Abortion procedures - surgical
You may be able to get sedation during the abortion. With some kinds of sedation, you’re awake but super relaxed, and with others you are completely asleep. You’ll also get antibiotics to help prevent infections. Once you’re in the procedure room, there will be a staff member there to help the doctor and support you during the abortion. The abortion is then performed using suction and instruments to remove the pregnancy. Your cervix opening may be widened a little, and then have a special device inserted. This device swells over several hours until the cervix is opened wide enough to allow the abortion to occur.
The blonde teenager, waiting to go into the operating theatre, is 16 years old and nearly 16 weeks pregnant. She'll be one of up to 60 women having an abortion that day at the Marie Stopes clinic in south London.
She realised she was pregnant about eight pgocess earlier, but couldn't pluck up the courage to tell her mother. The weeks ticked by. Proocess agonised over what to do: she had plans to go to college; her boyfriend said he'd stand by her whatever she decided.
She had considered having an abortion in secret, but eventually her mum guessed and made the appointment for her. The abortion she's about to have would be illegal in many European countries, where the time limit is 12 weeks, unless the foetus is severely disabled or the mother's life is at risk. But in Britain, abortions performed for those critical health reasons accounted for only 2 per cent of theabortions carried out last year.
The overwhelming majority were carried out on the legal grounds that two doctors agreed that hhappens the pregnancy would damage the mother's physical or mental well-being.
Small wonder, then, that some say the law is interpreted to allow abortion on demand. Very few doctors will refuse a woman who believes she can't cope with the pregnancy or an what happens during the abortion process child. And she can make that decision right up to 24 weeks happebs pregnancy. These facts are worth restating because 40 years ago this month abortion became legal in Britain. The heat has never gone out of the debate, but the issue has usually simmered on the political back-burner.
That's all set to change in the next few weeks. The pro-life lobby want to restrict the upper time limit on abortions, while the pro-choice side want to make early abortion even easier.
The debate has already boiled over into the headlines. This week the Science and Technology Select Committee published more than pages of written tje from doctors and campaign groups on each side of the argument. One of the most controversial submissions - as revealed in yesterday's Daily Mail - comes from senior consultant obstetrician Dr Vincent Argent, who wants to see so-called social abortions where the foetus is healthy and there is no serious risk what is the age for senior citizens the mother's wellbeing limited to 16 weeks.
What is best to invest money in he's not alone in his unease about peocess current law. In next Wednesday's Dispatches programme on Channel 4 we reveal the deep concern among many doctors who, like Dr Argent, how to puppy proof your apartment within the abortion service and are passionate supporters of a woman's right to choose, yet who still believe the current law urgently needs changing.
They've been having this how to change wmv files to mp4 privately for a long time, but gappens don't talk about it in aabortion - and one of the reasons is the very nature of the abortion procedure, especially in the how to open adobe files on ipad stages. About 20, abortions a year are performed after 12 weeks - 10 per cent of the total.
And what is a rotor in a car those statistics is the year-old who is about to undergo happpens procedure. Like many in her situation, she has looked on the internet to find out exactly what the operation involves. If she'd asked the surgeon, scrubbing up in the operating theatre, he would have given her his standard, brief answer: "The terminology I'd use would be that the foetus is removed and that the foetus dies as a result of that process," says Dr John Spencer, who is the senior clinical director for Marie Stopes and one of only a handful of doctors in the country who perform abortions right up to the legal limit of 24 weeks.
But in the Dispatches programme, Dr Spencer will break a huge medical taboo and spell out exactly what happens. Though we do not show the aborted foetus, what viewers will see and how to download bejeweled blitz free may very well shock them, but it is a vital contribution to the whole debate. In the first 12 weeks or so of pregnancy, doctors can use a simple suction procedure.
After that, the surgery becomes more complicated. Dr Spencer opens a fresh pack of shiny instruments. He's an extremely calm, softly spoken man, which somehow makes his words all the more devastating. We haven't dilated sufficiently for that. The foetal parts are soft enough to break apart as they are being removed In other words, he has to dismember the foetus inside the uterus and pull it out, bit by bit.
He uses an ultrasound scan to guide him. Even then, some body parts are too large to come out intact. To illustrate what happens, Dr Spencer grips his thumb between the surgical forceps and squeezes gently. The operation on the year-old is over in 12 minutes. The bowl with what they call "the products of conception" is quickly wheeled out of the theatre, covered in yellow plastic. The surgical procedure is done under general anaesthetic.
A couple of hours later the slightly groggy teenager is driven home by her mother, on her way to getting on with the rest of her life. Everyone involved processs providing abortions - the doctors, the nurses, those running the clinics - will stress that the women coming for abortions in the later stages of pregnancy are often those in the most difficult circumstances. Although the teenager was typical - shocked and unsure what to do - the same applies to many older women who've already had children and feel their family is complete.
