Abortions at 4 months

Surgical Abortion (Second Trimester) | Conditions & Treatments

During the second trimester, 15 to 23 weeks after your last menstrual period, abortions are typically performed over a two-day period but don't require an overnight stay in the hospital. These procedures are known as dilation and evacuation (D&E).

On the first day, usually a Tuesday, you'll meet a health educator and doctor at the UCSF Women's Options Center to prepare for the procedure. This visit will take about two and a half hours.

The next day, you'll meet the doctor at UCSF Medical Center hospital at Mount Zion. This visit will take about four to five hours. In some cases, the procedure can be performed in one day for pregnancies 18 weeks or less, depending on the circumstances.

Cervical softening and dilating is performed with medication and small dilating sticks, called laminaria or Dilapan, that may be placed in the cervix, depending on the term of the pregnancy and your medical history. Laminaria are thin sticks made from a special seaweed material that widen as they absorb moisture from your body. Dilapan are synthetic sticks that work in the same way. The laminaria will stay in your cervix overnight and prepare your body for the next day's surgical procedure.

Preoperative Appointment

In a private exam room, you will learn about your procedure, undergo an exam and ultrasound, and receive oral medications that may include a pain reliever and anti-anxiety medication for relaxation, if laminaria is required for overnight dilation. If you're given medications, it's important that you follow the instructions provided by your doctor.

During the laminaria insertion, you'll be awake. If someone accompanies you, he or she can remain in the exam room, if you wish. The doctor will:

Place a speculum to view inside your vagina.
Clean the cervix with gauze soaked in soap.
Apply numbing medication (local anesthesia) to the cervix.
Insert laminaria (or Dilapan) into your cervix, the opening to the uterus. The laminaria insertion takes about five to 10 minutes.

After the procedure, you will rest for a few minutes. You may experience cramping and spotting. You may get dressed when you feel able. We will give you detailed instructions on how to take care of your body overnight and how to prepare for the next day's procedure.

Someone must drive you home if you take anti-anxiety medications. Rest at home until the medications wear off.

Surgical Appointment

Don't eat for at least eight hours before your operating room procedure. You may drink clear liquids (such as water, broth or tea) up to three hours before your procedure.

The next day, you'll check in at the hospital reception area of UCSF Medical Center at Mount Zion, then go to the preoperative area, where you'll meet your doctor.

Medication will be administered intravenously (IV) in your arm to induce anesthesia or loss of consciousness. Most women fall asleep and don't remember the procedure. After you're well relaxed, the doctor will remove the laminaria and use suction and gynecological instruments to empty your uterus, with ultrasound guidance. You'll be in the operating room for about an hour, but the procedure may take from 15 to 45 minutes.

Recovery

In the recovery room, nurses will monitor you for about two hours. You may have some cramping and spotting. Before you return home, you'll receive antibiotics to prevent infection and instructions for postsurgical care.

The procedure and recovery period at the hospital takes about five hours in total.

Because of medications administered, you shouldn't drive until the medications wear off. Please make arrangements ahead of time for someone to take you home directly.

If you don't have anyone to accompany you home, contact Access, a women's health rights organization that may have a pro-choice volunteer driver to assist you. This must be coordinated with our clinic before your appointment, so please make arrangements as soon as possible.

You can expect to return to normal activities, such as work and school, the next day.

See our frequently asked questions about post-procedure care.

Follow-Up Visits

Unless you experience complications or have concerns, there's no need to return to the Women's Options Center. We recommend that you see your primary care doctor for regular evaluations.

Safety and Effectiveness

Second-trimester surgical abortion is one of the safest medical procedures. Although rare, possible complications include a blood clot in the uterus that can cause pain or require a repeat aspiration; infection, which is generally easily identified and treated; a tear in the cervix that can be easily repaired with suture; perforation; retained pregnancy tissue requiring repeat aspiration; and excessive bleeding requiring a transfusion.

Complications from a surgical abortion are considerably less frequent and less serious than those associated with giving birth.

Can 4 months pregnant be aborted?

