Women reach the 4th month of pregnancy at the 13th week and continue until the 16th week. If an abortion occurs during this period, it is called an abortion or surgical abortion. Abortion occurs 12 to 13 weeks after the last period. Generally, the D & E method or Dilation and Evacuation is the recommended method. However, choose the preferred method based on the following factors:
- The week of pregnancy you crossed.
- Patient’s medical condition
- Personal choices and decisions
The chances of an abortion complication are very low. However, there is a possibility of infection and bleeding. Recovery usually takes 3-4 days, but it depends on the duration of pregnancy.
Read again- Women’s Guide to Safe Abortion
Surgical method to end pregnancy in the 4th month
If a woman is 4 months pregnant, that is, more than 14 weeks before her last menstrual period, she ends her pregnancy using a procedure called dilation and evacuation. In most cases, use misoprostol and laminaria tablets before the procedure to soften the cervix. Induced abortion is also used for some women who experience an abortion. Most of the guidance termination procedures include the following steps:
- The drug mifepristone is given shortly before the procedure begins.
- Misoprostol is given several times to induce labor.
- When labor is induced, painkillers are given intravenously or epidural injections are given.
In most cases, an abortion that occurs with an induced abortion is within 24 hours. After an abortion due to dilation and removal or termination of induction, the following steps should be followed.
- You need to stay in the recovery room for several hours.
- Depending on the condition, painkillers and antibiotics may be prescribed.
Read again- When and how do women have menstruation after D & C treatment?
Recovery after abortion by D & E
The sequelae and side effects of an abortion may be experienced for about two weeks. For this reason, it is advisable to take a few days off from work to avoid discomfort. During the first week of recovery, avoid intense training and exercise to help your body repair. After about 2 weeks of the procedure, you can start having sex again. Your menstrual cycle will resume within 4 to 8 weeks after you have been treated. The methods of expansion and evacuation do not affect the likelihood of future pregnancy or re-pregnancy. However, you should ask your doctor how long you should wait before trying to get pregnant again.
Vacuum suction takes place during the first 12 weeks of pregnancy, the first trimester of pregnancy. Also called vacuum aspiration, it may be done later. Some women may choose vacuum suction as the preferred method of abortion, while others may choose it after an abortion fails.However, this method may not be appropriate if you have any of the following factors during pregnancy:
- Abnormally functioning or shaped uterus
- Disorders related to blood clotting
- Pelvic infection
- Health problems and illness
Vacuum aspiration is used to gently pull or aspirate the placenta and foetation from the uterus. This procedure is usually done in a hospital or clinic. It is painless, but as the uterus contracts, you may experience cramps and discomfort as the foetation is pulled out. The procedure only takes 5-10 minutes, but you may need to stay in the clinic for a few hours to make sure it’s fully completed.
Recovery after miscarriage by vacuum suction
You may need to take a few days off from your work for a hassle-free and quick recovery. You should also avoid sexual intercourse for about 2-6 weeks of this procedure. You should ask your doctor how long you should wait. You may not be able to return to normal activity during the first few weeks, and your period will not begin until a month or two.
This procedure does not affect your chances of getting pregnant in the future. However, it is advisable to ask your doctor how long you need to wait before trying to get pregnant again.
Induced miscarriage occurs late in pregnancy. If you are past the 24th week of pregnancy and you are no longer eligible for expansion and evacuation procedures, they are a viable option. This procedure gives you medicine that makes you labor painful. Then your uterus begins to contract to release the foetation. A spoon-like device called a curette is used to clean the uterus, and the entire procedure is performed only in a specialized clinic or hospital. When the uterus contracts, you will feel severe cramps. For this, your doctor can provide you with some epidural or sedatives. The procedure can take hours and even a day.
Some side effects of induced miscarriage include diarrhea, headache, convulsions, bleeding, pain, nausea, and chills.
Recovery after induced miscarriage
You may need to take a few days off from work so that you can recover properly. Avoid sexual activity for 2-6 weeks. You can return to normal activity within a few weeks after having an abortion. Menstruation is acquired after a month or two.
This method does not affect future pregnancies, but you should consult your doctor before resuming pregnancy.
Possible complications of unsafe abortion
Complications are very rare if an abortion occurs early in pregnancy. If abortions occur in the second semester, they are more likely to occur. Some complications may include the following symptoms:
- Uterine or genital damage
- Uterine thrombus
- Excessive bleeding
Before turning to this procedure, it is advisable to consult with your obstetrician / gynecologist or your healthcare provider about possible complications and risks. You also need to understand what you should be aware of during recovery, normal and abnormal symptoms.
Read again- Safe and Legal Abortion at PristynCare
When do you call an obstetrician / gynecologist after an abortion?
With proper care and precautions, complications are unlikely to occur in late abortion. However, if you experience any of the following symptoms, please contact your obstetrician / gynecologist immediately.
- Heavy vaginal bleeding for more than 2 weeks.
- High body temperature that lasts for several hours
- Pink gray or tan tissue coming out of the vagina.
- Severe abdominal pain and cramps that cannot be controlled with drugs
- Vaginal discharge with a strange smell
Read again- Post-abortion period-what do you expect?