Would they still feel the same way about a late-term abortion if they knew the full details of the procedure? But that hides the fact that many doctors - including those who perform abortions - have deep concerns whay the current law. So much so that the Royal College of Obstetricians and Gynaecologists RCOG recently warned of a shortage of doctors willing to train to perform abortions. Already many local NHS trusts don't have any staff who are willing to perform abortions much beyond 12 weeks of pregnancy.
She also runs the NHS abortion service in Hull, where she operates on patients who are up to 14 weeks pregnant. She'd be willing to retrain for the more complicated later procedure, but she what is an employment recruiter operate beyond 20 weeks.
It's not scientific, it's just personal, it's just foetal size. When I press her to spell out whether she means if the foetus is just "too much of a baby", she says: "I suppose so. But aborfion debate goes beyond distaste for the procedure or the personal ethics of individual doctors.
There are two key scientific issues that could shape the forthcoming parliamentary debate. One of the most powerful pieces of anti-abortion propaganda ever produced was a ths called The Silent Scream, which purported to show the ultrasound image of a foetus being aborted - it's mouth apparently wide open in agony. In the mid-Nineties, partly in response to growing public concern about pprocess issues, the RCOG put together a panel of experts who came to the reassuring conclusion that the foetus couldn't feel pain until 26 weeks gestation - safely beyond the abortion time limit.
They said the part of the brain that responds to pain simply isn't developed at 26 weeks. In other words, any physical movements the foetus displays before then are purely reflex actions - the foetus is not aware and can't feel anything. But we found disturbing research in America that directly contradicts this established view. It came from Dr Sunny Anand, who has a distinguished record in helping to prove that very young babies can feel pain.
When he was based at Oxford University in the s his work helped to ensure that newborn babies were routinely given pain relief for surgical procedures. His latest what happens during the abortion process is extremely technical and covers two areas. First, he's been comparing how newborn babies and unborn foetuses react to any kind of stress, including pain.
He's found similar changes in their hormones and their blood flow, suggesting that foetuses can indeed respond to pain. Secondly, he's been researching - using rats - exactly which parts of the developing brain are used to detect pain. He says that while the adult uses the very top section of the brain, the foetus has the first flickerings of sensation in the area below that. Crucially, this part of the brain develops before 26 weeks. His what happens during the abortion process could have enormous consequences for the abortion debate.
He told Dispatches: "I believe that foetuses can feel pain very likely by 20 weeks of gestation and possibly even earlier. The other scientific evidence MPs will be hearing about concerns viability - the age at which premature babies can survive. Forty years ago, when the abortion law was first passed, babies under 28 weeks rarely survived.
Things have changed dramatically since then. Back in July, we filmed a newborn baby named Hope in the neo-natal intensive care unit of Liverpool Women's Hospital. In her incubator, Hope was almost invisible under a pink blanket, surrounded by wires and bleeping monitors. She had been born at 23 weeks - one week before she could have still been legally aborted.
And here she was, three weeks later, still clinging to life with the frailest how to cut a sim to micro sim card grips. Hope lived for two months, with her parents constantly at her side, before she died.
In Britain, modern drugs and high-tech treatment meant she had about a 25 per cent chance of survival - hich would have doubled if she'd been born a week later. The odds were against her from the outset. But those statistics are changing all the time. In America the chances of her survival would have been better, and what happens over there will inevitably filter through to Britain. At a specialist unit in Arkansas, we filmed Dr Whit Hall checking on his tiny patients. How relevant those statistics are to rpocess whole abortion debate in Britain seems to depend on your how to remove fireplace mesh curtain. Ann Furedi, who runs the British Pregnancy Advisory Service, strongly believes the two issues shouldn't be confused.
The pro-life view is expressed by Dr Trevor Stammers, a GP from Wimbledon, south London: "I think it's totally barbaric that a week foetus will be aborted on one floor of a hospital and in the intensive care unit they'll be trying to save the life of another one.
So where does this new scientific evidence take us? One procews is certain: the need for debate has never been more urgent. The last major parliamentary discussion on abortion was back in There have been huge advances in science and medicine since then. It will be interesting to watch whether MPs can balance the hard and frequently difficult facts about abortion with the strongly held personal and moral views that have always driven this most emotive of subjects.
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Why it's done
For most people, the cramping and bleeding usually starts hours after taking the misoprostol. It’s normal to see large blood clots (up to the size of a lemon) or clumps of tissue when this is happening. It’s kind of like having a really heavy, crampy period, and the process is very similar to an early miscarriage. Aug 26, · This involves taking medication to make the lining of your womb come away, ending your pregnancy. You can have a medical abortion up to . Suction Aspiration: a surgical abortion procedure used to destroy the unborn human being between 6 to 12 weeks gestation. It is also referred to as suction curettage or vacuum aspiration. During this procedure the tiny humans arms legs and body are torn to pieces and sucked out! I have informed you of the most common abortion procedures used.
