What is Abortion Surgery?

Dr Priya Sharma

Dr Priya Sharma

BDS (Bachelor of Dental Surgery), 6 years of experience

September 24, 2021 Womens Health 407 Views

English Bengali

What is the meaning of Abortion Surgery?

Abortion surgery is a type of surgical procedure performed to terminate a pregnancy for some reason. If an abortion occurs on its own, it is known as spontaneous abortion. However, sometimes it is done by choice.

Abortion surgery can be done safely in the first trimester of pregnancy. There can be many reasons for having an abortion. Abortion may be an option in the event of unprotected intercourse, financial instability to support the child, to protect the child from genetic disorders, birth defects, pregnancy resulting from rape, or is harmful to the mother’s health.

Let us tell you in detail about abortion surgery in today’s article.

  • What is the purpose of Abortion Surgery?
  • What are the tests done before an Abortion Surgery?
  • What is the preparation before an Abortion Surgery?
  • What is the procedure of Abortion Surgery?
  • How to take care after an Abortion Surgery?
  • What are the risks of Abortion Surgery?
  • What is the cost of Abortion Surgery in India?

What is the purpose of Abortion Surgery?

The following causes may be the reason for an abortion surgery:-

  • The baby has a genetic disorder or a birth defect ( Know more about- What is Shaken Baby Syndrome?
  • The mother makes a personal decision to not carry the pregnancy forward
  • Pregnancy has resulted from a traumatic incident like rape. ( Know  more about- Premature Mature Baby )
  • The pregnancy is adversely affecting the health of the mother ( Know more about- What are the reasons for Infertility in Women? )
  • Financial instability to raise a child
  • When a woman already has children and does not want more

What are the tests done before an Abortion Surgery?

  • Physical examination: The gynecologist will first physically examine the woman and ask in detail about her medical and family history.
  • Pelvic exam: The doctor will insert one or two of his gloved fingers into the vagina to check the shape, size, and position of the uterus and ovaries. This test also helps to determine the stage of pregnancy and also helps to detect ectopic pregnancies (a pregnancy where the fertilized egg implants itself outside the uterus which may be a life-threatening condition).

The following diagnostic tests are recommended before undergoing an abortion surgery:-

  • Urine test: It is done to check for any urinary infections and confirm pregnancy. This test detects the hormone HCG (Human Chorionic Gonadotropin) that indicates pregnancy.
  • Blood test: A blood test is done to check for any infections and the blood type of the patient. Based on the blood type of the patient, the doctor may give a special shout to the patient to prevent any kind of problems if there is a pregnancy in the future.
  • Ultrasound: Sound waves are used to create images of the internal organs of the female reproductive system by using an ultrasound. It also helps in determining how many weeks pregnant is a woman, and to identify any complications. It is done to ensure that the pregnancy is in the uterus and not in the fallopian tubes (two long tubes in which the eggs travel from the ovaries to the uterus) or elsewhere. ( Know more about- What is Fetal Echo Test? )

What is the preparation before an Abortion Surgery?

  • The patient is instructed not to eat or drink anything after midnight the day before the surgery.
  • The patient is asked to get someone along to drive her home after the surgery.
  • The doctor may prescribe certain pain and dilation medications to be taken before the abortion surgery procedure.
  • The patient is instructed not to take any medicines 48 hours before the surgery without consulting the doctor.
  • Blood-thinning medications like aspirin should be avoided as they increase the chances of bleeding during surgery.
  • Alcohol consumption and smoking should be stopped at least two weeks before the procedure to avoid delayed healing and increased bleeding during the surgery. 

What is the procedure for Abortion Surgery?

The abortion procedure can be done in two ways:

Medical Abortion:

  • Medical abortion involves taking two different medicines prescribed by the doctor one or two days apart.
  • Approximately 4 to 6 hours after taking the second medicine the uterus lining breaks down resulting in bleeding, pain, and loss of pregnancy. ( Know more about- What is an i-pill? Uses, Benefits, and Side Effects )

Surgical Abortion:

  • Surgical abortion can be done under local anesthesia (used to numb the cervix area), conscious sedation (when the patient is awake and relaxed), deep sedation, or general anesthesia (when the patient falls asleep)
  • There are two main types of surgical abortion:

Aspiration Abortion:

  • This procedure is useful for women who are 14 to 16 weeks pregnant.
  • A speculum (a medical tool shaped like a duck’s bill to see inside a hollow part of the body) is inserted through the vagina to examine the uterus.
  • A cannula (tube) is attached to the speculum to empty the uterus by suction.
  • The tissue is removed entirely from the uterus, thus terminating the pregnancy.
  • This procedure takes about five to ten minutes to complete.

Dilation and Evacuation (D & E) Abortion:

  • This procedure is used after the completion of the 16th week of pregnancy.
  • A cervical dilator is ​​​​inserted through the vagina to open the cervix.
  • The speculum is then used to open the cervix, as this procedure is used for pregnancies in the second trimester.
  • A metal loop-shaped tool known as a curette is used to remove any remaining tissue that may be lining the uterus. ( Know more about- What is Vaginoplasty? Purpose, Types, Procedure, Aftercare, Cost )
  • Suction is used to assure the removal of the embryo.
  • This procedure takes about ten to twenty minutes to complete.

How to take care after an Abortion Surgery?

Most women can resume their normal activities the day after the surgery. The following care should be taken after the abortion surgery procedure:

  • Irregular bleeding can be observed after the surgery, for which only sanitary pads should be used (no tampons).
  • Antibiotics and painkillers need to be taken as prescribed by the doctor to prevent the infection and reduce pain.
  • The woman should avoid sexual intercourse for at least 1 week after the abortion surgery.
  • Once sexual intercourse is resumed, use birth control measures like a condom to prevent infection.
  • Medications may be given by the doctor to help the uterus contract and return to its original size.
  • Avoid strenuous physical activities for one week after the surgery.

What are the risks of Abortion Surgery?

The risks of surgical abortion include:

  • Damage to the uterine lining, the cervix (a neck of tissue connecting the uterus and the vagina), or the uterus (womb) ( Know more about- What is Uterine Cancer? Causes, Symptoms, and Treatments )
  • Stomach cramps
  • Excessive vaginal bleeding causing hemorrhage
  • Nausea
  • Vomiting
  • Uterine perforation (an accidental hole formation in the uterus with an instrument used during the procedure)
  • Infection
  • The uterus may not contract after an abortion
  • Tissue remaining in the uterus, therefore, requiring another procedure for its removal
  • Blood clotting in the uterus
  • Allergic or adverse reactions to anesthesia administered

What is the cost of Abortion Surgery in India?

The total cost of abortion surgery in India can range from around INR 5,000 to INR 30,000. However, many prominent hospitals and doctors in India specialize in abortion surgery. But the cost varies across different hospitals. 

If you are coming from abroad, apart from the cost of abortion surgery, there will be an additional cost of living in a hotel and the cost of local travel. After surgery, the patient is kept for two days in the hospital and a few days in the hotel for recovery. So, the total cost of abortion surgery in India comes to be around INR 8,000 to INR 70,000. 

We hope that we could answer all your questions regarding abortion surgery through this article.

If you want any other information and treatment related to abortion surgery, you can contact a Gynecologist.

We only aim to provide you with information through the article. We do not recommend any medicine or treatment to anyone. Only a qualified doctor can give you good advice and the correct treatment plan.

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