Abortion by dilatation and abortion: What you need to know

This is an automatically translated article.

The article is professionally consulted by Dr., Doctor Ngo Thi Uyen - Department of Obstetrics and Gynecology - Vinmec Nha Trang International General Hospital.
Dilation and removal of pregnancy is one of the methods of abortion in case of unwanted pregnancy. A cesarean section abortion is indicated for a pregnancy between 13 and 18 weeks as the safest time period.

1. What is dilatation and forceps abortion?

Abortion by means of dilation and extraction is a way to terminate a pregnancy by using Misoprostol and a dilator to prepare the cervix. Then the doctor will use a vacuum pump combined with forceps to remove the fetus, applied to the fetus from 13-18 weeks according to ultrasound.
Conditions for applying the method of abortion by dilation and tongs:
Pregnancy from 13-16 weeks can be done at the family planning department. Pregnancy over 16-18 weeks must be done in the hospital The person performing dilation and extraction The pregnant woman must be an obstetrician who has mastered the technique. Contraindication to perform dilation and caesarean section are:
Women with acute medical conditions Women with genital malformations Women with acute genital infections Women with a history of allergy to Misoprostol Care should be taken in case of uterine tumor or uterine scarring. See also: What gestational age can use abortion?

2. The procedure of dilatation and removal of pregnancy

You will be carried out through the basic steps of counseling, preparing for the abortion, conducting the procedure, monitoring and post-abortion care.
When deciding to have an abortion by dilatation and induced abortion, you will be consulted by your doctor and discussed with your doctor about your decision. The most important thing is that women understand the dangers, complications, and possible consequences after an abortion, especially for an adult fetus. In addition, women also know the steps to take, information about dilatation and abortion procedures.
Then, the doctor and the abortionist will perform important preparatory steps before performing the procedure including:
Taking medical history, doing a full body exam Taking on menstrual information Surgical examination excluding antiretroviral Indications Ultrasound to determine gestational age and associated abnormalities Blood tests including complete blood count, blood type, TQ, TCK, HIV Make a commitment to voluntary abortion Take 400 mcg of Misoprostol in the cheek and receive put in the observation room waiting for 4-6 hours

Steps to carry out the procedure of dilation and ablation include:
Pain relief for the whole body Examination to determine the size and position of the uterus Change of sterile cast iron External antiseptic, clean cloth under the buttocks Place the valve, expose the cervix, close Cervical, vaginal bacteria Paracervical anesthesia Cervical clamp Cervical dilatation Use a pump to aspirate amniotic fluid, pull the fetal part down, carry out an extraction If there is difficulty in taking the pregnancy out, use it. Ultrasound to determine the position and size of the fetus, to make it easier to perform Check the fetal parts and placenta removed to assess whether the procedure is completed or not Dispose of instruments and waste according to the procedure End of procedure dilatation and caesarean section for abortion, women will be monitored and cared for in detail to ensure the safety of the performer.
Women will be monitored for blood pressure, pulse, body temperature, vaginal bleeding, abdominal pain, uterine contractions for 4-6 hours after the procedure. The obstetrician will prescribe medication for treatment after dilation and removal of the fetus, and schedule a follow-up visit in the next 2 weeks to assess your health status.
Above are all the things you need to know before deciding to have an abortion by dilating and pulling the baby. To avoid possible complications as well as limit the risks of future reproduction, it is best for women to consider carefully before having an abortion, and should be carefully consulted by an obstetrician.

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