Abortion: how to make the right decision and other issues

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A miscarriage is always associated with serious consequences for a woman’s entire body and for her reproductive organs in particular; it also affects the family situation and disrupts a woman’s work schedule. An unfavorable pregnancy outcome requires great mental and physical costs on the part of parents. Therefore, turning to doctors to find out the causes of the problem is the very first and correct step on the path to having a child.

Any competent gynecologist will tell you that the problem of miscarriage can be solved. With proper preparation for pregnancy and its management, next time you will have a successful completion of pregnancy. Most girls after a miscarriage go to extremes: they try to get pregnant again as soon as possible. And if this succeeds, then the miscarriage very often recurs. But you need to give the body a rest for 2-3 months, then identify and eliminate the cause. And only then try.

Causes of miscarriage

Many are convinced that miscarriage occurs due to a fall, bruise or some other physical shock. Any woman who has had a miscarriage can remember that not long before she either fell or lifted something heavy. And I am sure that I lost my unborn child precisely because of this. However, those women whose pregnancy was normal also fall and lift heavy things. This is not why most sudden miscarriages occur. The reason is due to problems with pregnancy itself. About half of miscarriages occur due to abnormal genetic development of the fetus, which can be hereditary or accidental. Merciful nature, following in all respects the principles of natural selection, destroys an inferior and non-viable fetus. But there is no need to be afraid of this. The fact that one embryo has a defect does not mean that all the others will be the same.

In the other half of miscarriages, the woman's body is almost always to blame. They are caused by various known and unknown factors, such as: acute infectious diseases suffered in the first trimester of pregnancy, poor environment or difficult working conditions, excessive psychological or physical stress, abnormal development of the uterus, radiation, alcohol, smoking and certain types of drugs.

The causes of miscarriage in early and later stages may vary, although they may coincide. The most important thing is to find out and eliminate or compensate for your own cause of miscarriage. Having discovered the cause, the gynecologist will tell you how to avoid another loss.

Frozen pregnancy

Miscarriage statistics also include “frozen pregnancy.” Sometimes it happens that the embryo dies and is retained in the uterine cavity. Most often this fact is revealed by ultrasound. A dead fetus may begin to decompose, and this will thereby lead to poisoning of the mother’s body.

Doctors resort to surgical curettage, which is associated with the risk of inflammation and complications. With such a miscarriage, the next pregnancy is planned after the body has fully recovered - not earlier than a year. During this year, we will have to find out the cause of the frozen pregnancy and carry out treatment.

Miscarriage before 6 weeks

The main causes of miscarriage on this line are malformations of the embryo itself. Statistics say that 70-90% of embryos had chromosomal abnormalities: they are random and will not occur in other pregnancies. You may have been sick, taken medication, or been exposed to other harmful factors. Fate saved you from a child with developmental defects.

The human body is perfect and finds a way to correct the situation by miscarriage. Today is a tragedy for you. A real tragedy would be the preservation and birth of a sick, non-viable child. So don’t cry and understand: everything is for the best, tears won’t help your grief... And after three months, try again - it will almost certainly be successful.

It should also be noted that the fact of a miscarriage does not mean that you have lost something. So, at a period of 7-8 weeks, the absence of an embryo in the fertilized egg is detected - “anembryony”. It is believed that in 80-90% of cases, miscarriages are undiagnosed undeveloped pregnancies.

Why do women have abortions?

The content of the article

Every year, millions of couples experience unplanned pregnancies; every 4 out of 10 families decide to have an abortion. Medical abortions are also performed on patients when indicated for health or safety reasons. According to statistics, more than half of women have a history of at least one abortion by the age of 45.

Sometimes the solution is simple, sometimes it is difficult. But in any case, the decision to terminate a pregnancy is made by the woman herself. Surveys show that each patient has her own compelling reasons for an abortion:

• Fear of a negative reaction from children who already exist;
• Unpreparedness to be parents;
• This is not the right time in life to have a baby.
• The need to finish school, focus on work, or achieve other goals before having children.
• The partner does not want to be a father.
• Conception is the result of sexual violence.
• Pregnancy will affect your health.

