Parteneri
Comparing the methods of abortion
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Comparing the methods of abortion
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Comparing methods of abortion
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Manual vacuum aspiration
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Dilation and Curettage
D + C |
Medical abortion
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Method description
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During the procedure the tissue is removed from the uterus with a manual aspirator non- electrical.
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The tissue is destroyed and removed with a scraper by scooping after cervix dilation
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Drugs are administered for tissue removing
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How does it work?
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A fin plastic cannula, which is attached to the manual syringe for aspiration, is inserted into the uterus and by gentle vacuum aspiration the pregnancy tissue is removed.
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Dilation is performed by metal expansion with the size up to 12 mm. with a curette; the tissue is removed, and control curettage is done.
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Mifepriston stops the development of pregnancy, and Misoprostol causes the dilation of cervix, the contraction of the uterus and as a result the product of conception expels.
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How efficient is the method?
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Over 99%.
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95-97%.
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95-98%.
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What happens if the pregnancy is not interrupted?
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The procedure is repeated
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The procedure is repeated. Manual vacuum aspiration may be used.
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An additional dose of Misoprostol may be administered or completed by aspiration; these options are discussed in advance.
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What do you feel during the procedure?
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The clinical team will work with you in order to minimize the pain. You will be offered to choose the method of analgesia: local or general. It is normal to experience moderate pain at the end of the procedure, in case of local analgesia.
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Dolor sensations usually are stronger in D+C. Pain can be avoided by using general anesthesia, after which during a few hours there is a slightly drowsy state and giddiness.
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Most women experience sanguinolent eliminations. As well abdominal pain, nausea and sometimes vomiting.
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What do you feel after the procedure?
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A week after MVA it is normal to experience mild pain and sanguinolent eliminations similar or stronger than the ones during menstruation.
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During a week after D+C it is normal to experience moderate pain and sanguinolent eliminations similar or stronger than during menstruation.
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After complete abortion pain and bleeding can last for 1-3 weeks. If you have to use 2-3 large pads during an hour, 2 hours in a row it is necessary to contact your doctor.
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What are the side effects and complications?
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Complications are extremely rare: pelvic infection, hemorrhage, cervical injury, incomplete evacuation, uterine perforation in less than 0,5%.
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Complications such as: pelvic infection, sterility, ectopic pregnancy, cervical injury, uterine perforations, hemorrhage, according to researches are more frequent in 3-13%.
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The side effects are: nausea, vomiting, headache. Major complications are extremely rare but may include excessive bleeding, infection, incomplete abortion, and ongoing pregnancy.
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Why some women prefer this method?
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Abortion by MVA takes only a few minutes and can be provided immediately after a positive pregnancy test, even without an ultrasound confirmation.
The procedure is noiseless, very efficient, in majority of case sit requires minimal local anesthesia.
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Abortion by D+C is well known among doctors and patients; some women already had a D+C and are not informed about the existence of other modern methods. The majority of doctors prefer an ultrasound confirmation of the pregnancy before the procedure.
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Medical abortion, according to women’s opinion is similar to a natural miscarriage; it allows them to avoid surgical procedure and offers them more confidentiality because it may be completed at home.
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Advantages
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In early stages of pregnancy the expansion of the cervical canal is not needed, in terms of 7-12 weeks the dilation corresponds with the term of pregnancy.
Scraping is avoided, and as a result the cervix and the interior surface of the uterus are not traumatized.
It can be done immediately after a positive pregnancy test, during one visit. The tissue is completely removed for examination and in order either to confirm a complete abortion or to suspect an ectopic pregnancy. General anesthesia and its consequences can be avoided. The patient is counseled before the procedure. |
Abortion can be performed at a single visit. Doctors are used to this method.
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The interference with the uterine cavity is avoided; this is why the risks are minimal. The patient is counseled before the procedure.
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Disadvantages
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Have not been found.
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The dilation of cervix, which is compulsory until maximal dilation, and scraping with a sharp metal that traumatizes the cervix and endometrium, as a result the possibility of complications is higher. The tissue is destroyed and cannot be examined. General anesthesia frequently has side effects and complications.
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Abortion sometimes lasts a few hours. Abdominal pain, nausea and vomiting can create discomfort. Several visits to the physician are needed.
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