Baby in sac after abortion

Termination of pregnancy at very early gestation without visible yolk sac on ultrasound

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. 2015 Apr;41(2):90-5.

doi: 10.1136/jfprhc-2014-100924. Epub 2014 Sep 8.

Rebecca Heller¹, Sharon Cameron²

Affiliations

¹ Clinical Research Fellow, Chalmers Sexual & Reproductive Health Service, Edinburgh, UK.
² Consultant Gynaecologist, Chalmers Sexual & Reproductive Health Service, Edinburgh, UK.

PMID: 25201906
DOI: 10.1136/jfprhc-2014-100924

Free article

Rebecca Heller et al. J Fam Plann Reprod Health Care. 2015 Apr.

Free article

. 2015 Apr;41(2):90-5.

doi: 10.1136/jfprhc-2014-100924. Epub 2014 Sep 8.

Authors

Rebecca Heller¹, Sharon Cameron²

Affiliations

¹ Clinical Research Fellow, Chalmers Sexual & Reproductive Health Service, Edinburgh, UK.
² Consultant Gynaecologist, Chalmers Sexual & Reproductive Health Service, Edinburgh, UK.

PMID: 25201906
DOI: 10. 1136/jfprhc-2014-100924

Abstract

Introduction: Requests for termination of pregnancy (TOP) at very early gestation (≤6 weeks) can prove challenging for abortion services as the ultrasound feature usually accepted as definitive evidence of an intrauterine pregnancy (IUP), the presence of a yolk sac within a gestational sac, may not yet be evident. In 2011 the Edinburgh TOP service introduced a protocol permitting women to proceed to treatment without further investigations provided that ultrasound showed the features of an eccentrically placed gestational sac (≥3 mm) with a decidual reaction, and there were no signs, symptoms or risk factors for ectopic pregnancy.

Methods: A retrospective audit was conducted of outcomes of women presenting for TOP at ≤6 weeks' gestation over a 2-year period using the hospital computerised database.

Results: A total of 1155 women presented for TOP with an ultrasound gestational age of ≤6 weeks. Of these, 1030 (89%) had ultrasound evidence of a yolk sac. Eighty-seven women (7.5%) had an eccentrically placed gestational sac with a decidual reaction. All 87 women fulfilled our criteria to proceed to medical TOP, and 66 did so. In the remaining 21 cases, further investigations were performed before they proceeded to medical TOP. Two (0.17%) medical TOPs failed, both in women whose initial ultrasound had shown a yolk sac.

Conclusion: Women with ultrasound features consistent with a very early IUP (≥3 mm eccentrically placed gestational sac with a decidual reaction) and without signs, symptoms or risk factors for ectopic pregnancy can proceed directly to medical TOP without the need for delay for further ultrasonography.

Keywords: abortion; gestational sac; mifepristone; misoprostol; yolk sac.

Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Cited by

Mifepristone and Misoprostol for Undesired Pregnancy of Unknown Location.
Goldberg AB, Fulcher IR, Fortin J, Hofer RK, Cottrill A, Dethier D, Gilbert A, Janiak E, Roncari D. Goldberg AB, et al. Obstet Gynecol. 2022 May 1;139(5):771-780. doi: 10.1097/AOG.0000000000004756. Epub 2022 Apr 5. Obstet Gynecol. 2022. PMID: 35576336 Free PMC article.
Utility of a routine ultrasound for detection of ectopic pregnancies among women requesting abortion: a retrospective review.
Duncan CI, Reynolds-Wright JJ, Cameron ST. Duncan CI, et al. BMJ Sex Reprod Health. 2022 Jan;48(1):22-27. doi: 10.1136/bmjsrh-2020-200888. Epub 2020 Dec 29. BMJ Sex Reprod Health. 2022. PMID: 33376099 Free PMC article.
Commentary: No-test medication abortion: A sample protocol for increasing access during a pandemic and beyond.
Raymond EG, Grossman D, Mark A, Upadhyay UD, Dean G, Creinin MD, Coplon L, Perritt J, Atrio JM, Taylor D, Gold M. Raymond EG, et al. Contraception. 2020 Jun;101(6):361-366. doi: 10. 1016/j.contraception.2020.04.005. Epub 2020 Apr 16. Contraception. 2020. PMID: 32305289 Free PMC article. No abstract available.
Recent advances in improving the effectiveness and reducing the complications of abortion.
Cameron S. Cameron S. F1000Res. 2018 Dec 2;7:F1000 Faculty Rev-1881. doi: 10.12688/f1000research.15441.1. eCollection 2018. F1000Res. 2018. PMID: 30631424 Free PMC article. Review.
Early medical abortion with self-administered low-dose mifepristone in combination with misoprostol.
Song LP, Tang SY, Li CL, Zhou LJ, Mo XT. Song LP, et al. J Obstet Gynaecol Res. 2018 Sep;44(9):1705-1711. doi: 10.1111/jog.13716. Epub 2018 Jul 5. J Obstet Gynaecol Res. 2018. PMID: 29974571 Free PMC article.

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Can you see the products of the abortion (placenta, embryo, blood) and what should you do with them? – Women on Waves

Most of the time women can see blood and tissue in their sanitary napkin or in the toilet. The (very small) embryo is usually passed within this blood and tissue in such a way that it goes unnoticed by the woman. However, it is possible that you might see the (very small) embryo. Depending on the length of the pregnancy, a small pregnancy sac with some tissue around it may be visible. For instance, if you are only five to six weeks pregnant, there will be no visible sac. At nine weeks, you might be able to find a sac in the blood and it is possible that you might see the embryo. With a pregnancy of 8 or 9 weeks, the embryo is about 2,5 cm. This can be distressing.
It is best to flush everything down the toilet or to wrap the sanitary pads in a plastic bag and throw them away.

More scientific information:
At 6 or 7 weeks gestation, the embryo measures approximately 1/4 to 1/2 inch to 13 millimeters, and at 9 weeks it measures about 1 inch millimeters. Frequently, the embryo expelled during a medical abortion is not explicitly visible because it is passed together with other pregnancy tissue and blood ¹⁷.

Doctors in Scotland organized a study in which women did medical abortions at home. One of the researchers, Dr. Gillian Penney of Aberdeen University, stated, “I was very surprised by the level of acceptability to home abortion amongst women. I thought it would be frightening for women and they would want to be with the necessary staff who can give them support through the procedure and reassure them. But women who experienced it for real genuinely felt it was something they could cope with in the home. Many preferred their own choice of companions they could have in their own home, and being able to use their own toilet facilities ⁴⁶.

Help me, I have an unwanted pregnancy, what can I do?

If you live in a country where it is permitted to have abortion safe and…

What is a medical abortion?

A medical abortion uses a medicine or a combination of tablets to cause the non

Is it difficult to use Misoprostol by yourself?

No. You can take Misoprostol on your own. Using Misoprostol is no more…

How to use misoprostol (cytotec) to cause an abortion?

You will need 12 pills of misoprostol, 200 micrograms (mcg) each. To cause an…

How can I get Misoprostol?

Instead of using Misoprostol alone it is much more effective (99%) to do a…

Which brand of misoprostol should I use and can different brand names can be used together?

Misoprostol alone has the following brand names: Cytotec (200µg Misoprostol…

Which type of pill containing Misoprostol is the most effective to cause an abortion?

All brands are effective. The most important thing is that the pills contain…

I cannot get Misoprostol. Could you please send them to me?

If you live in a country where there is no access to safe and legal abortion…

I am more than 12 weeks pregnant and can travel; where can I find clinics that can help?

Late abortions are available in the following countries:

Can Misoprostol be used if you have Chlamydia?

