Contents:
- Medical Video: What Actually Happens When You Have An Abortion?
- In certain cases, someone may abort the pregnancy
- Various ways to abort
- 1. Medication for abortion
- 2. Operating procedure
Medical Video: What Actually Happens When You Have An Abortion?
Abusing or abortion is often identified with ending an unwanted pregnancy and is an act that many people oppose. In fact, in certain cases, abortion can be the best choice for mother and fetus in the womb. Is availablesome ways to abort that can be done in a clinic or hospital when medical indications are found in your pregnancy. The procedure that will be followed usually depends on the age of your pregnancy. Check out the various ways to medically abort the womb in this article.
In certain cases, someone may abort the pregnancy
Abortion may be the last choice for some people. In Indonesia, the law of abortion is regulated in Law Number 36 of 2009 concerning Health and Government Regulation Number 61 of 2014 concerning Reproductive Health. The law states that abortion in Indonesia is not permitted.
However, for certain cases, such as medical emergencies that threaten the life of the mother and / or the fetus and victims of rape, abortion may be done. Even if permitted, the act of abortion because of a health problem can only be done after obtaining approval from the pregnant mother and her partner (except for rape victims). This procedure can only be done by certified health personnel and through pre-action counseling and / or consultation carried out by competent and authorized counselors.
Various ways to abort
As mentioned above, abortion with the aim of ending an unwanted pregnancy is illegal. However, if you have to do it because of health conditions that do not allow you to continue the pregnancy, you do not need to worry during the doctor's advice. Having an abortion by yourself can bring a variety of health problems. However, this method of aborting the pregnancy will actually not have a bad impact if done correctly and with the assistance of the medical team. So, consider carefully and always consult a doctor before deciding to do this procedure.
In general, there are two ways to abort a medical procedure, namely:
1. Medication for abortion
This method of aborting one is usually the main choice if the pregnancy is still in the early age of the first trimester (the first 12 weeks of pregnancy). If used with the right dosage, this method can work effectively up to 97 percent.
Two drugs that doctors often prescribe for abortion are mifepristone (Korlym) and misoprostol (Cytotec). Both of these drugs work by inhibiting the action of the hormone progesterone, the hormone that the embryo needs to grow and develop. This drug will also trigger uterine contractions and push the embryo tissue out.
The drug mifepristone and misoprostol can be taken directly orally or put into the vagina. After several hours of taking the medicine, usually a person will experience abdominal cramps and severe bleeding. It takes about three to four days until all the embryo tissue is completely out of your body.
Carefully follow the advice given by your doctor. Contact your doctor immediately if you experience severe bleeding, which requires you to replace more than two pads in one hour. Also, contact your doctor immediately if you also have a fever or flu-like symptoms for more than one day.
It should be understood that not all pregnant women can do this method to end their pregnancy. Especially if:
- You have an allergy to the drug
- You have a pregnancy outside the uterus (ectopic pregnancy)
- You have a bleeding disorder or are taking blood thinners
- You have liver, kidney, or lung disease
- You are using a spiral KB / IUD
- You have been taking corticosteroid medication for a long time
2. Operating procedure
The surgical procedure to abort will actually depend on the age of your pregnancy. If it is in the first trimester, chances are that you will undergo a vacuum aspiration procedure. Meanwhile, if you are in the second trimester (more than 13 weeks of pregnancy), you are likely to undergo a dilatation and evacuation procedure (D & E). Well, if your gestational age has entered the third trimester, the recommended procedure is dilation and extraction (D & X)
Vacuum aspiration
This procedure is usually carried out for approximately 10 minutes. To do this procedure, the doctor will ask you to lie on a special bed that allows you to bend your knees. The doctor will insert a device called a speculum into your vagina. This tool serves to dilate the vagina so that the doctor can see your cervix. After that, the doctor will wipe your vagina and cervix with an antiseptic solution. The doctor will then inject an anesthetic into the cervix and insert a small tube attached to the suction machine (vacuum) into your uterus. Clean your uterus.
This procedure should only be done by a trained doctor, in a hospital. Compared to other abortion methods, this procedure is not too painful. Even so, you might feel stomach cramps because the uterus will contract when the tissue is removed.
It should be understood that this abortion method can't be runfor all cases. If pregnant women experience blood clotting disorders, abnormal uterine conditions, and pelvic infections, vacuum aspiration is not the right choice.
Dilation and evacuation
This method of abortion is usually recommended by a doctor when the womb has entered the second trimester and your fetus has a serious problem. Self-dilation and evacuation is a procedure that combines vacuum aspiration, forcep (special clamping device), and curetted dilatation. On the first day, the doctor will make the cervix widen to more easily remove the pregnancy tissue.
On the second day, the doctor uses forcep to remove the fetus and placenta, and will use a spoon-like device called a curette to erode the uterine lining. This procedure will be painful, but the doctor will usually give medication to reduce the pain. Doctors generally need about 10 to 20 minutes to perform this procedure.
Dilation and extraction
Dilation and extraction is a procedure performed by our doctors with serious problems in the mother and fetus when the pregnancy is more than 21 weeks. In general this procedure is not very different from dilation and evacuation. The difference is, this procedure involves surgery to end the womb.If needed, the doctor may do labor induction, hysterotomy, and hysterectomy.
When a person is indicated to have a problem in his pregnancy, abortion is sometimes one way to abort the womb that must be taken. This is done for the sake of patient safety, of course with the consent of the mother and her partner. To get a better understanding, consult your doctor. Carefully following his directions can also help you carry out this procedure with less risk.