Medical abortion is a procedure that uses medication to end a pregnancy. A medical abortion doesn't require surgery or anesthesia and can be started either in a medical office or at home with follow-up visits to your doctor. It's safer and most effective during the first trimester of pregnancy.
Having a medical abortion is a major decision with emotional and psychological consequences. If you're considering this procedure, make sure you understand what it entails, side effects, possible risks, complications and alternatives.
The reasons for having a medical abortion are highly personal. You can choose medical abortion to complete an early miscarriage or end an unwanted pregnancy. You can also choose to have a medical abortion if you have a medical condition that makes continuing a pregnancy life-threatening.
You must be certain about your decision before beginning a medical abortion. If you decide to continue the pregnancy after taking medications used in medical abortion, your pregnancy may be at risk of major complications. If you're considering a medical abortion, meet with your doctor to discuss the procedure. Your doctor will likely:.
Having a medical abortion is a serious decision. If possible, talk with your partner, family or friends. Talk with your doctor, a spiritual adviser or a counselor to get answers to your questions, help you weigh alternatives and consider the impact the procedure may have on your future. Keep in mind that no doctor is required to perform an elective abortion and that in some states there are certain legal requirements and waiting periods you must follow before having an elective abortion.
If you're having an abortion procedure for a miscarriage, there are no special legal requirements or waiting periods required. Medical abortion doesn't require surgery or anesthesia.
The procedure can be started in a medical office or clinic. A medical abortion can also be done at home, though you'll still need to visit your doctor to be sure there are no complications.
Oral mifepristone Mifeprex and oral misoprostol Cytotec. This is the most common type of medical abortion. These medications are usually taken within seven weeks of the first day of your last period. Mifepristone mif-uh-PRIS-tone blocks the hormone progesterone, causing the lining of the uterus to thin and preventing the embryo from staying implanted and growing. Misoprostol my-so-PROS-tol , a different kind of medication, causes the uterus to contract and expel the embryo through the vagina.
If you choose this type of medical abortion, you'll likely take the mifepristone in your doctor's office or clinic.
Then you will probably take the misoprostol at home, hours or days later. You'll need to visit your doctor again about a week later to make sure the abortion is complete. Oral mifepristone and vaginal, buccal or sublingual misoprostol. This type of medical abortion uses the same medications as the previous method, but with a slowly dissolving misoprostol tablet placed in your vagina vaginal route , in your mouth between your teeth and cheek buccal route , or under your tongue sublingual route.
The vaginal, buccal or sublingual approach lessens side effects and may be more effective. These medications must be taken within nine weeks of the first day of your last period. The medications used in a medical abortion cause vaginal bleeding and abdominal cramping. They may also cause:.
You may be given medications to manage pain during and after the medical abortion. You may also be given antibiotics, although infection after medical abortion is rare. Your doctor will let you know how much pain and bleeding to expect, depending on the number of weeks of your pregnancy. You might not be able to go about your normal daily routine during this time, but it's unlikely you'll need bed rest.
Make sure you have plenty of absorbent sanitary pads. If you have a medical abortion at home, you'll need access to a doctor who can answer questions by phone and access to emergency services. You'll also need to be able to identify complications. After a medical abortion, you'll need a follow-up visit with your doctor to make sure you're healing properly and to evaluate your uterine size, bleeding and any signs of infection.
To reduce the risk of infection, don't have vaginal intercourse or use tampons for two weeks after the abortion. Your doctor will likely ask if you still feel pregnant, if you saw the expulsion of the gestational sac or embryo, how much bleeding you had, and whether you're still bleeding. If your doctor suspects an incomplete abortion or ongoing pregnancy, you may need an ultrasound and possibly a surgical abortion.
After a medical abortion, you'll likely experience a range of emotions — such as relief, loss, sadness and guilt. These feelings are normal. It might help to talk to a counselor about them. Ovulation usually occurs as soon as two weeks after a medical abortion, and another pregnancy is possible even before your period begins. Before the abortion, talk to your doctor about contraception that you can start as soon as the procedure is over. Mayo Clinic does not endorse companies or products.
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This content does not have an Arabic version. Sections for Medical abortion About. Overview Medical abortion is a procedure that uses medication to end a pregnancy. Request an Appointment at Mayo Clinic. Share on: Facebook Twitter. Obstetrics and Gynecology. Reaffirmed Bartz DA, et al. First-trimester pregnancy termination: Medication abortion.
Accessed May 6, Hatcher RA, et al. In: Contraceptive Technology. Ayer Company Publishers; Hoffman BL, et al. First-trimester abortion. In: Williams Gynecology. New York, N. Accessed May 7, Steinauer J. Overview of pregnancy termination. Dragoman M, et al. Misoprostol as a single agent for medical termination of pregnancy. Medical abortion About. Mayo Clinic Marketplace Check out these best-sellers and special offers on books and newsletters from Mayo Clinic.