An infection with Chlamydia is one of the main causes of infertility and must…

Are there injections that could end my pregnancy?

The only injection that can successfully end a pregnancy is methotrexate. This…

What is Methotrexate?

Methotrexate can be used to induce an abortion in combination with Misoprostol…

Do antibiotiocs have an effect on the contraceptive pill and/or Misoprostol?

Antibiotics can diminish the effectiveness of the contraceptive pill as it may…

Does Provera (a progesteron) help to induce an abortion?

No it does not. Provera does not contain a working substance to make the womb…

How do you know if you are pregnant and how long you have been pregnant for?

Most women determine that they are pregnant if they are sexually active and…

How many weeks into your pregnancy can you do a medical abortion?

You can do a medical abortion at home until the 12th week of your pregnancy.

I've been pregnant for more than 12 weeks. Can I still use Misoprostol?

Misoprostol still works after 12 weeks of pregnancy. However 4% to 8% of women…

What if you are not pregnant but take the medicines anyway?

Your health will not be harmed if you are not pregnant but take the medicines…

What are hCG levels during pregnancy?

hCG levels in weeks from Last Menstrual Period :

What if you have a RH - bloodtype?

Usually doctors advice women who have an (surgical) abortion or miscariage or…

When you should not do a medical abortion?

You should not use the medicines if:

What is a contraindication and how do you know if you have one?

Contraindications are conditions or situations might keep you from being able…

What is an ectopic pregnancy and how do you know you have one?

An ectopic pregnancy is a pregnancy that grows outside the womb, usually in a…

Can I have an abortion if I have an IUD?

An IUD is a contraceptive, a small coil of about 3 cm inserted by a doctor into…

Why shouldn't you be alone when you do a medical abortion and what if you do it alone anyway?

You are strongly advised to use the medicines in the presence of someone you…

Why should you be within 60 minutes of a hospital or first aid centre when you do the abortion?

It is absolutely necessary to be within one hour of help, in case you lose too…

What painkillers can you use?

NSAID's like Ibuprofen, Diclofenac and Naproxen are the most effective…

Can (homeopathic) medication that decreases menstrual pain be used with Misoprostol?

Because some of these medications might counter the contractions of the womb…

How should you use Misoprostol (cytotec)?

You will need 12 pills of misoprostol, 200 micrograms (mcg) each.

Are there other ways to use the Misoprostol?

We strongly advise you to use Misoprostol under your tongue. This way, no…

Can you use Misoprostol if you are still breastfeeding?

It is better not to breastfeed during the first 5 hours after taking…

Is it safe to have a medical abortion if you've already had one in the past?

Women are fertile for about 40 years. Some women need more than one abortion…

Can I take part of the Misoprostol/Cytotec orally and part vaginally. Is this effective?

We strongly advice women to use Misoprostol under the tongue (dissolve under…

Can you eat or drink while you are taking the medicines?

You should not drink any alcohol or use drugs, as it can affect your judgment.

When will you start bleeding and how long will it last?

After using Misoprostol you should expect bleeding and cramps. Bleeding usually…

Can you go to work while doing the abortion? For how long must you rest before returning to work?

It is best to take Misoprostol on the weekends or when you can rest for a bit.

I took the first dose of Misoprostol and started bleeding. Should I take the next doses?

Yes, you must take the next doses, despite the blood loss. Scientific research…

How much and what colour is the blood loss?

The general rule is that fresh blood is red and old blood is brown. While…

What are the side effects of Misoprostol?

The medical abortion normally causes side effects such as pain and cramping, as…

I've used Misoprostol a few days ago and I'm still in a lot of pain. Is this normal?

If the treatment was successful, you should no longer have any pain, just blood…

I've used Misoprostol but the pregnancy test is still positive. What should I do?

Sometimes, pregnancy test are still positive 3 or 4 weeks after the abortion

What is a complete, successful abortion and how do you know you've had one?

