Abortion

Op.Dr.Nevra , Abortion Clinic Gynecologist İstanbul, Turkey.

Abortion is the ending of a pregnancy. The fertilized egg that grows and develops is called an embryo. This surgical procedure called suction aspiration - is 7 to 10 times safer than childbirth and takes less than 5 minutes to complete. However, all surgery carries a degree of risk. Some of the complications of abortion can include infection, damage to parts of the reproductive system, and excessive bleeding. There are a variety of pain-management or anesthesia options available depending upon the facility. First trimester abortion is medically quite simple, carries a low risk for complication, and allows you to resume most of your normal schedule within a day or two.
Pregnancy termination Law;Abortion is legal until 10 weeks of pregnancy in Turkey

The female reproductive system

The female reproductive system is made up of the vagina, uterus (womb), fallopian tubes and ovaries. The vagina is a muscular canal that leads to the entrance (neck) of the uterus, which is called the cervix. The uterus is a muscular organ, shaped like an upside-down pear. Fallopian tubes extend from the uterus, one on each side. They both open near an ovary, and carry the eggs from the ovaries to the uterus. A fertilised egg lodges in the lining of the uterus, called the endometrium. To abort a foetus, the cervix must be opened a little wider to allow the surgical instruments into the uterus.

General instructions

Always check with your clinic, but general instructions before undergoing an abortion include:
Don’t eat, drink or smoke for six hours before the operation. Allow for at least two hours at the clinic.
Bring sanitary pads, your referral letter, blood group card, Medicare card and any health care card.
Arrange for someone to drive you home.
Anaesthetic choices
Most women prefer general anaesthetic. All types of anaesthesia require fasting for six hours beforehand. This means no food or drink, not even water.

The range of anaesthetic choices includes:

General anaesthetic – which induces complete unconsciousness. Any operation involving general anaesthesia carries risk. There is a danger of choking if fasting isn’t properly undertaken beforehand.

Nitrous oxide – or similar gas, to offer what’s known as a ‘twilight sleep’. The woman is awake, but sedated and calm.

Local anaesthetic – anaesthetic is injected directly into the cervix (paracervical block).

Local anaesthetic with intravenous sedation – a combination of intravenous sedation and analgesia with a paracervical block.

Abortion Techniques

Currently, there are several types of abortion available to women. They vary in terms of technique, appropriate stage of the pregnancy for the procedure, possible complications, and cost.

Abortion pills, medical abortion is illegal in Turkey. We can use only vacuum aspiration method
Aspiration is the most common abortion technique used today. It poses the least risk of complications. This type of operation is safer for the woman than a tonsillectomy. Suction aspiration is commonly used .Most abortions are performed using what is called suction aspiration. The woman needs to be in her first trimester (first three months) of pregnancy, which means 10 weeks pregnant or less. The cervix opening is widened with rods of increasing size, and a tube is then inserted into the uterus. The foetus and placenta are vacuumed out. The uterus is then scraped with an instrument called a curette to make sure that no products remain behind. This operation takes less than 15 minutes.

1.) Preemptive Abortion, Endometrial Aspiration, or Menstrual Regulation
This aspiration procedure is performed before five to six weeks after the last normal menstrual period, before pregnancy can be verified. A tube, called a cannula,is inserted through the cervix and into the uterus. Because this type of abortion is performed at such an early stage in the possible pregnancy, a very small, 4-5mm, plastic cannula is used. On the other end of the cannula is a syringe which creates a vacuum. The lining of the uterus is suctioned out along with any placental and embryonic tissue that may exist.

2.) Early Uterine Evacuation or Menstrual Extraction
EUE's are only performed after a pelvic exam or urine test confirms pregnancy. This procedure is identical to a preemptive abortion except that the cannula, or tube, inserted into the uterus is 5-6mm in diameter. This is because the pregnancy is slightly more advanced, six to eight weeks.

