home Audience 2 How does the vacuum pass? Training in a standing position. Complications after vacuum abortion

How does the vacuum pass? Training in a standing position. Complications after vacuum abortion

Any termination of pregnancy has a negative impact on women's health And psychological state. But there is a more gentle method of performing this operation. This is a mini-abortion or vacuum aspiration. It is carried out using a special instrument equipped with a catheter, which is inserted into the uterus.

Despite the obvious advantages of this method, the prefix “mini” does not mean a complete absence of complications and consequences. In addition, vacuum aspiration has a limited time frame during which it is permitted.

Timing for a mini-abortion

Vacuum aspiration is carried out at a very early stages, almost immediately after establishing the fact of pregnancy, with a delay of 2-3 weeks. Extremely permissible period– this is 5-6 weeks of pregnancy. An earlier procedure is also undesirable, since the fertilized egg is invisible even to modern technology. There is a risk of incomplete removal, which can lead to complications. IN in rare cases the doctor fails to “detect” the fertilized egg and the pregnancy continues to develop further.

Indications for the procedure and its advantages

A vacuum abortion is prescribed after the fact of pregnancy has been established and there is no desire to continue it. There are also a number medical indications to mini-abortion, in which pregnancy and childbirth can cause significant harm to a woman’s health.

These include:

severe diabetes mellitus;
liver or kidney failure;
Availability malignant tumors of various origins;
infectious diseases suffered after conception that can negatively affect the development of the fetus (influenza, rubella, scarlet fever);
severe pathologies of the heart and blood vessels;
rape or other social indicators.

Vacuum aspiration is one of the most effective methods cleansing the uterine cavity after diagnosis. The method is used not only for abortion, but also for other gynecological interventions. It is used to remove elements of the placenta remaining after childbirth, eliminating uterine bleeding varying intensity, incomplete miscarriage, to prevent retention of remnants ovum in the uterus, if necessary, to cleanse the organ from pathological accumulation of blood.

Among the advantages this method in comparison with the following:

efficiency final result– there is virtually no risk that particles of the fertilized egg that can cause inflammation may remain in the uterus;
low-invasiveness - there is no need to expand the cervical canal or scrape out the walls of the uterus with a sharp curette;
lack of preparatory period;
the manipulation is not accompanied by severe painful sensations;
possibility of use various types pain relief;
relatively low risk of secondary infertility;
short recovery period.

Contraindications

Despite the fact that mini-abortion is gentle, the manipulation belongs to surgical operations, so it has a number of contraindications:

availability at the time of the event infectious diseases, especially if they are accompanied by fever and chills;
exacerbation chronic diseases pelvic organs;
disturbances in the blood clotting system;
Less than six months have passed since the last abortion.

As already noted, vacuum aspiration ovum testing is not carried out if the pregnancy period exceeds six weeks, if abnormalities are detected in the structure of the uterus or if there are deforming tumors in its cavity.

A negative Rh factor is one of the aggravating factors when performing a mini-abortion. The immune system begins to perceive the fetus as foreign body, producing antibodies that destroy its red blood cells. With subsequent pregnancies, the risk of premature or complicated birth increases, hemolytic disease newborns.

Preoperative examination

First of all, it is aimed at establishing the fact of conception. To do this, a complex of data is used. These include the results of an examination in a gynecological chair, the use of a pregnancy test and a transvaginal ultrasound.

At gynecological examination noted increased size and changes in the structure of the uterus, softening of its cervix. A pregnancy test is one of the most reliable ways to confirm its presence. It is based on the determination in the body human chorionic gonadotropin(hCG), which is produced only in pregnant women.

Every day the concentration of the hormone increases. At correct implementation test, the reliability of its results is about 97-99%. Typically, the test is done in the morning using overnight urine.

Once pregnancy is determined, general urine and blood tests, tests for HIV and sexually transmitted infections, and swabs from the vagina and urethra are prescribed.

How is a mini-abortion performed?

Carrying out a mini-abortion does not require special preparation.

Mini-abortion (vacuum aspiration)

When performing the procedure, use general or local anesthesia. General anesthesia carried out at the request of the patient herself. In this case, she is warned that on the day of the procedure she should not eat or drink anything to avoid vomiting.

Before the procedure, the woman's pubic hair is shaved, after which the patient takes a shower and lies down on a gynecological chair. The external genitalia, vaginal walls and cervix are treated with a special antiseptic. Then gynecological speculum is inserted into the vagina and the uterus is fixed with bullet forceps.

