Types of Abortion
There are primarily two types of abortion, medical and surgical. Both these types of abortion are safe and a woman can choose one of them depending on the convenience or how far she is in terms of her pregnancy. There are many women who prefer having medical abortion whereas others prefer having a surgical abortion.
Medical Abortion is done using medicines or pills. This method is only available for a woman up to 10 weeks of pregnancy. It involves using two different medicines, i.e., mifepristone and misoprostol. The first pill is given by the doctor in the clinic whereas the second one is taken at home by the patient herself. Mifepristone blocks the necessary hormone for pregnancy and detaches the embryo from the uterine wall. Misoprostol will cause the uterus to contract and the cervix will open slightly to expel the pregnancy. The expulsion will be a painful time as you will experience heavy bleeding with cramps.
Surgical Abortion is done on an outpatient basis and involves the removal of the embryo using specialized instruments like a suction cannula. It can be done at any time until the 24th week. Depending on the time that has passed, the doctor may utilize other methods like dilation and evacuation to remove the embryo.
The surgical procedure of abortion is carried out under the influence of general anesthesia. The patient is then asked to lie in a lithotomy position. In lithotomy position, the patient is required to lie down on their back with the legs flexed 90 degrees to the hips. This position allows the surgeon to extract the fetus from the uterus through the birth canal.
The vaginal area is then cleaned with the antiseptic solution i.e Betadine. The gynecologist then inserts a speculum into the vagina to stretch it wide. The doctor then passes a hollow tube i.e. cannula into the uterus. The cannula is attached by a tube to a bottle and a pump that provides a gentle vacuum to remove the fetus from the uterus. A curved instrument called a curette is then used to gently pull out the lining of the uterus and remove tissues from the uterus. The uterine tissues are removed during the D&E (Dilation and Evacuation) procedure. After D&E, the surgeon thoroughly examines the uterus to ensure that all the tissues are removed completely and safely. The examination is necessary to prevent the chances of the remnant fetus getting stuck in the uterus and creating complications.
Both these methods are completely safe. But it is important that you make an informed decision. You can get in touch with Pristyn Care and consult our gynecologists in Chennai to learn more about the types of abortion and they will help you to make the right choice.