Abortion can only be applied until the 10th week of pregnancy. Pregnancies larger than this week cannot be evacuated unless there is a medical justification or a fetal reason.
In order for abortion to be performed, the blood group must first be known. If Rh Negative blood group is in question, the blood type of the partner should also be learned for blood incompatibility. In cases of blood incompatibility, an incompatibility needle, namely Anti-D drug, should be administered within 72 hours after an abortion.
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What are the Abortion Stages?The patient is taken to the gynecological examination table for abortion. Then, controls are done by ultrasonography. If the patient's urine bag is full, she is asked to empty it. Then, the clothes and clothes below the waist are removed and the patient lies on the gynecological examination table.
The most suitable position for this procedure is lithotomy. That is, as if the patient had a gynecological examination, his legs are placed in special parts. Then, the week and size of the pregnancy are determined by ultrasound. It is important to observe gestational sac, otherwise ectopic pregnancy may occur. For this reason, ultrasound controls are very important.
Abortion can be applied under general or local anesthesia. If local anesthesia will be applied, medication is given to both sides of the cervix. Thanks to this anesthesia; cervix is dilated with special spark plugs. In this way, the patient feels less pain.
In general anesthesia method, vascular access is opened with a thin catheter and medication is given by an anesthesiologist.
After the anesthesia procedure is completed, the vaginal speculum is placed. Thanks to the speculum, the cervix can be observed. Then the vagina and cervix are cleaned with antiseptic solutions. Then the cervix; It is held with the help of a tool called tenaculum device.
In this way, the uterus becomes flat and the abortion process becomes easier. After straightening the uterus, the cervix is widened with the tools called spark plug. The equivalent of this procedure in the medical literature is dilation.
After this procedure, plastic cannulas applied to an injector that creates a negative pressure called karmen injector are applied to the cervix. The uterine cavity is reached. By pressing the button of the syringe, negative pressure is created and it is provided to make back and forth movements. In this way, the inside of the uterus is cleaned. The process continues until the inside of the uterus is completely cleaned.
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Which method is abortion done?
Abortion procedure is practiced today by the vacuum method. The abortion process mentioned above is also explained with the vacuum method. The pregnancy is evacuated from the uterus by the vacuum system through the plastic injector and thin plastic tubular cannula.
Today, it is the safest and least complicated method. Abortions with this system are completed in approximately 10 minutes.
Curette instruments used in the past were sharp instruments. The risk of uterine puncture and other side effects was higher. The uterus was scraped and cleaned with the tip of these curettes. For this reason, it is not a widely used method today.
The most important point to be considered in abortion process; is to perform the procedure in a reliable and hygienic environment by expert hands. Otherwise, side effects and possible complication risks will increase.
In the animation below, you can see how vacuum abortion is done.
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Drug use and controls after abortion
You can take a shower after an abortion. However, standing shower is recommended. Bleeding may occur after an abortion. Buffer should not be used for this, pads should be preferred.
The following conditions after an abortion are considered urgent and it is necessary to immediately contact a specialist:
• If the body temperature has exceeded 38 degrees,
• If no bleeding and increased bleeding occur after abortion,
• If a foul-smelling discharge occurs after an abortion,
• If bleeding does not decrease for 5 days after an abortion, consult a doctor.
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