A tube connected to a vacuum excoleator is inserted into the vagina. Rotating movements reveal the fertilized egg and remove it. The internal and external genitalia are additionally treated with an antiseptic. The whole procedure takes no more than 5-10 minutes. After it is carried out, the woman is in medical institution at rest for at least an hour. After this period, if there are no complications, the patient can go home.

Complications and their treatment

Despite gentle vacuum aspiration, rough intervention in natural process the body is fraught with both physical pathologies and changes in the psychological state.

The consequences of mini-abortion are divided into three groups:

Those that arise immediately after it is carried out.
Appearing during the first months.
Long-term complications that develop 2-5 years after the intervention.

Immediately after vacuum aspiration, spasmodic pain in the abdomen may be felt. They are caused by uterine contractions, natural reaction body to outside interference. The pain may be complicated by swelling of the vagina. If painful sensations are mild and do not worsen well-being; they are not considered a pathology. Such manifestations go away on their own within a few hours/days after the abortion.

Much more dangerous are abundant bloody issues, which begin 2-3 hours after vacuum aspiration. Excessive bleeding leads to the development of anemia, dizziness, and general weakness. In this case, hemostatic drugs and therapy to enhance uterine contractility are prescribed.

The most dangerous complication– . This is a severe injury to the muscular walls of an organ caused by unsuccessful use of medical instruments. Pathological condition manifests itself severe pain, dizziness, weakness, fever. Urgent surgery is indicated.

Complications that occur in the first weeks after gynecological surgery include:

incomplete removal of fetal particles from the uterus - remnants of placental tissue or fetal membranes cause an inflammatory process and spotting bleeding (the way out is to re-cleanse the uterine cavity);
inflammation of the uterus and appendages - can occur even with full compliance with the rules of asepsis, when a mini-abortion provokes existing foci of chronic infections;
pathological accumulation of blood in the uterine cavity due to disruption of the outflow (hematometer).

Patients note sharp increase body temperature, pain and bleeding. Treatment is carried out in a hospital using antibacterial and anti-inflammatory drugs.

Any methods of terminating pregnancy at home are strictly prohibited. Even if the abortion is performed in the early stages in a specialized medical institution an experienced doctor, there are some risks of bleeding or other complications. Deciding on similar procedures at home, a woman seriously risks her health, and often even her life.

Pregnancy after vacuum aspiration

Spotting discharge after vacuum aspiration is normal. Many women perceive them as another menstruation, which is not true. Their presence is associated with a sharp intervention in the body and the reaction of the ovaries to a drop in the level of progesterone in the blood.

Normally, the duration of discharge should not exceed 7-8 days. After the 3-4th day they become less abundant. If the discharge is very strong, with clots and foul odor, accompanied by dizziness, fever and general weakness, immediate medical attention is required!

The first menstruation after vacuum aspiration occurs approximately a month after the gynecological intervention. This usually occurs after 28-35 days and depends on the duration menstrual cycle. Menstruation does not yet indicate that the body has fully recovered after the procedure.

The duration of recovery varies from person to person; it usually takes from three to nine months. Age, the number of previous abortions, the period at which the pregnancy was terminated, and the presence of gynecological diseases are important.

IN post-abortion period The following recommendations must be followed:

control the amount of discharge in the first 3-4 days; to reduce it, take water pepper extract;
measure body temperature, if it exceeds 37.5 ° C, consult a doctor;
exclude visiting the pool, sauna, solarium, bathhouse;
avoid hypothermia;
maintain sexual rest for a month to prevent pathogenic bacteria from entering the vagina;
visit a gynecologist 10-14 days after a mini-abortion for a control ultrasound.

Fortunately, many women, having undergone a mini-abortion, retain their ability to conceive. In exceptional cases, pregnancy can occur even 6-8 weeks after vacuum aspiration. This is an undesirable period, since the body does not have time to fully recover. Such a pregnancy occurs with complications and often ends in the death of the fetus.

The optimal time for pregnancy is after six months. During this time, hormonal levels normalize and healing occurs. possible damage internal genital organs. Great importance It has correct use. Your doctor will help you choose them.

Before making a final decision about planning to conceive a child, you need to undergo a medical examination. It is necessary even for those women who have not previously experienced menstrual disorders, inflammatory processes of the genital organs and other pathologies.

