienced gynecologist for abortion.
Mini Delivery: Women who are 12 to 21 weeks pregnant have to undergo an abortion procedure called “Mini Delivery”.
The female is given a general anesthesia before the surgery. The female is then asked to stay in a lithotomy position. The doctor then cleans the vaginal area with an antiseptic solution such as Betadine. The gynecologist then positions a speculum into the vagina in order to widely open it up.
A hollow tube i.e. cannula is then passed into the uterus. A hollow tube attaches the cannula to a bottle and a pump which provides a gentle vacuum inside the uterus to remove tissues from the inside.
A curved surgical instrument called curette is used to gently pull out the lining of the uterus and remove tissues from the uterus during the D&E procedure. The gynecologist then examines to make sure that all of the tissues have been removed and then the procedure is successful.
In Our Doctor's Word
"Please remember it is your legal right to abort. Do not struggle alone or try aborting at home. It is completely unsafe and the third leading cause of maternal deaths in India. In Fact, traditional methods or home remedies most often result in incomplete abortion and cause serious infections and risk to both- your health and eventual pregnancies. This is also why WHO reports that at least 13 women die everyday in India because of unsafe abortions. So please understand the risks and complications of unsafe abortion and approach a good doctor on time. It is both- your medical and legal right.”
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The female generally needs rest for 1 to 2 days after the surgical abortion. The female is advised to strictly follow the advice and precautions given by the doctor. The female can then resume her normal life and schedule. In case there is any discomfort, consult your surgeon.
Incomplete abortion can lead to several complications, including organ failure, pelvic infection, uterine rupture, uterine perforation, and damage to the cervix.
Yes, according to the MTP act, an adult unmarried woman can undergo an abortion without any legal hassles in India. You do not need your parent’s or partner’s consent for it.
No, you will not bleed a lot after undergoing a surgical abortion. Surgical abortion doesn’t cause heavy bleeding. The bleeding is usually very light and ends within next 7-10 days.
Yes, it’s safe to undergo surgical abortion after an incomplete abortion.
Yes, surgical abortion can be used to terminate a molar pregnancy.
Yes. Bed rest is advised for at least 1-2 days after surgical abortion, and then, you will be able to resume your basic routine. However, you must avoid strenuous activities and sexual intercourse for the first week or as advised by your doctor.
To ensure the safety of your abortion, you should keep the following points in mind:-
Before a surgical abortion, your OB-GYN evaluates your past health, including the medicines you are taking. Apart from that, the OB-GYN may do the following:-
A follow-up exam is done usually about 2 weeks after the surgical abortion. The exam may include the following:-
Apart from all the above, you may discuss the use of birth control. If birth control measures were started just after the abortion, the proper use of the method can be discussed again.
Also, you can ask all the questions that you have to your OB-GYN if you had an intrauterine device (IUD) inserted at the time of the surgical abortion.
Surgical abortion is considered the best method to terminate an unwanted pregnancy when MTP fails or pregnancy exceeds 9 weeks. Following are the best USPs if choosing surgical abortion:-
Also, to recover quickly, you should avoid sexual intercourse for at least 1 week, or longer as advised by your doctor. When you start having sexual intercourse again, make sure you use birth control and condom to prevent infection.
After the surgical abortion, the OB-GYN will check your vital signs such as heart rate, breathing, and blood pressure to make sure that everything is normal.
After that, the OB-GYN checks the bleeding is not excessive and uterine contractions are normal. The OB-GYN also checks that the side effects from anesthesia are not causing problems.
The OB-GYN may also prescribe you certain medicines. This may include the following:-
Apart from all that, the OB-GYN may also prescribe certain medicines to treat nausea and vomiting.
After undergoing a surgical abortion, you should follow all the instructions given by your OB-GYN.
Also, you should talk to your doctor about what to expect at home after undergoing a surgical abortion.
You can follow these instructions:-
You may experience certain symptoms after undergoing a surgical abortion, including irregular bleeding, spotting, and/or cramping for the first 1-2 weeks. Some women may have cramping such as menstrual cramping for as long as 6 weeks.
If you experience any of the following symptoms or complications after undergoing a surgical abortion, you should immediately contact your OB-GYN and discuss your problems:-
Call your OB-GYN immediately if you have any of these symptoms after undergoing a surgical abortion:-