Selecting a medical or surgical abortion depend on the medical history of the patient, the duration of pregnancy, the presence of options, place of residence and on the willingness of the patient. For example, in the United States vacuum aspiration it is the most common method of abortion in the pregnancy up to 12 weeks (first trimester). In addition, in early pregnancy is an effective method of medical abortion (taking the drug for abortion).
About 90% of all abortions performed in the first trimester.
Cases where after an abortion, a woman can no longer become pregnant, are rare. Conceiving a child may have a few weeks after the abortion. You should avoid sexual contact until the body can not recover, it takes at least one week. During the first weeks after the abortion should use contraceptives and condoms to prevent infection.
Hormonal changes after pregnancy termination can cause depression
Depression - a little more than a bad mood
. If within two weeks after the abortion does not stop symptoms such as fatigue, insomnia or drowsiness, excessive appetite, or lack of it, the sadness, spiritual emptiness, anxiety or irritability
Irritability - you try to control my temper
, You need to see a doctor and undergo treatment.
Before the procedure, the hospital staff vacuum aspiration or surgical center provide recommendations on how to prepare for the abortion procedure.
Immediately after the procedure, patients are placed for a short period in the recovery room, where they are under the supervision of nurses. Before you let patients home, doctors and nurses give them advice on how to accelerate the recovery of the body after the procedure and where to go in case of any problems.
There are two methods of vacuum aspiration abortion:
- The method of manual vacuum aspiration. This procedure can be carried out after 5-12 weeks after the last menstrual period (the beginning of the first trimester). The procedure involves using a special syringe to suction the fetus. Abortion using this method do not everywhere, but in some geographic areas this method is more available than hardware vacuum aspiration.
- Method hardware vacuum aspiration. This method is widely used in the pregnancy from 5 to 12 weeks (first trimester). Hardware vacuum aspiration involves the use of a hollow tube (cannula), which with the help of a special device attached to the vessel and the pump, which creates a low pressure. The cannula is placed in the uterus, the pump, and fetal tissue are carefully removed from the uterus.
The procedure for manual vacuum aspiration
The whole procedure manual vacuum aspiration usually takes 5 to 15 minutes. Without health risks this procedure can be performed in a hospital using local anesthesia, and nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen. The procedure involves the following steps:
- The patient is placed on a table for inspection in the position in which the pelvic exam is conducted, ie, the spin is on the table, and the feet in special holders.
- Is introduced into the vagina speculum.
- The vagina and cervix was purified using an antiseptic solution.
- The cervix is injected drug that causes numbness (local anesthetic).
- If necessary, the cervix slightly expanded by the introduction of a small device. But in most cases this is not required.
- Through the cervix into the uterus of a thin tube is introduced. To a tube attached portable syringe, through which the fruit is sucked out of the uterus. After removal of fetal tissue uterus shrinks. Many women feel during the procedure peculiar cramps. Cramps are, after removal of the uterine tube. Some women experience nausea, weakness, or perspiring. But as a rule, such manifestations are expressed less clearly than by the procedure of hardware vacuum aspiration.
Procedure hardware vacuum aspiration
For a day or a few hours before the procedure hardware vacuum aspiration in the cervix are placed osmotic dilator of the cervical canal, which slow the channel opens (dilates). Also, prior to the procedure, the patient must take antibiotics to prevent infection. Sometimes before the procedure, the patient taking the drug misoprostol, relaxing the cervix.
Hardware vacuum aspiration usually lasts 10 to 15 minutes. No health risk it is carried out in hospitals under local anesthesia. The procedure involves the following steps:
- The patient is placed on a table for inspection in the position in which the pelvic exam is conducted, ie, the spin is on the table, and the feet in special holders.
- Is introduced into the vagina speculum.
- The vagina and cervix was purified using an antiseptic solution.
- The cervix is injected drug that causes numbness (local anesthetic). Sometimes patients take painkillers or sedatives, orally or intravenously. The local anesthetic can be supplemented adiuretinom or a similar drug, stops uterine bleeding, which reduces blood loss.
- With the help of a special tool is captured cervix. This helps keep the uterus in place.
- With the help of a small device open (dilate) the cervical canal. Expansion of the channel reduces the risk of damage to the cervix during the procedure.
- The cervical canal inserts a thin hollow tube (cannula) that is attached to a vacuum device, suction the fetus from the uterus. After removal of fetal tissue, the uterus shrinks. Many women feel during the procedure peculiar cramps. Cramps are, after removal of the uterine tube. Some women experience nausea, weakness, or perspiring.
After the procedure, vacuum aspiration fetal tissue extracted from the uterus, are checked to make sure that the uterus is completely cleared, and the abortion is complete.
Sometimes after vacuum aspiration, when removed from the uterus were not all tissues, a procedure is required for uterine curettage
Curettage - how dangerous it is?
. Scraping is done with a sharp surgical instrument.
Effects of the operation
Vacuum aspiration is considered "small" operation. Recovering it involves:
- Irregular bleeding or a small amount of bleeding within two weeks after the procedure. The first week is necessary to eliminate the use of tampons
How to use sanitary pad - basic precautions
and apply only to the pad.
- Spasms may occur similar to menstrual pain and lasting for several hours or several days as the uterus contracts, taking those dimensions that were before pregnancy.
- Within two to three weeks there may be emotional instability.
After the procedure:
- It is necessary to drink a full course of prescription antibiotics to prevent infection.
- The first day after the procedure should only rest and avoid any stress. We were the next day, depending on the state of health, you can begin to lead normal life.
- Acetaminophen, e.g., Tylenol or ibuprofen, for example, Advil, help alleviate cramping.
- For at least a week should abstain from sexual intercourse. After an abortion is necessary to use contraceptives and condoms to prevent infection. Use birth control can be immediately after vacuum aspiration.