Every woman, when having sexual relations, should know about the dangers of abortion and do everything possible to prevent it. Abortion during the first pregnancy is especially dangerous. This is what most often leads to secondary infertility and various gynecological pathologies. Vacuum aspiration belongs to the relatively safe methods, but even its implementation will not protect against negative consequences.

A mini-abortion is the termination of pregnancy using a special device - a vacuum aspirator with a catheter inserted into the uterus. This gynecological intervention, better known as vacuum aspiration, is considered gentle on women's physical health.

What is vacuum aspiration?

Using a simple instrument consisting of a tip and a suction vacuum, you can create negative pressure in the uterus. In this way, it is easy to mechanically “tear off” the fertilized egg along with the decidua and remove it from the uterus.
The advantages of this procedure are:

high efficiency (very rarely there is a need to repeat the procedure or clean the uterus due to an incomplete abortion);
low trauma, since the cervical canal is not opened with the help of dilators, and the uterine cavity is not touched by a sharp curette;
speed of execution, direct mini-abortion (vacuum aspiration), without preliminary preparation, takes 30-60 seconds;
does not require general anesthesia, although many women prefer to use it;
no heavy bleeding, quick recovery.

But there is a limit until how long a mini-abortion can be performed in Russia. This is 21 days of delayed menstruation, that is, 5 weeks of pregnancy, counting from conception, and 7 obstetric weeks of pregnancy (from the first day of the last menstrual cycle). However, sometimes a little longer periods are allowed. On online forums you can often find stories of women who had a mini-abortion at up to 13 weeks. This is possible when we're talking about about a frozen pregnancy. Moreover, which stopped developing at 7-8 weeks. That is, the fertilized egg is relatively small in size.

Sex after a mini-abortion is allowed after 2 weeks, if everything went well. By this time there should be no spotting from the genital tract. In addition to sexual activity, in the first two weeks after termination of pregnancy you should avoid saunas, baths (you can only swim in the shower), lifting weights and playing sports. If all this is followed, a mini-abortion will not result in consequences in the form of an infectious process in the uterus (endometritis) and severe bleeding. After 10-14 days, it is advisable to do an ultrasound to make sure that the uterus is completely clean.

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Each person views abortion differently. Some approve of them, while others, on the contrary, condemn them. However, situations are different and sometimes abortion is the only way for a woman to terminate an unwanted pregnancy. But any abortion is dangerous to health, as it can lead to... various complications. In this article we will tell you about mini-abortion, the procedure, contraindications and its complications.

Vacuum abortion is also called mini-abortion, since it is performed at a short stage of pregnancy and is less dangerous to health. The essence of the procedure is that the embryo is removed from the uterus using a special vacuum suction. The procedure is performed by a gynecologist at the request of the patient or in cases where the fetus has pathological developmental abnormalities.

Vacuum abortion is done very quickly. The procedure itself lasts about 5 minutes, and after an hour the patient can go home.

The advantages of such an abortion:

abortion can be done up to two weeks from the date of the delay;
the operation is performed under anesthesia;
the rehabilitation period after the procedure is short;
The duration of the procedure is about 5 minutes;
the fetus is removed with a vacuum pump, and this is very safe;
it is not necessary to dilate the cervix for the procedure;
risk possible complications very small.

Contraindications to vacuum abortion

Although a vacuum abortion is much safer than a regular one, it still has some contraindications. First of all, such contraindications include various gynecological diseases, infectious diseases, as well as various inflammatory diseases. A vacuum abortion cannot be performed if the pregnancy has been previously terminated. At least six months must pass after the previous abortion.

Vacuum abortion is performed only up to six weeks of pregnancy. Therefore, it is worth contacting on time, otherwise there may be complications after an abortion. The thing is that up to six weeks the fetus is not yet strongly attached to the uterus and can be easily removed using vacuum suction. The earlier the pregnancy is terminated, the lower the risk of complications. But complications can always arise, since abortion is comparable to surgery.

Vacuum abortion cannot be performed during an ectopic pregnancy. Ectopic pregnancy is considered a serious pathology that requires immediate intervention from specialists. Symptoms of such a pregnancy: unusual vaginal discharge, pain and colic in the lower abdomen. It can be detected using ultrasound.

