What is Abortion? What to Do After Abortion?
What is Abortion?
Abortion is the termination of pregnancy so that it does not result in the birth of a child. Sometimes this is called ‘termination of pregnancy’.
How Is Abortion Performed?
Abortion is used for unwanted pregnancies. There are basically two types of abortions: ‘Medical’ and ‘Surgical’ abortion.
Please get more detailed information from your doctor and evaluate the most suitable abortion treatment for you.
Some women consider medical abortion to be a more natural process.
There are two types of medical abortion
up to 10 weeks
Abortion pill for up to 10 weeks, also known as early medical abortion
It involves taking medication to cause early miscarriages. After taking the drug, women may experience cramping, pain and heavy bleeding.
There is no surgery or anesthesia.
10 weeks to 24 weeks
Abortion pill for 10 weeks to 24 weeks is also known as late medical abortion.
It involves taking medication to cause the uterus to contract and expel the pregnancy. However, this approach requires you to have at least two checkups with your doctor.
Sometimes it is necessary to stay in the clinic for a night at the second visit.
Surgery requires a low-speed, minor operation.
There are two types of surgical abortion:
Vacuum aspiration can be done up to 15 weeks.
It is to remove the pregnancy by gentle suction with the relevant medical devices.
Up to 14 weeks of pregnancy can be done with this local anesthetic. The faster recovery time for this option means you can leave the clinic unattended and drive sooner.
It can be done with sedation (relaxed and sleepy) for up to 15 weeks. When abortion is performed with vacuum aspiration, the patient can go home the same day.
Dilation and evacuation
Between 15 and 24 weeks, the dilation and evacuation surgical method is preferred.
This method is performed under general anesthesia. The cervix is widened with narrow forceps passing through the neck of the uterus. The pregnancy is then terminated using a light suction.
When abortion is performed with dilation and evacuation, the patient can go home the same day.
What is the Abortion Law?
The legal limit for abortion does not differ much from country to country. Known as the abortion law in Turkey, that is, the right of “voluntary termination of pregnancy” came into effect with the “REGULATION ON THE EXECUTION AND INSPECTION of Uterine Evacuation and STERILIZATION SERVICES” published by the Council of Ministers dated 14/11/1983 and numbered 83/7395.
According to this statute, known as the abortion law, abortion is legal in Turkey for up to 10 weeks. After 10 weeks, an abortion is possible only if the woman has a disability or in some disease states.
Who Can Have an Abortion?
According to the regulation published in 1983, if medical abortion is to be performed for abortions up to 10 weeks, obstetricians and gynecologists can perform abortion, and if surgical abortion is to be performed, only gynecologists and obstetricians can perform abortion.
Again, if there are cases where abortion is necessary after 10 weeks, only gynecologists and obstetricians can perform abortion.
Where Can Abortion Be Performed?
According to the regulation published in 1983, abortions that do not require anesthesia for up to 10 weeks can be performed in the offices of gynecologists and obstetricians, and general practitioners in a health institution. Abortions up to 10 weeks requiring anesthesia can only be performed in a hospital setting.
If abortion is required after 10 weeks, abortion can only be performed in a hospital setting.
According to the laws enacted by the Ministry of Health, health service providers, namely private hospitals, cannot disclose their prices. For this reason, it is most appropriate to contact the private hospital or obstetrician clinic where you want to have an abortion.
However, according to Annex-2C Diagnosis-Based Procedure Point List of Health Practice Communiqué (SUT) published by the Social Security Institution (SGK), abortions are 143.02 TL + VAT for abortions less than 10 weeks in SGK-contracted state and private hospitals, and 305.09 TL + VAT for abortions longer than 10 weeks. is paying.
According to the Public Health Services Price Tariff published by the Ministry of Health, hospitals affiliated to the Ministry of Health may charge 215 TL + VAT for abortions less than 10 weeks old, and 458 TL + VAT for abortions longer than 10 weeks for patients outside the scope of SGK.
Again, according to the same tariff, these fees can be applied as 323 TL + VAT for abortions less than 10 weeks for patients who are not Turkish citizens, and as 687 TL + VAT for abortions longer than 10 weeks.
What to Do After Abortion
Proper self-care is important for post-abortion physical and mental health.
When an obstetrician performs an abortion, it is basically a safe procedure with few risks.
However, women should be aware of what to expect after an abortion and how to plan their rest and recovery. According to one analysis, about 1 in 4 women of childbearing age are likely to have an abortion before age 45.
In this article, we will share about what women can expect after abortion.
We also offer tips for taking care of yourself and knowing when to recover and when to see a doctor.
What Happens After Abortion and How Care Should Be?
Stress relief and prevention are important parts of the healing process.
Your doctor may recommend different abortion methods according to the stage of pregnancy.
