Is it better to have abortion as early as possible?

Abortion refers to the termination of pregnancy by artificial means when one is unable to become pregnant again due to unexpected pregnancy, illness, etc. It is a way to save an accidental pregnancy. Abortion surgery includes vacuum aspiration and curettage. Vacuum aspiration is the use of negative pressure suction to suck out the pregnancy from the uterine cavity. It is mainly used for termination of pregnancy within 10 weeks of pregnancy without obvious contraindications to surgical treatment.

Curettage: First, soften the cervix mechanically or with drugs, then use an oval forceps to clamp the fetus and embryo, and if necessary, use a scraper to scrape the uterine cavity or vacuum suction. Generally suitable for pregnancy over 10 weeks.

Many people would like to ask, doctors, what are the painless abortion, micro-tube visible painless abortion, and uterus-preserving abortion that are often mentioned nowadays? In fact, the difference between painless abortion and general abortion is that painless abortion has increased anesthesia, and the patient does not feel pain during the operation. The so-called painless abortion under ultrasound guidance, micro-tube visual painless abortion, uterine-preserving abortion, etc. are largely marketing strategies of the merchants. The abortion procedure itself has not changed much, only some additional items have been added.

Is it better to have abortion as fast as possible?

Many people know that miscarriage can cause certain harm to women. So, is it true that the sooner the miscarriage occurs, the less harm will be caused? Many women have their periods delayed for two or three days. After testing positive for pregnancy with a pregnancy test stick at home, they rush to the hospital to request an abortion, but are often rejected by the doctor. Why is this?

This is because abortion is not the sooner the better. Generally, it is necessary to confirm the intrauterine pregnancy before surgery. There are two reasons for this:

First, pregnancy can be confirmed simply by positive urine pregnancy test or elevated blood hcg gonadotropin, but there is no evidence whether it is intrauterine pregnancy or ectopic pregnancy. If it is ectopic pregnancy, abortion surgery cannot have a therapeutic effect and may delay the condition.

Second, when the gestational sac is no longer visible in the uterine cavity or the gestational sac is older than 1 hour, abortion is prone to missed aspiration or empty aspiration. In other words, the embryo or villous tissue is not aspirated out, resulting in continued pregnancy or the embryo stops growing but cannot be expelled in time.

Therefore, the sooner the abortion is performed, the better. It is best to have an abortion after confirming the intrauterine pregnancy. Generally, it is best to do it within 40-60 days of amenorrhea. Of course, people with irregular menstruation can also rely on B-ultrasound to determine the time.

When is the latest time for abortion?

Some women delay having an abortion due to various reasons such as hesitation, worry, shyness, etc. Some women find that the fetus is already very large during pregnancy. So, is there a latest time for an abortion?

The period before 14 weeks of pregnancy is called the first trimester. At present, regular hospitals in many parts of my country require relevant certificates for abortions after 14 weeks (each region may be slightly different), such as proof of unmarried status, proof of medical conditions that are not suitable for pregnancy, etc., and the patient must be registered and regularly checked by full-time staff. Once it is discovered that an abortion or induced labor is performed in violation of regulations, the doctor or hospital involved must be subject to relevant penalties. In serious cases, it may even violate laws and regulations. On the one hand, this is to prevent miscarriage due to illegal gender identification, and on the other hand, it is to protect women and maintain social stability.

Pregnancy after 28 weeks is called late pregnancy. Babies born after 28 weeks are called perinatal babies, and children born during this period are protected by the laws of our country. Except for serious fatal deformities, the mother suffering from serious illness and not suitable for further pregnancy and other obstetric reasons, regular hospitals will not agree to patients' requests for manual termination of pregnancy. Furthermore, termination of pregnancy after 28 weeks cannot be called miscarriage.

Miscarriage during 10-14 weeks of pregnancy generally requires oral medication first, followed by a uterine curettage after the embryonic tissue in the test tube is expelled or the cervix becomes soft. For those who have contraindications to the use of drugs, they need to first soften the cervix mechanically, and then use an oval forceps to clamp the fetus and embryo, and use a scraper to scrape the uterine cavity or vacuum suction when necessary. However, because the fetus is very large and the bones have already formed at this time, it is easy to cause serious complications such as internal bleeding, cervical laceration and even uterine perforation during the curettage.

Medical abortion

Medical abortion is different from surgical abortion. It is a method of terminating pregnancy based on drugs rather than surgical treatment. Medical abortion is applicable to healthy women who are pregnant for ≤49 days and who consent by themselves and are under 49 years old. It can only be performed after B-ultrasound confirms that the pregnancy is intrauterine. Before medical abortion, the patient needs to go to the hospital for a complete examination, eliminate contraindications to medication (such as kidney or other endocrine diseases, cardiovascular disease, glaucoma, asthma, epilepsy, allergic constitution, long-term use of anti-tuberculosis, anti-epileptic drugs, antidepressants, etc.), and then take medication under the guidance and supervision of a doctor.

After taking drugs to terminate pregnancy, in addition to the gastrointestinal symptoms such as nausea, vomiting, abdominal pain, diarrhea, etc. that may occur during the taking process, prolonged bleeding and heavy bleeding are the main side effects of medical abortion. In addition, some women are less responsive to the therapeutic effects of drugs, resulting in failure of medical abortion and the need for abortion surgery. In addition, a very small number of women may experience heavy vaginal bleeding and require an outpatient curettage and dilation and curettage to terminate the pregnancy. Therefore, medical abortion must be carried out under the supervision of a specialist doctor in a reliable, designated medical institution with treatment standards.