The choice to have or not
to have a child is personal, and thanks to advances in medicine, women now have
an option to terminate an unwanted pregnancy.
of women all over the globe choose to terminate their pregnancy by an abortion.
Sometimes a foetus stops developing and the body expels it by way of a miscarriage,
but very often women make the conscious choice to end a pregnancy.
Most common reasons abortions take place
She doesn't want any more
She doesn't want anyone to know
she is pregnant.
The couple cannot afford a baby.
She doesn't want to be a single parent.
She is too young to have a child.
She is being coerced by her husband, partner or parent.
She or the foetus has a health problem.
She was a rape or incest
She wants to maintain adequate age
gap between children.
Once a woman has opted to have an
abortion, she has the choice to go in for a surgical abortion or a medical
This is safest and cheapest when
performed in the first trimester, from six to twelve weeks after the first day
of your last menstrual period. Surgical abortion is almost 100% effective.
Manual vacuum aspiration (Takes 10 minutes)
The uterus is emptied with a manual operated
gentle suction. It is often used for very early surgical abortion, up to ten
weeks after conception.
suction curettage (Takes 10 minutes)
is emptied with machine-operated suction, after which its walls are cleaned
with a narrow metal loop. This method is used 6 to 14 weeks after your last
Dilation and evacuation or
D&E (Takes 20 minutes)
This is performed
between 14 to 24 weeks of pregnancy. An abortion is only performed after 24
weeks of pregnancy for serious health reasons. In this procedure the cervix is
opened, and then suction and curettage (cleaning the uterus walls) is
If you are extremely overweight, have certain
sexually transmitted infections or a uterus infection, are running a fever or
have certain serious health problems, you may need special arrangements.
Medical abortion can be done
by taking abortion
pill under the supervision of an obstetrician. Medical abortion is
suggested when a woman is not more than 7 weeks pregnant. After the period of 7
weeks, medical abortion may not be a viable option. In this case surgical
abortion can be preferred.
For medical termination of
pregnancy, an obstetrician prescribes pills and medications that can induce
abortion. You need to follow your obstetricianâ€™s advice on how and when these
pills need to be taken. These pills will soften the walls of your uterus and
help your cervix to dilate and the embryo will get expelled out of the uterus.
You will also experience contractions during this process along with bleeding.
This will also result in effects like headache or nausea. If you experience
side effects like heavy bleeding, vomiting or high fever, you must immediately
consult your obstetrician.
After your pregnancy is
terminated through medical abortion, your obstetrician will ask you to visit him
or her again. He or she may ask you to get an ultrasound done in order to check
that the abortion is complete and there is not risk of septicaemia due to
In most of the cases medical abortion
is safe if done during an early stage but there is also a risk of incomplete
abortion. Therefore, proper monitoring must be done when this method is opted
for terminating the pregnancy.
If you are opting for
abortion, it is a must to strictly follow the advice of your obstetrician and
take all the necessary precautions in case of medical as well as surgical
abortion in order to avoid complications.
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- The Indiaparenting Team