Preparing for a vacuum abortion

Vacuum abortion is an operation for which you need to seriously prepare. Before the doctor performs this procedure, the girl needs to undergo an examination and take some tests ( general analysis blood, analysis for latent infections, PCR, analysis for beta - hCG, bacteriological culture of flora, blood group analysis, analysis for HIV and syphilis, hepatitis), as well as a smear for flora.

If a girl is registered with a cardiologist or other specialized specialists, then they also need to undergo an examination. All this will help determine the state of health and identify all kinds of deviations and contraindications to an abortion.

PCR analysis allows you to see microbes that are not detected when taking a smear on the vaginal microflora. If there is any infection at the time of the operation, this can lead to inflammatory processes in the uterus and even infertility.

Anesthesia and surgery

Termination of pregnancy using vacuum aspiration is performed under anesthesia on an outpatient basis. A uniform negative pressure is created in the uterus, which causes the fertilized egg, which has not yet had time to tightly contact the uterus, to easily detach from it. In this case, there is almost no bleeding. Any trauma to the cervix is excluded during such an abortion, since it does not need to be dilated instrumentally. To minimize all possible complications, the operation is performed under ultrasound guidance.

Most often, this type of abortion uses local anesthesia. However, if the patient wants, she can have general anesthesia. But it is necessary to understand that general anesthesia is more harmful to the body. An anesthesiologist must be present during the operation. The patient should be informed in advance about all sorts of risks.

To make the cervix relax and begin to contract, a special drug is injected. After this, using a special speculum, the doctor treats the vaginal mucosa with an antiseptic. After the operation, the doctor must check the aspirated contents to understand whether the fertilized egg has been completely removed. If the girl does not experience any complications within an hour, she is discharged home. To prevent the development of infectious complications, antibiotics are prescribed. Painkillers and anti-inflammatory drugs are also prescribed. After an abortion, you should never take medications that can cause bleeding.

Rehabilitation and consequences after abortion

Spotting may be present for two weeks after the abortion. This normal phenomenon, so no need to worry. It is also possible to experience cramps in the lower abdomen. For a while rehabilitation period you should give up sex. You should also not use tampons or douche. Many doctors are confident that a vacuum abortion is safer than a medical abortion, since with this type of abortion the bleeding goes away much faster and the likelihood of an unsuccessful operation is low.

After an abortion, you need to take care of yourself - don’t be nervous, get plenty of rest. Each girl’s body recovers differently. For some, a month is enough to recover, while others may need six months. During the rehabilitation period, you should not play sports or lift weights. It is recommended to control your blood pressure and temperature. If there are deviations from the norm, you should consult a doctor.

You cannot take hot baths, swim in the sea, open water or in the pool. It is very important to monitor your diet, because the body must receive everything essential vitamins and elements. To avoid inflammatory processes in the pelvis, empty your bladder and intestines on time.

Possible complications after a vacuum abortion

After an abortion, various complications can occur. The risk of complications depends on many factors:

from the duration of pregnancy;
on the patient’s health status;
on the experience of the gynecologist;
on the thoroughness of the preliminary examination;
on the number of abortions performed.

Complications after abortion are divided into two types: late and early. Early complications include bleeding, inflammatory diseases, and incomplete extraction of the fertilized egg. Late complications arise if the fruit has not yet been extracted. It is also possible that during a subsequent pregnancy the normal nutrition embryo. This happens if microtraumas form on the cervix, which heal and turn into scars.

Vacuum abortion is one of the most modern methods termination of pregnancy. It is usually performed for special indications or in connection with a woman’s special desire. Doctors advise it to be carried out in the following cases:

This method of abortion is carried out using a special medical gynecological device. Vacuum abortion is considered the least traumatic and does not have too negative an impact on a woman’s health. It leaves behind consequences that are much less pronounced than with other types of interventions, and recovery occurs at a faster rate.

Advantages and disadvantages of mini-abortion

The main advantages of this procedure include:

efficiency;
minimally invasive;
simplicity;
painlessness;
short rehabilitation period;
maintaining ability to work;
absence of significant damage to the uterus, etc.

Such advantages allow the patient to quickly regain strength without having to register sick leave.

It should be noted, however, that mini-abortion also has some disadvantages. These include the fact that a woman will only be able to get pregnant again after six months. During this period, the structures of her genital organs will be completely restored and will become ready for a new fertilization, as well as the full bearing of a baby. Therefore, at such times, a woman should use proven means of protection. If she does not monitor the onset of conception, then her uterus will undergo a serious test, after which serious complications may already occur.

