Abortion is the termination of pregnancy
by any method (spontaneous or induced) before the fetus is viable
(less than 20 weeks of pregnancy) to survive independently.
Out of almost 35 million abortions, which take place annually in
the world, more than half of them are illegal and performed by
untrained, unskilled personnel under highly unhygienic conditions.
the first three months of pregnancy
Menstrual aspiration (MR)
Surgical methods in the first three months
The main drugs used today are a group of drugs
known as prostaglandin, which can be used orally or through
injection intramuscularly / intravenously, or vaginally. These
drugs are used by themselves or in combination with other drugs.
The methotrexate – misoprostol method:
A woman receives an injection of methotrexate. Between five to
seven days later she returns and inserts suppositories of
misoprostol into her vagina.
The mifepristone – misoprostol method:
Mifepristone also known, as RU-486 is an antiprogesterone. A
woman swallows a dose of mifepristone. She returns in five to
seven days and inserts suppositories of misoprostol into her
Mifepristone, Methotrexate and misoprostol
cause nausea and diarrhoea.
Incomplete abortion may require surgical
Heavy bleeding may continue up to 7 days.
What are the
complications from legal abortion?
Possible complications from a surgical abortion
Blood clots accumulating in the uterus,
requiring another suctioning procedure, which occurs in less
than 1% of cases;
Infections, most of which are easily
identified and treated if the woman carefully observes
instructions, which occur in less than 3% of cases;
Tear in the cervix, which may be repaired
with stitches, which occurs in less than 1% of cases;
Perforation in of the wall of the uterus
and/or other organs, which might heal on its own or require
surgical repair or, rarely, hysterectomy, which occurs in less
than 1/2 of 1% of cases;
Missed abortion, which does not end the
pregnancy and requires the abortion to be repeated, which occurs
less than 1/2 of 1% of cases;
Incomplete abortion, in which the tissue from
the pregnancy remains in the uterus, and requires the abortion
to be repeated, which occurs in less than 1% of cases;
Excessive bleeding caused by failure of the
uterus to contract, which might require blood transfusion that
occurs in less than 1% of cases.
What are the
signs of a Post - Abortion Complication?
If a woman has any of the following symptoms
after an abortion, she should contact the facility that provided
the abortion immediately:
Chills or fever with a temperature of 100.4
0F or more;
Bleeding that is heavier than the heaviest
day of her normal menstrual period or that soaks through more
than one sanitary pad in an hour;
Foul-smelling discharge from her vagina
Continuing symptoms of pregnancy.
How to prevent complications?
Women can certain things to lower their risks of
complications. The most important thing is not to delay the
abortion procedure. After six weeks from LMP, the earlier the
abortion, the safer it is.
It's important to ask. Just as with any medical procedure, the
more relaxed a person is and the more she understands what to
expect, the better and safer her experience will be.
In addition, any woman choosing abortion should:
Find a good clinic or a qualified, licensed
Inform the practitioner of any health
problems, current medications or; allergies to medications or
Follow post-operative instructions;
Return for a follow-up examination.
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