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Home » Induced abortion

Induced abortion
Elimination or exclusion of a fetus or embryo from the uterus causing its death is known as abortion. Abortion can be natural or accidental or even induced. Induced abortion can be done medically or surgically. The way in which Induced abortion can be performed is based mostly upon the embryo’s gestational age along with the lawfulness, availability and choices of the doctor as well of the patient.

1. Surgical abortion –
The vacuum abortion or suction-aspiration method of Induced abortion is the most usual method that is used during the initial twelve weeks. Electro vacuum aspiration (EVA) is one of the forms of Induced abortion in which electric pumps are used whereas Manual vacuum aspiration (MVA) involves the removal of the fetus by the procedure of suction with the help of a manual syringe.
These two methods of Induced abortion are similar, different in the way suction is applied, when during the early period of pregnancy these can be effective, and the need for dilation of the cervix. Manual vacuum aspiration which is called menstrual extraction or “mini-suction”, may be effective very early in pregnancy and does not need dilation of the cervix. Surgical abortions are often known as Suction Termination Of Pregnancy or “STOP”. Dilation and evacuation is applied from the 15th up to the 26th week of pregnancy.

Dilation and curettage or D & C is a normal gynecological process that is carried out for several reasons like the assessment of the lining of the uterus for suspected malignancy, abortion, and analysis of unusual bleeding.

2. Medical abortion –
Medical abortion is one of the non-surgical methods of abortion which involves the use of a medicine for causing the abortion. Medical abortions that are useful during the first trimester of gestation include 10% of the total number of abortions done in Europe and the United States. Combined treatments embrace mifepristone or methotrexate, followed with prostaglandin (gemeprost or misoprostol). Almost 92 % of pregnant ladies have undergone successful medical abortion after they have used these in 49 days of pregnancy.

Medical procedure of Medical abortion –
  • Appointment including pregnancy test (blood tests, ultrasound, STD examinations)
  • Methotrexate injection or mifepristone dose
  • A dose of a medicine that contains prostaglandin
  • A follow-up after the completion of abortion
The method of medical abortion:

The receptor of progesterone gets attached with mifepristone to impede progesterone and stop pregnancy. Mifepristone also helps in softening and dilating the cervix, leads to decidual necrosis, accelerates prostaglandin discharge from the lining of the uterus, and enhances contractions and sensitivity of the uterus. Methotrexate hinders an enzyme required for the synthesis of the DNA and restrains the formation of trophoblastic cells of the placenta that break down quickly.

Abortion by other methods –

Using herbs
Application of force to the abdomen causing severe internal injuries
Misuse of misoprostol
Insertion of implements that is non-surgical

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