Types Of Abortion Procedures

Medically, there are various types of abortion procedures for eliminating the fetus from the uterus. Abortion happening due to natural causes such as an accident or trauma is known as miscarriage. Induced the abortion is removal of the fetus medically by different types of procedures. A specific type of abortion procedure is recommended by a doctor only after performing a preliminary physical examination. Abortions can be performed with medication as well as the surgically.

Medical Abortion

Types of medical abortions

RU-486 Mifepristone (Mifeprex) and Misoprostol

Mifepristone and Misoprostol, also referred to as RU-486 or the abortion pill, are drugs used in a medical abortion procedure within the first seven to nine weeks of pregnancy. A preliminary physical exam is performed to determine your eligibility for this medical abortion procedure. You are not eligible if you have any of the following: the ectopic pregnancy, ovarian mass, IUD, corticosteroid use, adrenal failure, anemia, bleeding disorders or use of the blood thinners, asthma, liver or kidney problems, heart disease, or high blood pressure.

How it Works

Mifepristone is given orally during your first office visit. It blocks progesterone from the uterine lining and causes the fetus to die. This alone, may be cause contractions to expel the fetus. If not, Misoprostol tablets are given orally or inserted vaginally during the second office visit which occurs 36 to 48 hours later. This may occur within a few hours or in some cases up to two weeks after taking the misoprostol. A follow-up physical exam is given two weeks later to ensure the abortion was complete and that there are no immediate complications.

Side Effects

The procedure is unsuccessful approximately 8-10% of the time, which then requires an additional surgical abortion procedure to complete the termination. Cramping, nausea, vomiting, diarrhea, heavy bleeding and infection may occur.RU-486 is not advised for women who have anemia, bleeding disorders, acute inflammatory bowel disease, or use an intrauterine device (IUD).

MTX: Methotrexate & Misoprostol

MTX is a medical abortion procedure used up to the first seven weeks of pregnancy. Methotrexate is given orally or by injection during the first office visit. Misoprostol tablets are given orally or inserted vaginally during the 2nd office visit which occurs 5 to 7 days later. A physical exam is given 7 days later to ensure the abortion procedure is complete and that there are no complications.

How it Works

Methotrexate is primarily used in the treatment of cancer and rheumatoid arthritis because it attacks the most rapidly growing the cells in the body.

Side Effects

The procedure is unsuccessful approximately 10% of the time, which then requires an additional surgical abortion procedure to complete the termination. MTX is not advised for women who have anemia, acute inflammatory bowel disease, or use an intrauterine device (IUD).

Surgical Abortion

Surgical abortion procedures vary based on the stage of pregnancy.

Types of Surgical Abortions

Suction Aspiration

Suction aspiration is a surgical abortion procedure performed during the first 6 to 12 weeks gestation.

The Procedure

You will lie on your back with your feet in stirrups and a speculum is inserted to open the vagina. When the cervix is wide enough, a cannula. The procedure usually lasts 15-20 minutes, but recovery may require staying at the clinic for a few hours.

Side Effects and/or Complications

Common side effects include cramping, nausea, sweating, and feeling faint. Infection due to retained products of conception or infection caused by a STD or bacteria being introduced to the uterus can cause fever. 

The Procedure

A curette is a long, looped shaped knife that scrapes the lining, placenta and fetus away from the uterus. A cannula may be inserted for a final suctioning. This procedure usually lasts 15 minutes with a possible stay of up to 5 hours.

Side Effects and/or Complications

Dilation & Evacuation (D&E)

Dilation and evacuation is a surgical abortion procedure performed between 15 to 21 weeks gestation.

The Procedure

Then using a curette, the lining is scraped to remove any residuals. The procedure normally takes about 30 minutes. The fetal remains are usually examined to ensure everything was removed and that the abortion was complete. The people who this article also read about the nyc std testing.

Induction Abortion

Induction abortion, also known as Instillation Abortion, Saline Abortion, Saline Amniocentesis, "Salting Out," Salt Poisoning Abortion, or a Hypertonic Saline Abortion is a procedure that uses salt water, urea, or potassium chloride to terminate the viability of the pregnancy.

The Procedure

The abortion provider inserts prostaglandins into the vagina and pitocin is given intravenously. Laminaria is then usually inserted into your cervix to begin dilation. This procedure is rarely used, normally only occurs when there is a medical problem or illness in the fetus or mother.

Side Effects and/or Complications

Side effects are similar to dilation and evacuation, although in rare cases it is possible for the mother's own blood stream to be accidentally injected with saline or other medications. Excessive bleeding and cramping may be experienced and more serious complications such as retained placenta, cervical trauma, infection, hemorrhage.

Dilation and Extraction (D&X)

The dilation and extraction procedure is used after twenty one weeks gestation. The procedure is also known as D & X, Intact D & X, Intrauterine Cranial Decompression and the Partial Birth Abortion.

The Procedure

Your water should break on the third day and you should then return to the clinic. The catheter removes the cerebral material until skull collapses. Then the fetus is completely removed.