A complete abortion means that the body has expelled all the products of…

How do you know if you have complications and what should you do?

If performed in the first 10 weeks, a medical abortion carries a very small…

How do you know if you have a post-abortion infection?

Infections following medical abortions are very rare. If you feel weakness

How do you know if you have an incomplete abortion?

An incomplete abortion is an abortion that has only been partially successful.

What is a curettage/vacuum aspiration and is it necessary after medical abortion?

Vacuum aspiration (MVA)is a surgical intervention to remove the contents of the…

Can Misoprostol be detected in a blood test?

Misoprostol disappears from the blood after 12 hours, and it does not show up…

How do you know if you have a continuing pregnancy?

Continuing pregnancy is a pregnancy that continues to develop even after the…

What are the chances that the fetus will be malformed if you have an ongoing pregnancy?

If you have an ongoing pregnancy after using Misoprostol, the risk of having a…

Do you need to have an ultrasound after doing a medical abortion?

If you do not have symptoms of a complication, it is not necessary to have an…

Do you require psychological counseling after you have had an abortion?

Most women do not need any psychological help after an abortion. Feelings of…

What are the risks?

Many illegal abortions are unsafe and are carried out without proper…

How long will it take before Misoprostol will have effect and for how long will symptoms (bellyache, nausea, blood loss etc.) last?

In most cases Misoprostol will have an effect within 4 hours and you will start…

I used Misoprostol, there was some blood loss but not that much, has the abortion been successful?

It is very difficult to determine whether an abortion has been successful and…

I used Misoprostol; bleeding is like during menstruation.

Should I go to the hospital?

You do not have to go to a hospital, but you should get an ultrasound or do a…

Can you get pregnant again immediately after using Misoprostol?

Yes. You must immediately start taking precautions. For contraceptive methods…

Does medical abortion increase the risk of breast cancer?

No, having an induced abortion does not increase a woman’s chance of developing…

How long must you wait before starting to have sexual intercourse again after the abortion?

It is best to wait 4-7 days after taking the Misoprostol to have sexual…

Is a medical abortion dangerous?

Medical abortions performed in the first 12 weeks of pregnancy have a very low…

Will you be able to get pregnant and have children after a medical abortion?

A medical abortion does not affect your ability to conceive or bear a child in…

When can you get pregnant again after having a medical abortion?

Although it may be several weeks after your abortion before you get your…

How can you prevent a future unwanted pregnancy?

About 85% of sexually active women who do not use contraceptives become…

Where can I buy the abortion pill (RU 486, mifepristone, mifeprex, mifegyne, Zacafemyl)?

RU 486 (the abortion pill, Mifepristone, Mifegyne, Mifeprex, Zacafemyl)) is…

Do I have an infection?

Do I have an infection? A fever could indicate that you have an infection. If…

I've tried Misoprostol but had no or very little blood loss. Did the treatment work?

If you still do not bleed and you are positive that you were pregnant, then you…

Life is a miracle! - BU KHMAO-Yugra "Fedorov City Hospital"

Voice

LET YOUR CHOICE BE CONSCIOUS!

Are you considering terminating your pregnancy? Surely, it was not easy to make this choice, because the truth is that right now, under your heart, a defenseless, tiny creature, a small living person, your child, who wants to see the Sun, is growing and developing. Before he was conceived, he was not, and after he leaves you, he will never be again. By terminating a pregnancy, you will forever lose the opportunity to look into his eyes, answer his smile, give him your love and affection.

If circumstances force you to terminate a pregnancy for medical reasons, be sure to consult with specialists again and again, it is quite possible that there are chances and opportunities to save the life and health of your baby, no matter how much effort and time it costs. Experience shows that the most frightening forecasts do not come true and the baby is born quite healthy! When making a diagnosis, the possibilities of new technologies may not be taken into account, the data of the obtained analyzes may not be correctly interpreted. To confirm the forecasts, contact several specialists at once (geneticists, surgeons, cardiologists, etc.).

