Wednesday, July 31, 2019

How to perform an abortion in İstanbul - Turkey



How to perform an abortion in İstanbul - Turkey
Abortion is a process of pregnancy evacuation with the consent of the patient.
In cases where the person is more than 18 years of age, an abortion may be performed with his or her consent. However,
in case of marriage, the spouse's permission is also required. In cases under the age of 18, permission must be obtained from the necessary institutions or family.
The abortion procedure is kept confidential. Another people are not informed of this matter.

Abortion can only be administered until 10 weeks of gestation. Pregnancies older than this week cannot be released unless there is a medical justification.

In order to perform an abortion, the blood type must be known first.
If the Rn Negative blood type is involved, the blood type of the partner should also be learned for blood mismatch. In cases of blood mismatch,
a needle of anti-D should be administered within 72 hours of abortion.


Abortion stages
For abortion, the patient is taken to the gynecological examination table. The controls are then performed by ultrasonography.
If the bladder is full, the patient is requested to empty it. Then the clothes and clothes below the waist is removed and the patient lies on the
gynecological examination table. The most suitable position for this procedure is lithotomy. So, as the patient gets gynecological examination,
his legs are placed in special parts. Then the week and the size of the pregnancy are determined by ultrasound.
It is important to observe the gestational sac, otherwise ectopic pregnancy may be involved. For this reason, ultrasound controls are very important.

Abortion can be administered with general or local anesthesia. If local anesthesia is to be applied, medication is given to both sides of the cervix.
Thanks to this anesthesia; The cervix is ​​dilated with special spark plugs. In this way, the patient feels less pain. In the general anesthesia method,
a thin catheter is used to open the vascular access and the anesthetist gives the drug.
After the anesthesia procedure is completed, vaginal speculum is placed. Speculum can be observed through the cervix.
Then the vagina and cervix are cleaned with antiseptic solutions. Then the cervix; It is held with the help of a special tool.

In this way, the uterus becomes flat and the abortion process is easier. After flattening the uterus,
the cervix is ​​enlarged by means of spark plugs. Dilatation is the equivalent of this procedure in the medical literature.
After this process, plastic cannulas are applied to the cervix which is applied to a syringe that creates negative pressure called karmen syringe.
The uterine cavity is reached. By pressing the button of the injector, negative pressure is created and it can be moved back and forth. In this way,
the uterus is cleaned. The procedure continues until the uterus is completely cleaned.


How is abortion performed?
Vacuum aspiration curettage:
Abortion is applied by vacuum method today. The abortion process mentioned above is also described.
Pregnancy is evacuated from the uterus by means of a vacuum system by means of a plastic syringe and a thin plastic tubular cannula.
Nowadays, it is the safest and least risky method. With this system, abortions are completed in approximately 10 minutes.

Curette instruments used in the past were sharp instruments. The risk of perforation of the uterus and other side effects was higher.
With the tip of these curettes, the uterus was scraped and cleaned. Therefore, it is not a widely used method today.
The most important point in the abortion process; The process is carried out by expert hands in a reliable and hygienic environment.
Otherwise, side effects and risks of complications may increase.

Drug use and controls after abortion
After abortion, the patient needs to use some medications to reduce the risk of infection. One week later,
the patient is expected to come for a check-up. However, in case of excessive pain or excessive bleeding,
consult a doctor immediately. Shower can be taken after abortion. However, standing shower is recommended.
Bleeding may occur after abortion. Pads should be preferred for this purpose.

Following abortion, the following situations are considered urgent and you should immediately consult a specialist:

If the temperature rises above 38 degrees,
If there is non-stop and increased bleeding after abortion,
If malodorous discharge occurs after abortion,
If bleeding does not decrease for 5 days after abortion, consult a doctor.



Dr.Ismet YILDIRIM MD. Gynecologist and Obstetrician, Infertility
Private Office:
İncirli Cad. No:41, Kat:4 Bakırköy - ISTANBUL (Dilek Pastanesi Üstü)
Phone: +90 212 542 87 85
Mobile: +90 532 325 30 08
Fax: +90 212 542 74 47
Website: http://www.drismetyildirim.com/
E-Mail: dr.ismetyildirim@hotmail.com


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