What Is Abortion, How It Is Done, After Abortion
Abortion and Pregnancy Decision: A valuable fear of women is about encountering an unexpected pregnancy and making abortion decision to terminate the pregnancy. The reason for this is mostly not knowing what to do about termination of pregnancy / abortion and post-abortion in case of an unwanted pregnancy as a result of not taking enough precautions to prevent pregnancy or it is thought that they are taken. Don’t be afraid of the problems that are ANALYZED after you learn and decide, and be sure that the decision you make will remain SAFE.
Unwanted pregnancy is a pregnancy situation that occurs when the woman does not want to give birth by getting pregnant after a relationship without protection or a relationship with the belief that she is protected, when giving birth is detrimental to her health, or when the number of living children is more than desired. In order to avoid unwanted pregnancy, you should use the appropriate birth control systems recommended by your doctor. In cases where there is pregnancy, the problem can be resolved with the procedures we will explain below.
How is Pregnancy Diagnosed? Pregnancy Test
Pregnancy should be suspected in any case, especially in women of childbearing age, in case of delayed menstruation or the expected menstruation being too low. Even if you suspect the diagnosis of pregnancy due to pregnancy-related nausea, cravings, and breast tenderness, these may not be at all; The best thing to do is to have a pregnancy test done by yourself (by looking at the urine) or at an authorized center (by looking at the urine or more faithfully blood). Pregnancy tests are done by looking at pregnancy-specific hormones in the blood or urine. Today, these types of tests are very sensitive and often give results on the first day of menstrual delay. One thing we should remind you here is that even if you do the first test in your urine, you need to have it done from your doctor or an authorized laboratory in order for these tests to be reliable. Unfortunately, the reliability of the tests carried out in the health cabins or pharmacies lately in our country’s conditions is unfortunately low; Even when you do these tests yourself at home, make sure you follow the test expiration date and instructions exactly. In cases where you are not sure, you can have it done at your doctor for a small price, only the cost of the pregnancy test kit. A “negative” pregnancy test result means that there is no pregnancy if it is done on time and without errors. In this case, it is necessary to consult your doctor to investigate the reason for the delay in menstruation. If the test result is “positive”, it means there is pregnancy. In this case, call your doctor to clarify and talk about what to do.
Is Abortion Legal? Continuation or termination of pregnancy-Deciding for abortion
In this case, you should first meet with your spouse or partner, at your own discretion, and come to a definite decision about the future of pregnancy. If you decide to continue the pregnancy, you should consult your doctor for pregnancy follow-up. You can accept this pregnancy as an unwanted pregnancy and ask for it to be terminated; It is legal if you want to terminate pregnancies up to 10 weeks; Continue reading below for what to do.
If you have decided to terminate the pregnancy with abortion:
When you apply to your doctor due to a desired or unwanted pregnancy, you will first be examined, including ultrasound. As a result of this examination, it will be understood whether the pregnancy is troublesome and how many weeks it is. In Turkey, it is allowed by law to terminate unwanted pregnancies up to 10 weeks by an authorized health worker. In this case, the safest and most appropriate formula for terminating pregnancies is abortion. Abortion is the removal of the pregnancy material out of the uterus with a surgical intervention and vacuum. If this method is done properly, it is very unlikely that it will cause a permanent problem.
Are other means other than abortion appropriate?
No drug available on the market in Turkey can be used for termination of pregnancy. Abortion with medication is a problematic situation with a group of drawbacks. Abortion with drugs or methods that we cannot accept is especially common in rural areas, and this type of abortion is very dangerous due to bleeding and inflammation. Whether your pregnancy test is positive or negative, do not resort to methods such as “extraction needles” on your own until the cause is clear. It is not medically possible for these drugs to work before and after pregnancy. Due to the remaining modules, abortion will be required again, regardless of the method of miscarriage.
The drug named RU486, which has been used in Europe and the USA in recent years, is used for abortion. However, the use of this drug is carried out in these countries very carefully under the supervision of health institutions, if it is in a very early period. In these countries, patients also follow what is called very conscious. The use of this drug in Turkey should be discussed due to special conditions and side effects, and it is not available.
Calculate your pregnancy week for real!