If you are considering terminating a pregnancy for any other reason, please read this information leaflet carefully before making the final decision, without exaggeration, one of the most important decisions of your life. Let your choice be conscious.

THE RIGHT OF CHOICE INCLUDES THE RIGHT TO KNOW

If you find yourself in an unwanted pregnancy, you have several choices. The situation of unwanted pregnancy is always a stressful situation. And in a state of stress, it is not easy to think consistently, make informed decisions. It is difficult to imagine your future and how one decision of yours can affect your entire future life.

This information booklet provides information about a child's life until birth, the various methods of abortion and the risks associated with their use. Here you will find answers to the questions that women usually face when they are faced with a choice - to terminate the life of their child or not.

Before you make your choice, you need to get the most reliable information, because you have to make one of the most important decisions in your life. Despite the state of stress, you must carefully weigh everything. Before you decide on anything, carefully consider all options for action.

Here are the main choices:

1. Save the child and know

2. Have a child and give it up for adoption.

3. Terminate your child's life

Whichever choice is made, one thing is certain: the first two options do not involve life-long pangs of conscience for self-destruction of the life of one's own child (a phenomenon known in clinical psychology as " post-abortion syndrome).

IF I HAVE BEEN TOLD EARLY.

Some of the women who have had an abortion say they have no regrets about what happened. But most women, when they decide to get pregnant again and have a baby years later, are shocked to learn amazing information about intrauterine development of a child - something that, it turns out, they would like to know BEFORE they once decided to have an abortion. The fact is that the life of a unique human being begins from the moment of conception: from the moment of the fusion of male and female germ cells.

Already the very first cell of a new person - the zygote has all the fullness of human dignity, is the bearer of a unique personality and contains all the information about a person: his gender, height, hair color, facial features, the structure of all proteins, blood group, abilities. This cell is NOT part of the mother's or father's body, but is a completely unique human being with its own unique gene pool that has never existed before in history and will never exist again.

Thus, the widely held opinion proclaimed in attempts to justify abortion, which sounds like "a woman has the right to dispose of her body" is not always understood in its entirety. Indeed, a woman is not only entitled, but also obliged to manage her body: take care of it, take care of it, because this is in accordance with her human nature. But her child is by no means a part of her body - it is a completely different person. His little life has already begun, he is very small and defenseless until he can exist without his mother, and together they still have a lot to overcome.

Photo: © Lenart Nilson.

Source: © Nilson L., Hamberger L. “The baby is born!”. M., Kind book, 2007.

Photograph of a two-celled human zygote (embryo). In humans, the first mitotic division of the zygote occurs approximately 30 hours after fertilization, which is due to the complex processes of preparation for the first act of crushing. The life of a unique person has already begun from the moment of his conception. In the future, it only grows in size and develops

Approximately 6-7 days after fertilization, a small person (embryo) should attach to the uterus. The period of implantation of the embryo into the uterus is the first critical period in the development of a small person. Implantation - the introduction of the embryo into the wall of the uterus - begins from the 7th day after fertilization and lasts about 40 hours. During implantation, the embryo is completely immersed in the tissues of the uterine mucosa.

Photo: © Lenart Nilson.

Source: © Nilson L., Hamberger L. “The baby is born!”. M., Kind book, 2007.

By the end of the 1st week of development (6-7th day of pregnancy), the embryo is introduced (implanted) into the uterine mucosa. The surface cells of the embryo, which form a vesicle - trophoblast (from the Greek trophe - nutrition, trophicus - trophic, nourishing), secrete an enzyme that loosens the surface layer of the uterine mucosa. The latter is already prepared for the introduction of the embryo into it. By the time of ovulation (release of an egg from the ovary), the uterine mucosa becomes thicker (up to 8 mm). The uterine glands and blood vessels grow in it. Numerous outgrowths - villi appear on the trophoblast, which increases the surface of its contact with the tissues of the uterine mucosa. The trophoblast turns into a nutrient membrane of the embryo, which is called the villous membrane, or chorion. At first, the chorion has villi on all sides, then these villi remain only on the side facing the wall of the uterus. In this place, a new organ develops from the chorion and the uterine mucosa adjacent to it - the placenta (children's place). The placenta is the organ that connects the mother's body with the fetus and provides it with nutrition.

