Abortion for a longer period

Abortion on the big stage of pregnancy from 15 to 28 weeks made on medical and social grounds in special medical institutions.If the physical indicators of a woman can give birth to a healthy baby, but there are social problems, the doctor must explain what psychological and physiological consequences may entail so-called big abortion.

Significant social and personal reasons for an abortion for a longer period:

  • Minority pregnant, age less than 16 years;
  • presence in a family of three or more children;
  • survivor during pregnancy;
  • Termination of the official or a civil marriage;
  • loss of housing, the deterioration of the material well-being, job loss;
  • presence of a child with disabilities;
  • judicial investigation or imprisonment of pregnant women.

Medical indications for a large abortion:

  • Severe liver disease, pulmonary, cardiovascular system, kidneys, problems with vision;
  • Chronic diseases, such as tuberculosis, diabetes, ulcer, problems with cancer;
  • Epilepsy, hematological diseases, syphili
  • central nervous system diseases, mental problems;
  • Transferred complicated abdominal or other operations that may pose a threat to the health of women during pregnancy;
  • Pathology and diseases arising during pregnancy - a severe form of preeclampsia, rubella, exposure to high radiation, etc .;
  • particularly serious physical and other fetal pathology.

When it is necessary to terminate the pregnancy, and the term high abortion by vacuum aspiration or curettage to do is very risky, chances of injuries and heavy bleeding due to such methods abortions after 12 weeks of pregnancy.

abortion methods on a large term

You need to have very good reasons to decide to have an abortion on a large pregnancy 12-28 weeks, as the fruit is practically developed, and even viable, but for the life of the woman interrupted late pregnancy is extremely dangerous.Furthermore, it should take into account the psychological aspect of a large abortion in almost all cases of abortion is extracted viable child is dying mother's womb, or he brutally killed in the womb.

are the main methods of abortion for a longer period:

  • opening a water bubble method is used with 13-18 up to 28 weeks of pregnancy.After opening special tongs are superimposed on the presenting part of the fetus, they hung a weight of 250-500g for the gradual extraction of the child.More than half of women over so many abortions could take up to a day or more, and its consequences can be infection, bleeding, lacerations of the cervix;
  • Small caesarean section - is on the period 18-27 weeks, in exceptional cases, to save the life of the woman for medical reasons, this operation can be carried out and on the duration of 13-18 weeks.The fetus is extracted through the abdominal incision in the lower abdomen, often extracted child moves limbs and even crying.He dies from hypothermia, this fruit is placed in a refrigerator.More than 3% of the women who have undergone such an operation, further suffer from vascular occlusion (embolism);
  • substitution of intra-amniotic amniotic fluid with a concentrated solution of salt and glucose is carried out at time of 18-27 weeks.Captured cervix special tool, expanding the cervical canal, into the uterus thick introduced a special long needle which is pierced amniotic bubble.After the needle is sucked part of the amniotic fluid and introduced a special solution, a few hours later starts labors.The fruit is actually expelled from the uterus, dying an agonizing death.For women, this procedure is fraught with hit of a solution into the circulatory system, increasing the sodium content in the blood (hypernatremia), the result of which could become a drop in blood pressure, chest pain, headaches, shock, destruction of red blood cells and, in extreme cases, death;
  • medicinal method - for up to 27 weeks intravenously administered drugs containing prostaglandins, which have a strong effect on the tone of smooth muscles, causing contractions and labor.In most cases, the child is born alive, dying afterwards.The use of prostaglandins for abortion large may cause nausea, vomiting, stomach pain, bronchospasm, slow heartbeat, drop in blood pressure, severe uterine bleeding.

Contraindications for abortions late in pregnancy may be acute infectious disease, any inflammatory processes, fever, diseases in the female genital area, cervical or ectopic pregnancy.

When gestational age is big, abortion can be done only after a thorough examination.We need to do ultrasound of the uterus and the fetus, determine the Rh factor and blood group, do clinical analysis of blood tests for RW, HBS, HIV hemostasiogram (platelets, prothrombin index, blood clotting time for bleeding), a complete biochemical analysis of blood glucose, cholesterol, total protein, bilirubin, creatinine, urea.Must be urinalysis, including examination of smears from the vagina, cervix and urethra on direct microscopic study to determine the presence of antibodies to hepatitis C. Make ECG, X-ray of the chest, to be examined by a therapist, and when necessary, and other physicians.

complications after abortion large

Conducting abortion in late pregnancy is possible only in hospitals, where there are all the conditions for the provision of emergency medical care - intensive care, surgery, intensive care physicians with special training.Despite such a qualified approach to abortion for a longer period, then the probability of the following complications:

  • cervical breaks;
  • Accumulation of blood in the uterus - hemometra;
  • Incomplete removal of the uterus fragments ovum or fetus with further expansion and infection of the abdominal cavity of a woman;
  • Damage uterine wall - perforation;
  • placental polyp;
  • various purulent and inflammatory processes.

Progress big abortion to be monitored at an ultrasound or do such a study immediately after the abortion, it is important to make sure that part of the fetus and placenta are removed completely.

After such an operation, the patient must visit the antenatal clinic to get the necessary rehabilitation measures and choose the individual for contraception more reliable protection from unwanted pregnancy in the future.

Latest Blog Post

Causes of acetone in pregnancy
August 12, 2017

During childbearing body expectant mother works at least one and a half times stronger than a woman is pregnant.The load on all organs and syste...

Why increases acetone in children
August 12, 2017

Acetone is known as an organic solvent.This is the first element in a series of ketones.The name is derived from the German word Ā«aketonĀ», lost ...

Measuring basal body temperature during pregnancy
August 12, 2017

body temperature has clear limits of norm and pathology.Changes in the proportion of degrees, considered the individual characteristics of the o...