If the most valuable and sensitive issue in the abortion process is decided that the pregnancy is not desired, we should not wait any longer for the necessary intervention, each day of pregnancy that is advanced too late will cause the process risks and the diameters of the evacuation cannulas to be used during the process to increase, and the process time to prolong. In addition, women often make wrong calculations when calculating their gestational weeks. When calculating a gestational week, the expected occurrence of pregnancy, that is, the day of interest, is not taken as a basis in the calculation of the gestational week. In other words, if you have a period in 28 days (4 weeks) and you have not had your period for 14 days (2 weeks) even though it is time for your period, 6 weeks of pregnancy (4 weeks + 2 weeks = 6 weeks) when calculated from the first day of your last menstrual period is a word of talk. Also, if the last period you see is much less than expected, you may need to suspect pregnancy again and have a test (menstruation after pregnancy). Individuals whose expected menstrual days are always changing or delayed should also be cautious if they suspect that they may be pregnant.
How Is Abortion Performed?
In undesirable pregnancies detected, evacuations related to the abortion process can be performed under both local anesthesia (regional numbing) and general anesthesia (complete numbing-sleeping). General Anesthesia) is a modern and effective method in terms of keeping the process completely painless. In general anesthesia to be applied for a short time for abortion, approximately 6 hours of full fasting is required before the process, and smoking and drinking water are not allowed. Although general anesthesia increases the cost a little, it is a modern and effective procedure in terms of keeping the process completely painless. If the interventions that are thought to cause pain to the patient are the subject of speech, general anesthesia should be used. In this type of short-period general anesthesia, not all of the drugs used in major surgeries are used, so the probability of problems is very low. Sometimes local anesthesia may be sufficient for women who have given birth before. We recommend that women who have had an abortion for the first time and have not given birth with a normal delivery have an abortion process under general anesthesia. Women who have had a normal delivery and have previous abortion experience can also have an abortion under local anesthesia if they wish.
Abortion Technique
After the gestational week is determined by ultrasound, a careful gynecological examination is performed. Patients undergoing general anesthesia do not feel or see the next procedure from the beginning. General anesthesia is preferred in patients who have not given birth before or who have given birth by cesarean section. However, considering the effects of abortion in general, experts recommend general anesthesia. Since the general anesthesia abortion process is short, it takes 3-5 minutes. The waking time varies from person to person, but averages 5-15 minutes. After a period of rest after the process, since the effect of anesthesia wears off, the patient can go to his home and continue his normal life without interruption.
In local anesthesia, after the vagina and cervix are disinfected to remove bacteria, a plastic speculum is inserted through the vagina to fix the cervix and the local anesthetic drug is injected into the cervix as appropriate. Although anesthetic drugs are injected on both sides of the cervix with local anesthesia, some patients may experience discomfort and pain during vacuum. This pain is similar to menstrual cramps.
Today, curettage is mostly performed by vacuum aspiration method; very thin special plastic cannulas are pushed into the uterus through the cervix. Sometimes, the cervix may be stiff or because of the 6th week of pregnancy, larger diameter plastic cannulas may be required. In this case, special bogies are used to widen the cervix (not the vagina that is in contact!!- this place is never affected by the process). If local anesthesia is to be applied, local anesthetic drug is administered before this process. Sometimes this dilatation is not necessary in pregnant women who have given birth before and whose gestational week is small. In women who are administered local anesthesia, this part is the main painful period of the abortion process.
After the cannula is placed, tissues related to pregnancy are removed with a special vacuum injector connected to the cannula; With the help of the vacuum created in the injector, the inside of the uterus is evacuated by vacuum. Since the pregnancy is small, this process can be done without any problems. In pregnancies close to the 10th week, it may sometimes be necessary to insert metal instruments into the uterus to ensure that the uterus is completely emptied, but this is a very elite situation. After the uterus is evacuated, the cannula is removed, all other instruments are removed, and the patient is checked by ultrasonography to see if there is any cut left before the patient is lifted, and the patient is rested for a short time. Then, painkillers are applied with a needle from the hip or with a suppository from the anus in order to avoid the pain resembling menstrual cramps, and after all the above processes, she continues her normal life…
All these processes are from the moment the preparations are finished and the process begins, until the 6th week of pregnancy. It takes 3-5 minutes in pregnancies with pregnancies with pregnancies, and 5-15 minutes in pregnancies between 7 and 10. This deadline is the working period of the obstetrician. When general anesthesia is applied, 20-40 minutes should be added for the patient to sleep, for the process to be done, for the patient to wake up and get up and leave.