The disadvantages of vacuum abortion include cases when the fertilized egg does not come out completely. It is injured, destroyed and becomes a source of infection and severe inflammatory process.

It must also be remembered that such a procedure has a certain negative psychological impact on a woman. You should prepare for this in advance. On the recommendation of a doctor, you should take sedatives in advance.

Until what time is a vacuum abortion performed?

Another advantage of this procedure is that it gets rid of unwanted pregnancy you can immediately, starting from the second day of absence of menstruation. If ultrasonography and hCG analysis shows its development, vacuum abortion is allowed to be performed. This is very convenient for those women who are planning various trips, events or treatment.

The maximum period when the procedure can still be carried out is five weeks. Some gynecologists do it even at fifteen weeks, but this information needs to be clarified, and, moreover, this period of pregnancy can already lead to incomplete suction of the fertilized egg.

The longer the period that passes after the onset of five weeks, the more possible complications can be observed. At this time, vacuum abortion will no longer differ much from surgical intervention.

It is worth repeating once again that a period of four or five weeks is optimal for the woman’s health and the usefulness of the procedure. The embryo is still so small that it can be removed without any difficulty.

Stages of the procedure

Vacuum abortion is divided into different stages.

First comes the preparation. The gynecologist carries out a detailed examination, clarifies the timing of pregnancy and decides whether the patient has any contraindications.

At this time, it is necessary to undergo a number of tests:

They allow us to make a conclusion about the state of a woman’s health, her lack of inflammatory diseases or infectious processes of the genital organs.

At the next stage, the actual vacuum abortion is performed. The patient sits on a gynecological chair, her limbs are fixed. If she has not yet given birth, the cervix will be dilated using a special instrument. The doctor then administers local anesthesia. After this, he carries out the procedure using aspiration suction. When the device is turned on, negative pressure is created in the organ, as a result of which it is possible to remove the fertilized egg.

The doctor moves the tip of the device around the inside of the uterus until he is sure of complete success. He will see that the embryo has emerged through the tube into the allocated container. Such a moment may be accompanied severe cramps uterus and at this time the patient may feel some pain. Occasionally she experiences lightheadedness, malaise, increased sweating. This - side effects procedures and they do not pose any danger to the body. The whole process lasts about five to ten minutes.

Final stage includes observation medical personnel for a woman’s well-being after a vacuum abortion. This lasts for about an hour. The patient is prescribed antibacterial and painkillers, as well as anti-spasm medications.

The very next day she can go to work. However, after fourteen days the woman must come to the attending physician for a check-up and undergo a series of tests.

Contraindications

As already mentioned, this procedure has a number of contraindications. This:

doubts about pregnancy;
diseases of the female genital area;
tendency to bleed;
period less than six months after childbirth;
infectious process;
period more than six weeks, etc.

These various factors can lead to the development of sepsis, severe inflammation or other serious complications.

Consequences, complications

After the vacuum abortion is completed, the woman usually has enough heavy bleeding, often lasting up to two weeks. Moreover, it is accompanied characteristic symptoms painful menstruation with discomfort in the lower abdomen and lower back, discharge of blood clots and mild malaise. This usually does not interfere with the performance of normal work duties, but creates some inconvenience in Everyday life.

The most severe complication after the procedure is, as already mentioned, incomplete removal of the fertilized egg. In this case, a severe infectious and inflammatory process may develop, requiring surgical intervention.

A sharp effect on the female body can lead to hormonal imbalance or disruption of the menstrual cycle.

In addition, difficulties with conception may be observed for some time, and in severe cases, problems with pregnancy and even infertility.

Recovery after a mini-abortion

After the procedure, it is necessary to strictly follow the rules of hygiene to avoid introducing infection into the wound surface.

To do this you need:

toilet the genitals at least two to three times a day;
wash only in the shower;
do not use tampons;
Choose pads with an average level of absorbency and change them every two to three hours;
refuse to take a bath for thirty days;
forget about saunas, steam rooms and baths;
do not visit pools and beaches for a month;
do not lift heavy objects;
limit consumption of chocolate, foreign fruits, seafood, etc.
carry out only daily exercises;
stop doing fitness and sports for two weeks;
cancel hours-long flights or long train journeys.