This is an automatically translated article.

The article is professionally consulted by Master, Doctor Trinh Thi Thanh Huyen - Department of Obstetrics and Gynecology - Vinmec Hai Phong International General Hospital.

4 months pregnant is equivalent to 16 weeks. According to experts, 16 weeks pregnant can still terminate the pregnancy. However, at this time, the fetus is almost fully developed in all aspects. Therefore, doctors often advise pregnant women to keep the fetus. Except for cases of fetal abnormalities; If the mother's health is not guaranteed, consider it.

1. What is abortion?

In medicine, abortion is defined as the termination of a pregnancy by removing or removing the embryo or fetus from the mother's uterus before the time of childbirth. Abortion can occur spontaneously because of complications during pregnancy, or intentionally caused. In the case of pregnancy, intentional abortion is called curative or elective.
In cases where abortion is recommended when it is the only option to save the life of the mother; prevent physical or mental harm to the mother; the course of a pregnancy with indications that the fetus is at increased risk for physical birth defects or disabilities, or to selectively reduce the number of embryos to reduce the risks associated with multiple pregnancies Embryo.
With the development of current medicine, to ensure the life and health of pregnant women. Medicine has released many safe and effective methods of termination of pregnancy for pregnant women such as:
Method of termination of pregnancy with drugs Vacuum method of abortion Method of dilatation and removal of pregnancy With each method of termination of pregnancy. Only pregnancy will be appropriate for each age of the fetus.

Có thể đình chỉ thai bằng thuốc

2. Is abortion dangerous?

So is abortion dangerous? In fact, there are many complications that can occur after an abortion, the most common of which is genital infections. Because the uterus is absolutely sterile, when performing an abortion procedure, the tools and manipulations performed can cause bleeding, creating conditions for bacteria to enter.
Mild causes endometritis, severe leads to inflammation of the uterus, fallopian tubes and can lead to infertility. More dangerous if bacteria enter the blood can cause blood infection, this case if not handled promptly can lead to death.
The manipulations of curettage, abortion, if not performed with the correct medical technique, can cause the cervix to be torn, perforated, and left with the placenta. If not detected in time, it can lead to intense bleeding and a high risk of infection.
However, if you choose a reputable medical facility, a qualified doctor and modern medical equipment, you can minimize complications during abortion. Absolutely not abortion at small medical facilities; inadequate equipment; Doctor's qualifications are not guaranteed. Because if you choose these facilities, pregnant women will have to face dangerous and unpredictable complications as above.

3. Can a 4 month pregnancy be aborted?

4 months pregnant is equivalent to 16 weeks. According to experts, 16 weeks pregnant can still terminate the pregnancy. However, at this time, the fetus has developed comprehensively in all aspects. At the same time, the fetus has close links with the mother's body. Therefore, doctors often advise pregnant women to keep the fetus. Except for the case, the fetus is malformed; The mother's health cannot guarantee continued pregnancy. New doctors advise pregnant women to have an abortion at 16 weeks.
Moreover, 16 weeks pregnant is quite large in size. A large abortion at this time will affect the health of the pregnant woman more or less. Therefore, when deciding to have an abortion at 16 weeks, pregnant women should go to reputable medical facilities to ensure safety; effective for themselves.