The fact of the emergence of a new life is confirmed by "two strips" of a pregnancy test. It is the child from the first days of his existence that secretes a special chorionic hormone. The principles of early diagnosis of pregnancy are based on the discovery of such a hormone.

A few days after conception, a child's respiratory, nervous and digestive systems, internal organs are formed. On the 21st day, the rudiment of the heart begins to pulsate, the child's own circulatory system comes into action. His blood does not mix with the mother's blood and may well differ from her in group.

6 weeks after conception, arms, legs, eyes, nose, ears are formed, with the help of the device it is possible to take an encephalogram of the brain. At 6 weeks, the baby makes the first movements, although the mother does not feel them yet, since he weighs only 30 grams.

A seven-week-old baby swims freely in the amniotic fluid. If something tickles his nose or mouth, he throws his head back and reacts to any irritation. At this age, the heartbeat of the child is clearly audible.

At 10-11 weeks, the baby is so small that he could stand on his father's little finger, but he can already be fingerprinted, he moves his eyes, his tongue. He swallows amniotic fluid more often if it is sweetened, and stops swallowing if it is bitter.

At 11-12 weeks, the baby breathes, reacts to light, heat, noise. All the main systems of his organs are formed, then the child only grows and develops while the pregnancy lasts.

Photo: © euthman

Source: http://www.flickr.com / photos/euthman / 548063929

The size and anatomical features of the development of the child in the photo allow you to set the gestational age within 7 weeks from the moment of conception.

History of the photo: a woman was diagnosed with an ectopic pregnancy, the further development of which threatened the life of the mother and did not allow saving the life of the child. For medical reasons, the woman was operated on. The photograph clearly shows the child's head, arms, legs, fingers, eyes, ears.

At 14 weeks, a baby's heart pumps 24 liters of blood a day. He falls asleep and wakes up with his mother. If a bright light is directed at him, he will cover his face with his hands.

Photo: © drsuparna

was diagnosed with pre-invasive cervical cancer. For the sake of the future health of the woman, it was decided to perform a complete removal of the uterus. The baby in the photo, inside the amniotic sac, is still alive. Pregnancy 8-9weeks from conception. Eyes, ears, fingers, a dark area in the right side - the baby's liver are clearly visible. The internal organs are almost formed. In fact, a little man is already looking at us, in external outlines it completely resembles a small child. And this is just 60 days after it was only one cell in size!

From the moment of conception to the moment of birth, the child already exists and only develops, increasing in size. Thus, artificial termination of pregnancy at any time is a deliberate artificial interruption of the life of an already conceived person. It is this reality that lies behind such a widely used and seemingly harmless word "abortion".

ARTIFICIAL ABORTION

Induced abortion (Latin abortus) is a deliberate termination of pregnancy. Medical induced abortion is performed by an obstetrician-gynecologist in a specialized department of a hospital, maternity hospital, antenatal clinic or private clinic. To date, there are several methods of artificial termination of pregnancy in the early stages of pregnancy.

Medical non-surgical abortion

Medical abortion refers to a medically induced abortion instead of a surgical abortion. Often ends with surgery and serious physical and moral consequences. Associated with taking an ordinary-looking pill, medical abortion is also designed to reduce the guilt that inevitably and naturally arises in every woman after an abortion.

The action of drugs such as Mifegin, Mifepristone, RU 486, Pencrofton, is to initiate in the mother's body the mechanism of separation of an already conceived child from the uterine wall. Then the woman may receive a drug that provokes uterine spasms, as a result of which the dead child is pushed out. If there is no effect from the use of the drug on day 14 (incomplete abortion or ongoing pregnancy), surgery (vacuum aspiration) is performed.

