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- keduvibra1980 January 4
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Abortion is the process of terminating a pregnancy voluntarily because of certain circumstances that might occur. These can include undesired pregnancy despite the usage of protection, underage sex and so on. There are generally two methods of abortion and both of their own pros and cons. Abortion can be successfully conducted in one day, so the person getting it does not have to stay overnight in order to get it.
Abortion for Unwanted pregnancy in India
Duration of pregnancy
The number of days or weeks since the first day of the woman’s last normal menstrual period (LMP) in women with regular cycles. For women with irregular cycles, the gestational age may need to be determined by physical or ultrasound examination. In India, abortion (MTP) is permitted up-to 20 weeks of pregnancy.There are two methods by which abortion can be done
1. Medical Abortion -Non-surgical abortion in which medicines are used to induce abortion
2. Surgical Abortion - Use of transcervical procedures for terminating pregnancy, including vacuum aspiration, and dilatation and evacuation (D&E).
Medical Abortion
Medical abortion in India is approved only up-to 7 weeks (49 days) of pregnancy.
Medical abortion can be done up-to 9 weeks (≤63 days) according to WHO – World Health Organization.
Advantages of Medical Abortion
Avoids surgery. Controlled by the woman and may take place at home. No need for admission to the Hospital. Usually well tolerated by women if properly counselled and motivated. No need to take leave from work, as bleeding can be manged with menstrual pads even while in office or at work.
Disadvantages of Medical abortion
Takes time (hours to days) to complete abortion, and the timing may not be predictable. Women experience bleeding and cramping, and potentially some other side-effects (nausea, vomiting, fever, and shivering). May require more clinic visits than surgical abortion.
Method of Medical Abortion ,Mifepristone (200 mg) is always administered orally at first visit.Then Misoprostol (4 tablets = 800mcg) administered by different routes, including oral, vaginal, buccal and sublingual. Vaginal route is preferred as chances of success is much higher and lowest rate of side effects; as compared to other routes. For women having medical abortion, routine use of prophylactic antibiotics is not recommended.
When to seek medical attention during medical abortion
1. Prolonged or heavy bleeding (soaking more than two large pads per hour for two consecutive hours);
2. Fever lasting more than 24 hours;
3. Feeling generally unwell more than 24 hours after misoprostol administration.
Surgical abortion
It can be performed upto 12 weeks of pregnancy either by Vacuum aspiration or by Dilatation and evacuation (D&E).
Advantages of Surgical Abortion
Quick procedure. Complete abortion easily verified by evaluation of aspirated products of conception. Takes place in a Hospital so Sterilization or placement of an intrauterine device (IUD) may be performed at the same time as the procedure. It can be performed under local anaesthesia if woman is properly motivated and counselled.
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