- abortion pill
- vacuum aspiration
- Dilation and evacuation
Women may experience similar symptoms regardless of the method. However, if a woman has a miscarriage later in pregnancy, especially in the second trimester, the symptoms may be more severe.
After an abortion, it is normal for women to experience the following symptoms:
- Bleeding or spotting for 3-6 weeks, although some women do not bleed
- Passage of small to medium blood clots
- cramping that is similar to or slightly heavier than a menstrual period
- painful or swollen breasts
The bleeding may be slightly different at first, but the normal menstrual cycle should settle down within 4-8 weeks.
Some women may be feeling very emotional or experiencing mood swings.
The change in pregnancy hormones could be responsible for this or it could be due to her feelings about the abortion or pregnancy. Sometimes it can be a combination of both factors.
It is possible to become pregnant as soon as ovulation occurs, which will occur immediately after an abortion or before the first period.
This is why it’s important to use birth control or abstain from sex when trying to avoid pregnancy.
How Should You Take Care of Yourself After Abortion?
Applying heat to the abdomen can help relieve cramping and pain.
In the days after an abortion, some women feel uncomfortable or tired. Cramping is common and can feel intense at times.
When a person goes home from the clinic, they should get plenty of rest to allow their body to recover and reduce the risk of side effects. They should avoid doing anything that is emotionally or physically strenuous.
After an abortion, the person may be more prone to infection as the cervix may take some time to close.
To reduce the risk of infection, a person should avoid the following:
- Should not use tampons until their next period – it is safer to use sanitary pads for any bleeding
- Having sex and inserting anything into the vagina for 1-2 weeks
- Using swimming pools for 1-2 weeks
Women May Also Want To Try The Following Self Care Tips After Abortion:
- Massaging your abdomen can help tighten and pass the uterine tissue. Massaging your back can also help with cramps.
- Applying heat to your stomach or back can relieve cramping and pain.
- Taking any medication prescribed by the doctor, including antibiotics.
- Use of pain relievers. If the pain is intense or unbearable, you should seek medical attention.
- Monitoring your body temperature every day for a week, as your fever could be a sign of an infection.
- Attend follow-up appointments after a few weeks. This is important to make sure the abortion is complete and the uterus has healed.
What is the Recovery Time After Abortion?
Abortion recovery times vary from woman to woman. Women who have a first trimester abortion and have no complications usually feel normal within a few days. Bleeding usually stops within 6 weeks.
Recovery may take longer in late abortions. If complications develop, recovery can take much longer and people may need hospitalization or surgery. Still, this is unusual and most women recover within a few weeks.
What Should Medical Care Be Like After Abortion?
Most women who miscarry will follow up with their doctor within a few weeks. If there are no signs of complications, additional medical care will not be necessary.
Women who experience any symptoms of complications may need to see a doctor immediately. Although uncommon, some abortion complications may require a trip to the emergency room.
When to See a Doctor After Abortion?
Women should see a doctor if they experience severe pain within a day after an abortion.
Many abortion clinics provide a 24-hour advice line that can help women determine if their symptoms need treatment.
Women should call the hotline, emergency services or go to the emergency room if:
- Wetting multiple pads per hour
- Multiple blood clots that are larger than a golf ball
- feeling light-headed or faint
- Having thoughts of harming yourself or committing suicide
- showing signs of an allergic reaction, such as difficulty breathing
Women Who Have Recently Had Abortion Should See The Doctor Within A Day If:
- If you are experiencing intense pain
- if you have a fever
- If there is a bad odor coming from the vagina
- If you are worried that the abortion is not complete
Brief Information About Abortion
For most women, an abortion is a simple medical procedure that does not cause lasting complications.
Some women worry that abortion may have long-term effects.
However, doctors generally agree that an abortion does not affect a woman’s chances of conceiving in the future or increase the chances of pregnancy complications.
Abortion can be a difficult decision, and it’s normal to experience a variety of emotions. It’s best to talk to a doctor about what to expect after an abortion and follow their advice on the best steps to take.
Women can also get support from close friends and family or support from an abortion support group.
MedicalNewsToday, How to care for yourself after an abortion, 2018
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Induced abortion. (2015, May). Retrieved from https://www.acog.org/Patients/FAQs/Induced-Abortion#health
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O’Donnell, AT, O’Carroll, T., & Toole, N. (2018, January 30). Internalized stigma and stigma-related isolation predict women’s psychological distress and physical health symptoms post-abortion [Abstract]. Psychology of Women Quarterly, 42(2), 220–234. Retrieved from http://journals.sagepub.com/doi/abs/10.1177/0361684317748937
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Social Security Institution, Health Implementation Communiqué, 2019
Ministry of Health, Public Health Services Price Schedule, 2019