Deciding to have an abortion does not mean you don't want or don't love children. In fact, 6 out of 10 people who terminate a pregnancy already have one. Many people just don’t want to have any more children in order to focus on raising the babies they’ve already born. Most women who have an induced abortion give birth later, when they feel they are in a better position to be a good mother.

Deciding if and when to have a child is a very personal one, and only you know what's best for you and your family.

Signs of pregnancy in minors

The first experience of intimate relationships or unprotected sexual intercourse is one of the important reasons to consult a gynecologist. But girls, due to circumstances, do not take this step, they are afraid of the judgment of adults, they do not want to listen to the lectures of doctors who sometimes communicate rudely with young patients. When a girl trusts her mother and maintains close contact with her, in such a situation it is much easier to tell a loved one about everything, go with him to a doctor’s appointment, being sure that no one will hurt you.

If a trip to the doctor is postponed, then special medical tests will help determine the fact of pregnancy. They are sold in any pharmacy; in large supermarkets they can be found in the intimate hygiene departments.

There are also objective signs by which you can determine the presence of pregnancy:

• absence of menstruation (in certain cases the method is not informative, since many adolescents are characterized by menstrual irregularities);
• increased sense of taste and smell (this often causes nausea);
• increased sensitivity, thickening of the mammary glands;
• increase in abdominal volume;
• gagging, most often occurring in the morning;
• excessive fatigue, feeling of weakness, drowsiness;
• frequent urge to urinate;
• mood swings, states close to hysteria.

Are you ready to become a mother? When is the decision to have an abortion justified?

Family, relationships, school, work, life goals, health, safety and personal beliefs are the minimum considerations people weigh before having an abortion.

Questions to ask yourself before going to the clinic:

• Are you ready to become a mother?
• Will your health allow you to have children after an abortion?
• What will change for the family with the arrival of the baby?
• How will the birth of a baby affect your career goals, income and future plans?
• How will personal or religious beliefs regarding abortion subsequently affect the psyche?
• Do you want to have an abortion yourself or is someone influencing your decision?
• Can abortion change your life in ways you don't want?
• What support will you need if you decide to have an abortion or keep your baby?

Decisions about your pregnancy are deeply personal. You have the right to live the way you want. And if you understand that you will not be able to raise and support your child, and no one will support you in this, then the decision can be considered justified. If abortion is just a whim, then such an act can be called immoral.

Who can I talk to about this topic?

Many people shift the responsibility for a difficult decision onto someone else's shoulders. You can’t do this, but you can simply consult with people who understand and support you. Of course, these should not be girlfriends and other strangers. The maximum people you can trust are parents, spouse and doctors.

A good gynecologist will definitely tell you about the consequences of an abortion, taking into account your state of health and the timing of your pregnancy. He will help you look at the situation impartially, because he sees the same patients every day. The doctor will provide real facts and will not judge.

When asking for advice, you should understand that no one should force you to make any decision about terminating or continuing your pregnancy.

How to prevent the threat of miscarriage

• Plan your pregnancy in advance by conducting a comprehensive examination to prepare the woman’s body for conception. If any diseases are present, it is necessary to treat and eliminate their possible impact on the course of pregnancy;
• protect your health from possible stress and anxiety, do not overwork, get enough sleep and relax;
• eat well, consuming sufficient amounts of vitamins, micro- and macroelements necessary for normal intrauterine development of the fetus and maintaining the health of the female body;
• Do not lift anything heavy under any circumstances;
• choose comfortable shoes without high heels (minimizing the possibility of an accidental fall and the appearance of thrombophlebitis);
• taking into account the recommendation of a specialist, constantly perform special physical exercises for pregnant women, which will later help during childbirth.

To maintain a normal pregnancy, vitamins should not be taken synthetic, but should be taken from foods rich in them, with a living molecular structure. Fresh natural fruits and vegetables, juices from them, rich in fiber, calcium, B vitamins and vitamin C are especially important for the overall strengthening of a woman’s immune system.

Despite the fairly common threat of miscarriage, today there are many options for help for a woman who wants to carry and give birth to a healthy baby. The main thing is to constantly undergo consultation, take tests in a timely manner, and follow all the recommendations of the gynecologist.

Obstetrician-gynecologist, services, prices, registration

When should you decide to have an abortion?