All this is required because after a mini-abortion, an open wound surface remains in the uterus, which can easily be penetrated pathogenic microflora. It is necessary to keep the external genitalia clean, change pads more often, as they contribute to the spread of infection, and avoid significant stress on the body.

Bleeding that begins immediately after the procedure is suggested by some experts to be considered the first menstruation. Other gynecologists are of the opinion that full periods, which are part of the cycle, usually begin no earlier than a month later, and sometimes later, after a vacuum abortion.

It resumes only after ninety days for those women who already have children and after six months for those who have not given birth.

The first menstruation, which began thirty to forty days later, is usually scanty. If they have not resumed, then after the allotted time it is necessary to take tests for hCG and the level of homones in the blood in order to determine their absence. The reason may be incomplete passage fertilized egg or ectopic pregnancy.

In cases where laboratory and instrumental studies do not reveal any pathologies, it is permissible to wait a couple more weeks.

As the most effective contraception after a mini-abortion, it is recommended to use low-dose ones containing gestagen.

The best of them is Regulon. It suppresses and increases the concentration of mucus in cervical canal, and also prevents the attachment of the egg to inner surface uterus. Moreover, it helps full recovery uterine epithelium after the procedure.

You should not immediately begin regular sexual activity after a vacuum abortion. The first intimate contact can be made no earlier than fifteen to twenty days. And even then, it is advisable to have sexual intercourse using a condom to avoid infection.

Of course, it is better to be careful when using contraception, of which there is a huge amount these days. However, if conception does occur, a mini-abortion is a very gentle procedure compared to a surgical one. If we compare various methods termination of pregnancy, then it is preferable due to the least harm female body. And yet it should be remembered that even he violates normal functioning genital area, permanently removing it from its normal equilibrium state. Therefore, if a representative of the fair sex wants to become a mother, she needs to be more responsible about her daily sex life.

Women decide to have an abortion for medical reasons or social reasons. Sometimes there come times when this is the only way out. If you choose between all types of abortions, vacuum abortion is considered safe and non-traumatic. It is also called a mini-abortion, since it is performed in the early stages, when the fetus is still undeveloped, and its removal from the uterus will not lead to severe damage.

What is vacuum abortion

Vacuum abortion (vacuum aspiration) is a method of removing the fertilized egg from the uterine cavity using special suction without dilating the cervical canal and scraping the mucous membrane. Although such termination of pregnancy is considered gentle, it refers to surgical interventions, since an instrument (vacuum aspirator tube) is inserted into the uterine cavity.

When pregnancy is planned everything is decided. Ideally, the procedure is performed between 4 and 6 weeks of pregnancy. Earlier than 4 weeks is preferable drug interruption pregnancy, and later than 6 weeks - curettage. Not every gynecologist will agree to perform a mini-abortion for periods longer than 7 weeks (although this is acceptable), since the risk of incomplete removal of the fertilized egg and the development of complications increases.

Advantages and disadvantages of mini-abortion, contraindications

Vacuum abortion is preferable to other types due to a number of advantages:

During the operation, the cervix does not dilate, which reduces discomfort and minimizes the consequences in the form of the development of cervical (cervical) insufficiency;
the uterine mucosa is minimally injured and quickly (within 3 weeks) restored;
the vessels of the uterine wall are slightly damaged, which reduces the risk of bleeding;
with a mini-abortion almost none severe complications, such as perforation of the uterine wall during curettage;
the duration of the procedure is 5–10 minutes and observation in the ward is 2–3 hours (observation can be longer, depending on how long and how difficult it is for the patient to recover from anesthesia);
it is possible to perform a mini-abortion without anesthesia (if a woman has allergies or intolerance to anesthetics, severe chronic diseases), under local or general anesthesia;
not yet completed in the early stages hormonal changes body, so the consequences of a vacuum abortion will not be pronounced, but hormonal background the menstrual cycle will quickly return to normal and be restored;
emotional stress for the woman is reduced, since the fetus is not yet formed.

No matter how safe vacuum abortion is, this medical intervention also has disadvantages:

need to have time to carry out a mini-abortion in optimal timing, and their range is small - from 4 to 6 weeks;
incomplete abortion occurs, when the fertilized egg cannot be completely removed, you have to either repeat the procedure or resort to curettage;
Emotional stress is present with any termination of pregnancy, vacuum abortion is no exception.