If the patient has been given general anesthesia, he regains consciousness in about 10-15 minutes and gets up to walk on his own. In cases where local anesthesia is used, the patient can stand up quickly as soon as he feels himself properly. The patient should rest for 8-12 hours at home and should not be with his wife until he comes to the inspection. Your doctor will most likely call you for an inspection, do not miss this inspection, you will also receive information about your other problems and the appropriate prevention methods.
Post-Abortion and Control Examination
A follow-up appointment soon after an abortion (usually 7-10 days) is valuable. This inspection:
-since the pregnancy is completely terminated (usually, this is not a problem since the USG inspection is carried out at the end of the abortion),
-no infection has occurred,
-related to the patient or the pregnancy itself
– It is very valuable in terms of determining whether the spiral is in the appropriate position if a spiral is inserted during the procedure, or if it is desired to prevent pregnancy, a spiral can be inserted. This control should not be neglected. If bleeding, module drop, severe pain and fever occur, the doctor should be contacted before waiting for the inspection day.
To whom and by whom is abortion performed?
It can be legally applied up to the 10th week of pregnancy at the request of the lady. As the name suggests, “Legal Release or legal abortion” is a completely legal and contemporary right granted to our adult women in our country. Unmarried women over 18 years of age act according to their own wishes. Abortion is only applied by the Gynecology and Obstetrics Specialist.
The process is reserved.
“You can’t get pregnant again after abortion in the first pregnancy!!” His word is not without error. It is not expected that a timely abortion, applied carefully and with a vacuum, will damage the genital system of the woman. However, using the contraceptive formulas recommended by your doctor instead of abortion and preventing unwanted pregnancy is the most correct and healthy decision. Having an abortion always and frequently without being protected from pregnancy with an appropriate technique may have long-term inconveniences.
In case the pregnancy is medically inconvenient (such as diseases in which the pregnancy is risky for the mother, determination of the baby’s severe disability or death), this deadline may exceed 10 weeks. In this case, a decision will have to be made by forming a delegation.
You can also get information about the following from the relevant links or by phone:
Is it possible to be pregnant with a Virgin and Pregnant at the same time?
Is abortion possible without breaking the hymen?
Abortion Risks
Possible risks that may occur within legal limits (abortion applied until the 10th gestational week) largely depend on the experience of the Obstetrician and Gynecologist who performs the process, and the risks described below are in daily life, for example It can be compared to the risks encountered while walking on the street.
The most common problems encountered during the process in applications performed with local anesthesia are sensitivity to local anesthetic drugs and vasovagal syncope (fainting due to the device inserted for the fixation of the uterus). This is a discontinuous and benign condition. It is seen in approximately 1% of cases.
The most common problem after the procedure is nausea and vomiting. Sometimes there may be a feeling of fainting. This condition is observed in approximately 1-5% of cases and is a non-life-threatening discontinuous condition.
Since we carry out the processes under ultrasound control from the beginning to the end of the abortion, the probability of a problem is very low, so it is practically impossible to cut and, in addition, the necessary precautions are taken in time during the inspections.
Sometimes, the cervix may be rigid in a form that will not allow the cannula to pass, and the process may be interrupted (occurrence rate: approximately 1 in 700). The evacuation is postponed to a week later.
If pregnancy is too early (<5.5 weeks), evacuation may fail in some cases, and evacuation may be delayed for up to one week. An experienced Obstetrician recommends evacuation after waiting for a while (about a week) instead of attempting to evacuate a pregnancy that appears to be troublesome on ultrasound at a very early stage.
Especially if the pregnancy is large, there may be a lot of bleeding during the process. Bleeding during evacuation within legal limits is usually not life-threatening.
In very rare cases, and mostly in evacuations that exceed the legal limit (applied after the 10th gestational week), the uterus may perforate during the process.
A rare problem seen a few hours or days after the process in the evacuation applied in early weeks of pregnancy and especially in those who have not given birth, is the accumulation of blood in the uterus (the incidence is 1-5%). It is a non-life-threatening condition, and it is treated by draining the blood in the uterus during the inspection or, if it is very little, by waiting for it to evacuate resentfully.