Thai nhi ở tháng thứ 4 không nên đình chỉ thai

4. Abortion over 4 months old by any method?

For 4-month-old pregnancy, the application of abortion method also needs to be selected to ensure safety for the health and life of the mother.
For abortions over 4 months old, other simple abortion methods cannot be used such as drug abortion, aspiration abortion... because there will be many risks to the mother's health and life. . Therefore, with such a large abortion, it is safest to use a dilation method.
Dilation is a method of combining internal medicine and surgery. It is a combination of drugs with specialized medical instruments to affect the mother's uterine cavity to terminate the development of the fetus and bring the fetus out. However, not everyone can apply this method of abortion.
This abortion method only applies to the following cases:
The fetus must be between 13 and 18 weeks old. The mother did not have any inflammatory or gynecological diseases. The mother's health must be stable and guaranteed; do not have liver or kidney disease or are allergic to the ingredients of the abortion pill. Therefore, to know exactly whether a 16-week-old abortion can be applied by dilatation or not, you should go to a specialized medical facility for doctors to conduct an examination as well as choose a method of termination of pregnancy. only safe and appropriate pregnancy.
Master. Trinh Thi Thanh Huyen is highly trained in obstetric ultrasound, laparoscopic surgery and hysteroscopy at the National Hospital of Obstetrics and Gynecology and has more than 13 years of experience working at Hai Phong Obstetrics and Gynecology Hospital.
Currently, the doctor is an Obstetrician and Gynecologist at Vinmec Hai Phong International General Hospital

Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and receive 15% off for consultation fee at the first appointment (applied from 17th October to 31th December, 2022). MyVinmec app is also available and convenient for your bookings management and Telehealth service with Vinmec doctors all in one.

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Terms of termination of pregnancy (abortion)

Contents

How long can you terminate a pregnancy (abortion)

Termination of pregnancy - removal of the fetal egg from the uterine membranes using various methods. If earlier abortion was performed only with the help of surgical intervention, today women have access to a medical and vacuum method. These are safer methods of abortion, but they can only be used for certain periods.

Terms of termination of pregnancy:

— medical termination of pregnancy in the Russian Federation can be done up to the 6th beginning of the 7th week of pregnancy or 42nd delay of menstruation;

- vacuum abortion can be done from 2-3 weeks to 12 weeks of pregnancy.

- more than 12 weeks can be done for medical reasons with a surgical method.

Legislative framework for the timing of abortions

Legally, termination of pregnancy is allowed up to 12 weeks of pregnancy at the request of the woman, and if the period is higher, then for medical reasons at any time, if there is a threat to the life of the fetus-mother or defects incompatible with life. On the basis of Order 572 and Federal Law 323, an algorithm and requirements for performing artificial termination of pregnancy were approved. For medical abortion in the Russian Federation, drugs are registered that are not sold in pharmacies, but are supplied to medical institutions that have the appropriate license to provide this type of service. Abortion pills are used strictly according to the instructions for drugs according to the approved scheme and are prescribed only by a gynecologist.

Is it possible to have an abortion on the same day?

This question is often asked by women when making an appointment with a gynecologist at a medical institution. Let's take a closer look. Returning to the law on artificial termination of pregnancy, which states that during the initial visit to a medical institution, an ultrasound is done to determine the gestational age. If the period is 4-7 weeks, the silence time is 48 hours, i.e. time to make a final decision and reapply the woman for the interruption service. At this time, the woman is sent for a consultation with a psychologist, or a gynecologist can conduct the same conversation. For a period of 8-10 weeks - the time for reflection is at least 7 days, for a period of 11-12 weeks - at least 48 hours.

Safe terms

Abortion is a complex surgical intervention that can have a lot of consequences for women's health. Often, termination of pregnancy leads to infertility. In order for an abortion to take place with minimal risks, one should carefully approach the choice of a medical institution and a doctor. In our Clinic "Narvskaya" there are doctors with extensive experience who individually solve the problem of each patient. Specialists help to choose the best way to terminate a pregnancy, focusing on the term, health status, anamnesis, the presence of children, etc. All manipulations are carried out at the modern level in absolutely sterile conditions. And if this is still an unwanted pregnancy, it is necessary to resort to the method of interruption as soon as possible, due to the fact that the longer the period, the greater the number of complications can be. But the best solution would be to keep the pregnancy. But this is decided only by the woman herself and no one has the right to condemn her for this. After termination of pregnancy, the doctor prescribes rehabilitation courses for reproductive and menstrual functions. Following the doctor's recommendations will help maintain the health of the reproductive system and take care of future childbearing. Also, the specialist is ready to advise on modern methods of contraception that are right for you.

Terms for medical abortion

Medical abortion is done up to 42 weeks of delayed menstruation or 6 to 7 weeks. In the instructions for medicinal products that are used for this service, the above period is indicated everywhere. Although in many countries the tablet method can take up to 63 days of delay. In the Russian Federation, so far the method is carried out only according to the instructions for the preparations.