In addition, there is a possibility of developing complications:

most frequent consequences– incomplete removal of the fertilized egg;
the second most common is infection;
sometimes there is bleeding;
rare, but there may be severe hormonal imbalances, impaired follicle maturation and ovulation; V severe cases– consequences – infertility or miscarriage;
Perforation of the uterus is practically excluded with this method, but it is also worth remembering.

Every surgical intervention has contraindications. Vacuum abortion is not indicated when the recommended gestational age is exceeded (more than 7 weeks), in the presence of infectious and inflammatory diseases in the acute phase, with exacerbation of chronic diseases. Bleeding disorders are not absolute contraindication, but requires an individual decision on the issue of carrying out the procedure in a hospital and longer observation after it.

Procedure for carrying out an abortion

Before a mini-abortion, a series of tests are required and an ultrasound is performed to prevent Negative consequences for good health. A complete blood count, coagulation tests, a urine test, a smear for microflora from the vagina, a test for human chorionic gonadotropin hormone (hCG), tests for sexually transmitted infections, HIV and hepatitis are checked.

Vacuum abortion is carried out both without anesthesia (some women, for one reason or another, go for it), and with local or general anesthesia.

Women who have not given birth are often given the drug misoprostol to relax the muscles of the cervix so that the suction tube can be inserted more easily.

Beforehand, it is better for a woman to find out how a vacuum abortion is performed. The procedure is carried out in a chair, similar to an obstetrician, and takes only a few minutes. A suction tube is inserted through the cervical canal into the cavity, and the fertilized egg is vacuum removed. At the end of the mini-abortion, the doctor examines the extracted contents of the uterus to ensure that the entire embryo has been removed. Ultrasound is performed for control. For 2–4 hours (it is impossible to say exactly how long, it all depends on the woman’s condition), the patient is observed by a doctor. If there are no complications and she feels good, she is sent home.

Reviews from most women say that the mini-abortion procedure is unpleasant, but tolerable, and the consequences are minimal. Someone endured it without anesthesia and experienced only abdominal cramps or discomfort when passing the aspirator tube through the neck. If anesthesia is administered, pain and discomfort are reduced to zero. The recovery period is not as difficult as after curettage.

Recovery period after abortion

The recovery period is relatively easy, the consequences of the intervention are noticeable only on the first day. The discharge may be normal for up to two weeks. Usually this is a light spotting discharge. But if the blood flows profusely, with clots, often or constantly throughout the day, this is a reason to consult a doctor for help. Women sometimes feel discomfort and pain in the lower abdomen, as during menstruation.

It is recommended to take antispasmodics and painkillers. To avoid infection after a vacuum abortion, a course of antibiotics is prescribed wide range actions. To monitor the patient’s condition and make sure that the pregnancy is completely terminated, the doctor prescribes a repeat examination and ultrasound 2 weeks after the procedure.

After a mini-abortion there is no need for long-term bed rest. The very next day you can return to your normal life, just exclude physical exercise, lifting weights. It is also recommended to abstain from sexual activity for 3 weeks after a vacuum abortion. It is not recommended to plan a pregnancy for the next six months; during this period, the uterus has not yet recovered, so it is important to take contraceptive measures.

Where is abortion performed and how much does it cost?

There is a large selection of paid multidisciplinary or highly specialized clinics and private medical offices that offer this service. Vacuum abortion is also performed in city clinics. On the Internet you can find reviews about a particular clinic, hospital, doctor, and find out how much the procedure costs in the place you are interested in. The choice of place for a mini-abortion is limited by financial capabilities and personal preferences.

The procedure costs differently, depending on the location of the procedure, the desired anesthesia, and the qualifications and experience of the doctor. Worth the extra money comprehensive examination before termination of pregnancy. The price varies greatly.

In a general hospital network this is 5–7 thousand rubles, plus paid analyzes and ultrasound, if they are not done for free.

How much will the amount be in private medical centers, it’s hard to say, it reaches tens of thousands of rubles depending on the reputation of the clinic, the range of additional services, and the volume of examinations.

Before deciding to have an abortion, you need to think a hundred times whether it is 100 percent necessary. If yes, then it is better to act quickly in order to have time to carry out it in the early stages, because a vacuum abortion is the least traumatic, and its consequences are not so threatening in the distant future. You must be very careful when choosing a place for the procedure and a doctor, follow the recommendations in recovery period. In order not to terminate the pregnancy, not to jeopardize the health and future motherhood, it is easier to take precautions and prevent unwanted pregnancies.