Abortion is a procedure performed to remove a fertilized egg from the uterine cavity. The operation is performed before 21 weeks of pregnancy and is considered safest if performed in the early stages (up to 12 weeks).

When choosing an abortion, you must understand that every day your baby is developing and growing. The longer the period, the sadder, more dangerous and unpleasant this procedure is. Therefore, if the decision is made before 6 weeks, you can have a medical abortion at the embryonic stage. At a longer term, a vacuum or surgical abortion is performed and the doctor has to remove the grown fetus, which is already developing organs.

The third stage of medical abortion

Taking a drug containing prostaglandins (tablets handed out). After 36 hours, the woman takes them, and the final removal of the embryonic membranes from the uterine cavity occurs. Under the influence of prostaglandins, the muscles of the uterus and cervix contract, resulting in abortion.

Further contraction of the uterus, which increased during pregnancy, to its previous size is stimulated by the same drug.
This period is associated with the appearance of cramping pain and bleeding, which is the norm and indicates the correct course of medical abortion. This article is posted for educational purposes only and does not constitute scientific material or professional medical advice.

Abortion methods

Gynecology offers three methods of abortion: medication, vacuum and surgery. Each of them has its own limitations, pros and cons.

Medical abortion

. Method of terminating pregnancy without surgery. The essence of medical abortion is taking a drug that blocks the production of the hormone progesterone, which is vital for the fetus. The result is dilation of the cervix, release of the fertilized egg. Medication interruption is available for up to 6-7 weeks.

• Advantages of the medicinal method
  : minimum negative consequences, no psychological trauma remains. Medical abortion is highly safe due to the absence of surgical intervention
• Disadvantages of the drug method
  : availability only in early pregnancy, possibility of side effects (nausea, vomiting, headache, diarrhea). Uterine bleeding (menstruation) persists for a long time, requiring careful monitoring. Menstrual function is restored after 1-3 months
• Possible problems when visiting a bad gynecological clinic: when using low-quality drugs (expired, non-original, substitutes, etc.). which is often practiced in “cheap” gynecologies, the consequences are unpredictable - from allergic reactions to hormonal imbalance.

Vacuum abortion.

It is also called a mini-abortion. The essence of the procedure is the introduction of a special apparatus into the uterine cavity to suck out the fertilized egg. Vacuum interruption is available for up to 8 weeks.

• Advantages of vacuum termination
  : shorter recovery period, lower risk of complications than with surgical termination of pregnancy.
• Disadvantages of the vacuum method
  : availability only in the early stages of pregnancy, there is a possibility of complications. The safety of removing the fertilized egg in this way is quite high, but there are times when pregnancy persists after surgery (0.5-1% of cases). Since during a mini-abortion the fertilized egg is separated from the mucous membrane, bleeding (menstruation) will normally appear on the 4-5th day. This is due to hormonal changes.
• Possible problems if performed poorly
  : bleeding, inflammation, infertility.

Surgical
abortion .
The most dangerous and most popular method of abortion, which is offered by any gynecological
clinic
. Its essence is dilation of the cervix with special instruments and curettage. Surgical abortion is performed under ultrasound control and anesthesia. The method is available up to 12 weeks.

• Advantages of surgical termination
  : availability in later stages of pregnancy.
• Disadvantages of surgical termination
  : the method is traumatic, the highest risk of complications.
• What can you expect from a bad gynecologist
  : cervical rupture, bleeding, infection, infertility.

For control after curettage, a repeat ultrasound is performed. Modern methods of surgical abortion allow it to be performed on an outpatient basis.

Prohibitions during early pregnancy

Pregnancy is not a pathological process, it is a physiological norm. But in the modern world - a cigarette smoked by a pregnant woman! Yes, you can see it. Nicotine causes vasospasm and tissue nutrition deteriorates. Nicotine crosses the placenta and has a negative effect on the fetus. It can lead to developmental defects, shrinkage of the brain with the ensuing consequences, miscarriage, and the birth of a low-weight fetus. If a woman smokes, then she should quit this bad habit here and now!