Until how many weeks is vacuum aspiration done?

Vacuum aspiration is performed up to 12 weeks of gestation and is an alternative to surgical abortion. It is carried out in the conditions of day hospitals of medical centers, clinics. In the presence of a burdened history (a scar on the uterus, large uterine fibroids, the presence of anomalies in the development of the genital organs, severe allergic reactions), vacuum aspiration is carried out in a hospital.

Surgical abortion

Due to its trauma and a large number of complications, it is used less and less. With this method, the effect of general anesthesia and mechanical impact on the walls of the uterus, negatively affect the female body. The recovery period is also longer than with other methods of interruption. The earlier a woman has an abortion, the less traumatic the procedure will be for her health.

Early termination of pregnancy

Within 49days from the beginning of the last months, you can get rid of an unwanted pregnancy by medication. The drugs are taken in two stages and under the supervision of a doctor. Then there is a natural rejection of the fetus, as in a normal miscarriage. After a pill abortion, it is imperative to do a control ultrasound. If the fetus is not fully released, additional intervention will be required.

The medical method of abortion today is one of the safest for women's health. It is especially recommended for young girls who are planning a healthy childbearing in the future.

All pharmaceuticals should only be taken as directed by a doctor! Medical termination of pregnancy, like a conventional abortion, requires special preparation and stay under the supervision of a specialist for several weeks after the procedure.

In the early stages up to 5 weeks, the vacuum aspiration method is performed, in which the fetus is removed from the uterus using a vacuum, without the use of surgical instruments. The duration of the procedure is up to 10 minutes. A mini-abortion is performed under local anesthesia. After a few hours, the woman can leave the medical facility.

Often young girls who want to get rid of an unwanted pregnancy are afraid to go to the doctor and look on the Internet for ways to provoke a miscarriage using folk methods. We do not recommend doing this under any circumstances. There is a great risk to health and even life. It is better to spend time looking for a qualified specialist in private clinics and make an abortion on confidential terms.

Vacuum method up to 12 weeks

A woman can voluntarily terminate a pregnancy up to 12 weeks. At a later date - only if there are serious indications. At a period of 6-12 weeks, when it is too late to use medications and a vacuum, a classic abortion is performed. The fetus is scraped out of the body of the uterus using surgical instruments. Most often, the procedure is performed under general anesthesia or sedation (if such a method is practiced in a medical institution).

Late-term abortions

From 12 to 22 weeks, abortion is indicated only for serious medical and social reasons. Medical indications are diseases in a woman that are of great harm both to her and to the health of the fetus. An abortion can also be indicated if the pregnant woman has a pathology that may interfere with the full care and upbringing of the child.

Indications for late abortion:

Progressive diabetes mellitus.
Tuberculosis.
Severe heart defects.
Oncology requiring chemotherapy.
Active phase of Itsenko-Cushing's syndrome.
Severe mental disorders.
Neurodegenerative diseases.
Pathologies of the kidneys and liver, accompanied by serious disorders in the functioning of the organs.
Autoimmune diseases in the acute stage.

Medical indications for termination of pregnancy on the part of the fetus - chromosomal disorders and pathologies incompatible with life. Since 2012, in the Russian Federation, there is only one social reason why you can have an abortion at a later date - the conception of a child occurred as a result of rape.

For an abortion for more than 12 weeks, the conclusion of a medical commission is required, which includes: the head physician of the medical institution; a gynecologist observing a woman; narrow specialists who have identified a disease that prevents a healthy pregnancy.

Termination of a late pregnancy is a complex and responsible procedure, which is best performed in medical facilities with an intensive care unit. An abortion is performed in two ways - with the help of drugs that stimulate contractions and the natural exit of the fetus from the uterus; removal of the fetus through an incision in the abdomen (small caesarean section).

After 22 weeks of gestation, any termination for indications is carried out only by delivery. This procedure is no longer called abortion, but premature birth.