Techniques

1. Pharmacological abortion

As its name suggests, it is done with drug and has no surgical techniques involved.

Only for preganancies within 7 weeks.

The abortion occurs spontaneously at home and may take several hours to days to terminate. Failure rates ranges between 2% and 4%, in which case a surgical abortion would be necessary.

In some cases it may cause a severe pain and hemorrhage that requires immediate medical attention at emergency room.

The drug should be supplied only at Authorized Clinics for abortion. Direct purchase at pharmacies is prohibited.

2. Up to 12 weeks

Until 12 weeks of pregnancy, abortion can be performed by Dilation and Evacuation. It is a fast and secure method that evacuates the uterine contents after a minimal cervical dilation.

The procedure takes about 10 minutes and could be pain-free under the use of sedation. It can also be done with exclusively local anesthesia only if the woman requests.

3. 13 to 17 weeks

The abortion for pregnancy from 13-17 weeks should be done with Dilation and Evacuation, while a cervical preparation prior to dilation is needed. The procedure lasts about 10-15 minutes performed under general light anesthesia (sedation).

The average stay in the clinic is estimated about 6 hours.

4. 18 to 22 weeks

The abortion of pregnancies from 18 to 22 weeks is done by Pharmacological Induction in order to cause a spontaneous expulsion of the fetus. The abortion is usually performed under epidural anesthesia which is the same one used in a normal delivery.

Sometimes it is necessary to complete the process with an instrumental extraction under general anesthesia (deep sedation).

The average stay in the clinic is approximately 10-12 hours.

5. More than 22 weeks

Abortion for pregnancies of more than 22 weeks requires a report from the Medical Committee of a Public Hospital in order to verify that it is because of an extremely serious and incurable fetal disease.

6. Selective abortion

It is for multiple pregnancies when one fetus has malformations or other birth defects.

The technique involves the intracardiac injection of a drug to the affected fetus, which does not interfere the further development of pregnancy and the birth of the healthy fetus.

7. Embryo reduction

The new assisted reproductive techniques have greatly increased the multiple pregnancies. Embryo Reduction is used to reduce the number of embryos in these pregnancies in order to minimize the risk of prematurity.

The most common cases are reducing triple or quadruple pregnancies to twins.

It is a simple technique performed in 10-15 minutes under sedation.

8. MONITORING SUBSEQUENT PREGNANCY

After the completion of an induced abortion, a follow-up examination by specialised personnel is recommended, which consists of an ultrasound 15 days after the termination of pregnancy and a gynecological examination. At this moment, the patients would normally values the recommendations of birth control methods in accordance with their circumstance in order to avoid unwanted pregnancies in the future. Professionals of sexual and reproductive health have conducted numerous studies on the psychological effects of induced abortion. In none of them it has shown that a VTOP would cause more problems than a normal delivery. However, at all times the professionals from Accredited Health Centers will be ready to provide psychological counseling required by the patients.

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