There is a misconception that medical abortion is an alternative to abortion. This is wrong.

Medical abortion is just one of the methods of artificial termination of pregnancy, as a result of which a small person dies in the same way as with other methods.

Mini-abortion

Mini-abortion (vacuum aspiration) is carried out at an early stage of pregnancy, as a rule, when the period is up to 21 days late. The word "mini" does not mean the number of complications, but only the period, and more precisely, the diameter of the fetal egg. Despite the fact that mini-abortion is performed at an earlier date, it is also a means of terminating the life of an already conceived child. The physical, moral and emotional consequences of a mini-abortion are no less complex and dangerous than the complications after a surgical abortion.

Surgical (instrumental) abortion

Performed at 5 to 12 weeks of gestation. Surgical abortion should be performed by an experienced surgeon under local or general anesthesia. The cervical canal is expanded with special instruments, then a curette is inserted and the walls of the uterus are scraped out. With this method of abortion, the likelihood of infectious complications is high. There is a possibility of injury to the walls of the uterus (perforation) - a rare but dangerous complication. The pregnant uterus has more loose and vulnerable walls, especially at the site of attachment of the embryo. The operation is done “blindly”, literally by touch. Such manipulation sometimes results in leaving parts of the embryo and the need for repeated curettage.

CONSIDER

Artificial termination of pregnancy or abortion is the only medical operation, the purpose of which is not to cure the disease, but to stop the new life that has arisen. Not a single abortion passes without a trace for a woman's health.

Throughout the history of human civilization, induced abortion has not been qualified otherwise than as homicide. All religions of the world view induced abortion as the murder of a child. The Hippocratic Oath, until it was changed in the 20th century, categorically forbade abortion. The European legal tradition provided for criminal liability for those involved in the commission of an abortion. Before the October Revolution 19For 17 years, the expulsion of the fetus in Russian criminal law was qualified as a type of murder.

Modern scientific data confirm the traditional religious and philosophical ideas about the beginning of human life, in fact, at the moment of conception and, accordingly, the validity of the extension of the natural law, Hippocratic and biblical imperative “Thou shalt not kill” on a little person in the womb of the mother.

If we talk about the state of abortion legislation in the world as a whole, then in 98% of countries today allow abortion in order to save a woman's life, in 62% - in order to preserve her physical and mental health, in 42% - in cases of pregnancy after rape or incest, in 40% - due to a defective fetus, in 29% - for economic and social reasons, and only in 21% - at the request of a woman. Russia has one of the most liberal abortion laws. Our little children, between

and

while they are in the womb, are among the most defenseless in the world.

Due to the widespread practice of artificial termination of pregnancy in our country, Russia has one of the worst birth rates and reproductive health of the population in the world. Abortions most often cause the inability to conceive and have a child in the future.

HEALTH CONSEQUENCES OF ABORTION

Even with the strictest observance of the relevant rules and regulations for the operation, there is no 100% guarantee of preventing possible complications for the woman's health, both during the abortion itself and in the period after it.

In almost 100% of cases, an operation to terminate a pregnancy results in inevitable death for a child. Alas, this is the goal that was originally set during such an operation - to interrupt a small life.

The development of certain complications depends on a number of factors: the general state of health of the woman, the method by which abortion is performed, the qualifications of medical personnel, the quality of medicines. In fact, not a single abortion passes completely without a trace for a woman's health, regardless of the gestational age.

1) Acute inflammatory diseases of the uterus, ovaries, fallopian tubes and surrounding organs.