Alcohol. Remove before breastfeeding stops. Yes, during lactation alcoholic drinks are also prohibited. For lovers of baths and saunas, put off these pleasant procedures for a “long” later. When visiting a steam room, blood pressure rises and resistance in blood vessels increases. This threatens and can lead to detachment of the chorion (in later stages - placenta), which entails miscarriage or fetal death. Try to avoid stressful situations, distance yourself from them if possible. When stressed, there is a release of stress hormones, which leads to vasospasm and malnutrition.

Avoid heavy lifting, sharp turns, or sudden bends. This leads to an increase in intra-abdominal pressure, increasing pressure on the uterus, causing muscle spasm. If you are involved in fitness or sports, then notify the trainer about your pregnancy and get permission from your obstetrician-gynecologist to exercise in the section. It is good if the trainer has permission to work with pregnant women. Then the workouts for you will be selected individually, sparingly. Be wary of air travel during early pregnancy. During air travel, sudden changes in pressure are observed, which can lead to chorion detachment. If it is impossible to postpone your flight, consult an obstetrician-gynecologist.

Preparing for an abortion

Before termination of pregnancy, a gynecological examination is performed. Pre-manipulation diagnostics includes:

• consultation and examination by a gynecologist with a smear;
• general blood test according to indications;
• coagulogram according to indications;
• fluorography according to indications;
• ECG according to indications;
• blood tests for HIV and syphilis.

If there are no contraindications for abortion, then the woman is offered a suitable method of terminating the pregnancy. The gynecologist explains in detail all the nuances of the intervention and, if necessary, prescribes additional consultations with doctors and tests.

Recovery period

After any type of abortion, the woman is under the supervision of a gynecologist to avoid complications. If necessary, the doctor prescribes drug therapy, laser, etc., and the woman goes home. A follow-up appointment with a gynecologist should occur a week after the procedure.

After a vacuum abortion, a long rehabilitation period will be required. The doctor prescribes antibacterial and, if necessary, antispasmodic agents. Physical activity, visiting saunas and swimming pools, and taking a bath are not recommended. You should not resume sexual intercourse for 3 weeks, and then you need to protect yourself with a condom for a month. After 2-3 weeks, you should definitely go to the treating gynecologist for a post-vacuum examination, undergo the necessary tests and ultrasound.

After a surgical abortion, you will also need to follow all of the above measures. After the operation, the woman is prescribed medications to help avoid infection and normalize menstrual function.

Abortion: how and where to have the operation without complications in St. Petersburg

Unfortunately, many women consider this procedure to be almost ordinary and make the decision to have an abortion without thinking about the possible consequences. But this is an operation that is unsafe for health. The decision to have an abortion must be made by the woman consciously, since there is no absolutely safe method. The price of artificial termination of pregnancy, if performed poorly, will be infertility.

If abortion is the only possible solution, the choice of a gynecologist is very important. Terminating a pregnancy in a gynecological private clinic will reduce the risk significantly. It is better to pay the cost of services from a reliable medical center with a good gynecology department than to face the impossibility of conceiving in the future.

Abortion: how to choose a clinic?

Signs of taking patients seriously:

• Before the abortion, the doctor will suggest you undergo an ultrasound examination. The choice of method is based on diagnostic results showing the gestational age and location of the embryo.
• The gynecologist explains the essence of the procedure, talks about the drugs and possible consequences.
• The cost of an abortion should not be too high or too low.

Price _

unprofessional termination of pregnancy - complications dangerous to health!

Doctors at the Diana Medical Center in St. Petersburg will provide qualified medical care and support at any time, no matter what decision you make. If you care about your health and want to quickly and efficiently terminate your pregnancy, then our specialists will help you. You can make an appointment by phone or on our website.

What age is most favorable for planning pregnancy?

From 19 to 35 years old. Until the age of 19, the girl’s body has not yet matured or strengthened for such a heavy load. And after 35 years, the incidence of somatic diseases increases, and the risk of chromosomal pathologies of the fetus increases.

If you are already a happy mother of a baby and are planning another pregnancy, then it is recommended to plan conception 2 years after giving birth. This time is given to complete lactation and restore the body. How else can you reduce the risks of miscarriage? This is early registration for pregnancy. When pregnancy is confirmed, make an appointment with an obstetrician-gynecologist. Get an early examination, examination and rule out the possibility of early complications. Register in 7-8 weeks.