3.) Vacuum Aspiration or Suction Curettage
Vacuum aspiration method abortion performed when the pregnancy is in its sixth to ten week. Because the pregnancy is more advanced, a larger cannula is used. The cervical opening is slowly stretched open with dilatorsand the cannula is inserted. An electrically powered aspirator provides gentle suction. Occasionally, a process known as curettageis also performed.The safest and least traumatic vacuum aspiration procedures use as little dilation of the cervix as possible, small, flexible cannulas, and little or no curettage.

Complications of abortion

Estimates vary, but complications can occur in around three per cent of cases. The risk of complications greatly depends on gestational length , since abortions performed in the first trimester of pregnancy are the safest. Another major safety factor is the doctor’s level of experience and training. Complications of abortion can include:

Haemorrhage – bleeding after an abortion should be similar to the bleeding experienced during a normal menstrual period. Heavy bleeding may indicate that pieces of the placenta remained inside the uterus. The treatment for this is to do a repeat suction curettage of the uterus. Blood transfusion is rarely required.

Injury to the uterus – the walls of the uterus are muscular but soft. A suction tube or knife can puncture the uterus, potentially causing abdominal infection ,peritonitis and severe blood loss.

Injury to the cervix – the cervix opening is stretched during an abortion. This can occasionally cause the cervix to become weakened, or ‘incompetent’. An incompetent cervix can cause problems in later pregnancies, because it might be too weak to remain fully closed under the weight of a growing foetus.

Infection – a fever (high temperature) may indicate pelvic inflammatory disease (PID), or infection of the uterus and fallopian tubes. Damaged fallopian tubes increase a woman’s risk of experiencing a future ectopic (tubal) pregnancy, which means her fertilised egg lodges in the fallopian tube instead of the uterus. If a woman already has the sexually transmitted disease chlamydia, her risk of PID increases. Retained pieces of placenta can also cause local infection. Treatment includes antibiotics.

Does an abortion hurt?

The actual procedure is completed under anesthesia so the patient feels no pain during the abortion. After the procedure, most women feel cramping, similar to menstrual cramps, for several days.

Is it dangerous to have an abortion?

All surgical procedures have some potential for complications. Individual circumstances and medical conditions can cause problems if they are not identified before the abortion. It is very important to discuss your entire medical history with the doctor during your pre-op examination. Statistically, childbirth is far more dangerous than abortion. This method is safe in istanbul abortion Center Clinic Mitera

Will having an abortion affect my ability to have children in the future?

There is no indication that abortions are linked to future miscarriage or sterility.

I have had an abortion in the past. Is it dangerous to have another?

1st trimester abortions are very low risk procedures, regardless of prior abortion history.

Can my spouse partner stay with me throughout the whole procedure?

We encourage one spouse partner member to accompany each patient in the couseling sessions in order to answer all issues and concerns.Only medical personnel are allowed in the surgical treatment areas. A large comfortable waiting area is available for your significant other until you are discharged from the surgical recovery area.

After the operation

Generally, post-operative suggestions to reduce the risk of infection include for the two weeks following the procedure ;Shower instead of taking a bath , Don’t have sexual intercourse ,Use sanitary pads instead of tampons ,Don’t go swimming,Seek medical advice

Activity: You may be referred for ongoing counseling and support after an abortion. You may eat a regular diet and resume normal activity. Avoid heavy activity or lifting for a few days. Do not use tampons, douche, or have sexual intercourse for one week.

Medications: You may be given medication for pain, but these are usually not necessary. Your doctor may prescribe medications for painful contractions and cramping of your uterus, but with a first–trimester procedure, none are usually needed. f you have pain, your doctor may suggest asetoaminophene (such as Tylol)l or ibuprofen (such as İbufen) and similar pain relievers.

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See your doctor immediately if:

Your bleeding becomes heavy

You run a fever

You experience severe cramping or abdominal pain.

Attention!! Be Careful !!

No name doctors and fake clinics that you might stumble upon on the internet could be a serious risk to your health.

To contact female english speaking certified gynecologist Op.Dr.Nevra and talk to her personally to get information on all examinations and procedures message on call +90 532 3540553 on Whatsapp.

Always make contact with your doctor, no matter the speciality, before travelling in for examination and procedures.
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It is advisable to have a simple pregnancy test before setting up an appointment, however

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