If a rare infection will occur if you regularly use the antibiotics given after abortion, this usually occurs 5-7 days after the process and manifests itself in the form of pain, discharge, and heavy bleeding. may increase in case of premature sexual intercourse by not following the doctor’s offers after the process.
In case of “pieces left” inside, there is usually much more bleeding in the first two weeks than during menstruation, and this bleeding is in the form of clots and is dark in color. Painful bleeding is not the rule. Sometimes it can be observed that the cut falls.
A rare problem, seen in the late period, is adhesions (Asherman syndrome) that occur as a result of damage to the inner layer of the uterus during the process. It manifests itself in the absence of menstrual bleeding despite 6 weeks or 45 days from the abortion – if not getting pregnant again – and if that person’s menstrual periods were painful again, and bleeding cannot be produced with medication. Not every case of not having menstrual bleeding is not Asherman and your doctor will evaluate this. It is mostly a small blockage in the menstrual canal and can be corrected quickly. Although it can occur in those who have not had a previous birth and whose canal is narrow, it is rarely observed in evacuations made within legal limits in accordance with the method, especially in processes applied with vacuum.
What can happen after abortion and what should be considered?
Antibiotics, pain relievers and, if necessary, drugs that reduce bleeding are given and sent to his home. The patient is sent to the residence after 15 minutes under local anesthesia and 15-60 minutes under general anesthesia.
About one week after the abortion, the uterus is checked by ultrasonography AGAIN.
After abortion, 2-3 days after the abortion, bleeding that is not excessive and continues for 10-15 days may begin, this is normal. There is nothing to be alarmed about. The absence of bleeding is also normal. Along with bleeding, small dirty brown (like the end of menstruation) clots may fall, and there may be pains similar to menstrual pain that continues for 1-2 days with bleeding. All of these symptoms are normal.
The day of abortion should be accepted as the first day of menstruation, and menstruation should be seen again within 4-6 weeks after curettage. If you do not see your period within 40-45 days after the process, you should call your doctor. In this case, the most common reason is the possibility of getting pregnant again if it has not been protected, or rather an effective method of contraception has not been used.
Although it varies according to the individual after abortion, bathing in the pool, sea, jacuzzi and bathtub is prohibited for about 1 week. You can take a bath in the form of a standing warm shower.
After abortion, sexual intercourse is not recommended for approximately 1-2 weeks.
Please consult your doctor for your problems or make an appointment
Situations where you need to call your doctor after abortion
Please call your doctor even if the following situations occur rarely!
If there is a feeling of badness in the house after abortion
If post-abortion bleeding is too much and gradually increasing
If 15-20 days have passed from the abortion, but your bleeding still continues as menstrual and does not decrease
If you have excruciating pain with severe bleeding
If you have no bleeding and the pain is very severe and cramping
If you have a fever, smelly discharge, bleeding and groin pain
If the pregnancy symptoms still continue and
If you do not feel beautiful, if you are restless
Can the pregnancy be terminated with abortion pills or abortion pills?
This system can also be used in recent years, if the patient requests in some cases, in a minority of those who want to terminate a pregnancy abroad. However, the free sale of these drugs in our country is prohibited. Because their random and uncontrolled use has very dangerous and vital consequences.
However, in carefully selected and healthy people;
-no risky situation was detected regarding this drug in the obstetrician’s examination,
-pregnancy but in early stages,
-the effect of the drug may take up to 1-2 weeks,
-in the meantime, there is always pain and bleeding
-bleeding and pain may be longer and more than expected,
-must be in a close center where there is frequent medical contact during this time,
-there is a possibility that it will not be low despite the medication, and in this case or cut-off If it stays on, medical evacuation or abortion should be done again
, these patients are told and their consent is taken. In addition, the cost or the price of this method will be even higher due to the reasons we have listed above, together with the drugs. Therefore, this method is less preferred abroad.
What is the price of abortion prices?
Istanbul abortion prices 2020, although the abortion hospital, polyclinic and doctor’s room vary according to the minimum price tariff, the actual abortion price is determined by the size of the pregnancy, the preferred anesthesia state (with local or anesthetized anesthesia), previous abortion, delivery It varies depending on whether it is a cesarean or cesarean section and the different findings that the physician who performs the intervention finds as a result of the examination.
Today, abortion prices start from around 500-1000 TL, although it varies depending on the examination status of the patient described above.
