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Abortion Methods and Complications Guide

This document discusses abortion methods and procedures at Odessa National Medical University. It outlines that abortion is the termination of a pregnancy before the fetus can survive outside the uterus, and the technique depends on pregnancy stage. For pregnancies under 12 weeks, vacuum or suction aspiration is commonly used, while between 12-22 weeks dilation and curettage may be used. Medical abortion using mifepristone and misoprostol is also described as an option up to 49 days. Potential complications are outlined.

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0% found this document useful (0 votes)
45 views14 pages

Abortion Methods and Complications Guide

This document discusses abortion methods and procedures at Odessa National Medical University. It outlines that abortion is the termination of a pregnancy before the fetus can survive outside the uterus, and the technique depends on pregnancy stage. For pregnancies under 12 weeks, vacuum or suction aspiration is commonly used, while between 12-22 weeks dilation and curettage may be used. Medical abortion using mifepristone and misoprostol is also described as an option up to 49 days. Potential complications are outlined.

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Аня
Copyright
© © All Rights Reserved
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ODESSA NATIONAL

MEDICAL UNIVERSITY

Abortion
Abortion
 is the ending of pregnancy by
removing
an embryo or fetus before it
can survive outside the uterus.
The technique chosen to terminate 
pregnancy depends on the stage of 
pregnancy
Admissible duration of abortion –
until the 12th weeks of pregnancy

From 12th to 22nd weeks of


pregnancy – only under certain
medical conditions
Methods of abortion
Vacuum or suction aspiration (Delayed
Menstruation no more 20 days)
Dilation and curettage (D&C)
Medical abortion (from the 49th day of
pregnancy)
Vacuum or suction aspiration 
 The doctor examines the uterus (womb) and a
speculum is inserted into the vagina; 
 opens the cervix using dilators;
 a tube is inserted through the cervix into the
uterus;
 a hand-held suction device or suction machine
gently empties the uterus.
Dilation and curettage (D&С)
The first step in a D&C is to
dilate the cervix with Hegar
dilators.
The curette is used to gently
scrape the lining of the uterus and
remove the tissue in the uterus.
Medical abortion
 The World Health Organization (WHO)
recommends an evidence-based mifepristone-
misoprostol combination regimen for medical
abortion
 medical abortion causes bleeding that is much
heavier than a menstrual period. 
 may occur nausea, vomiting, fever, and chills
 A physical exam is given two weeks later to
ensure the abortion was complete and to check for
complications

If the patient is still pregnant after taking the


medication, the doctor may give another dose of
medication or do surgical abortion. 

Continuing the pregnancy is not recommended


because the drugs used for medical abortion are
known to cause severe birth defects
It is not advised for women who have
 anemia,
 bleeding disorders,
 liver or kidney disease,
 seizure disorder,
 acute inflammatory bowel disease
What complications can occur with an
abortion?

Incomplete abortion
Infection
Heavy bleeding
Injury to the uterus and other organs

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