After an abortion, the entire inner surface of the uterus is a wound. Even if the woman was healthy before the abortion, and the doctor performed this operation perfectly, often an infection takes root in the gaping vessels, and the inflammatory process begins. It can be mild or severe, with or without clear signs of inflammation. The adhesions formed as a result of this disrupt the patency of the tubes and can be the cause of an ectopic pregnancy. Inflammation of the uterus leads to disruption of menstrual function and the ability of the uterus to attach a fertilized egg.

2) Bleeding. To one degree or another, it always happens. If it becomes abundant, it is necessary to re-scrape the uterine cavity, which aggravates its injury. If bleeding continues, the question arises of surgical treatment, and this is the risk of losing the reproductive organ. Blood transfusion may be required to replace blood loss.

3) Perforation (perforation of the uterus). This complication is quite rare, but it requires a mandatory operation: at best, suturing the wound of the uterus, at worst, removing the organ.

1) Infertility. Due to inflammatory complications, chronic diseases of the appendages and ovaries, adhesions and, as a result, infertility can develop. Many experts attribute the high number of infertile couples in the country to the consequences of abortion.

2) Recurrent miscarriage, premature birth. Scientific evidence suggests that up to 30 percent of perinatal losses are due to miscarriages and preterm births in women who have previously terminated a pregnancy.

Trauma to the cervix (insertion of instruments to dilate the cervix during an abortion) leads to inability to bear a pregnancy or premature birth.

3) Still, the most numerous and severe are menstrual disorders with subsequent occurrence of endometriosis, uterine fibroids, hyperplastic processes in the endometrium, recurrent polyps, adenomyosis, hyperthecosis, tecomatosis, "secondary" polycystic ovaries, sometimes metabolic syndrome.

Complications associated with menstrual dysfunction develop gradually, gradually. Most often, the first clinical manifestations of endometriosis, fibroids, hyperplastic processes occur 3-5 years after repeated abortions.

The causes of this suffering are mechanical trauma of the uterus, which always accompanies abortion, hormonal trauma

of all endocrine glands, which are "tuned" to bear pregnancy (especially the ovaries) and inflammation of the genital organs.

4) Ectopic pregnancy - occurs when the patency of the fallopian tube is impaired due to adhesions, and the fertilized egg cannot get from the tube to the uterus. The thin-walled tube is unable to support new life and soon ruptures, causing internal bleeding. If you do not do an urgent operation, the woman will die.

5) Placenta previa - may be the result of damage to the cervical canal during abortion. Baby place - the placenta, which should "nourish" the child, is attached in the lower sections of the uterus, and sometimes blocking the exit from the uterus. Therefore, with heavy physical exertion or with the onset of childbirth, bleeding may occur. To save the woman in labor, a caesarean section has to be performed.

In addition: Abortions can cause weak contractions, postpartum bleeding, and even uterine rupture. And one more thing: if a woman with Rh-negative blood terminates a pregnancy with an Rh-positive fetus, then subsequently children with Rh-positive blood may suffer in the womb or even die from immune aggression.

6) Abortion can cause breast diseases - mastopathy, high risk including cancer. In this regard, termination of the first pregnancy and termination of pregnancy in the late period can be especially dangerous.

MENTAL DISTURBANCES AFTER ABORTION

Some women (as well as men) experience a sense of relief immediately after an abortion, but afterwards they have to deal with completely different sensations. Often it is very painful for them to even talk about these experiences. Some psychologists call this "post-boarding syndrome. "

Why is this happening? A woman is called to be a mother. The ability to grow a new life in oneself gives fullness and value to the female soul. Even if at the level of reason a woman considers abortion inevitable and acceptable, deep down it causes a feeling of severe pain, guilt, irreparable loss. These feelings can come after a few years, even in old age, not weakening, but intensifying over time. Depression develops, aggression towards those people who insisted on an abortion, did not deter from this step. A child is a testament to the love of spouses. If he is “disposed of”, then this cannot but affect the mother’s love for the baby’s father. By acting badly, a person harms himself. Instead of the warmth and gentleness characteristic of mothers, women who have had an abortion have a temper, anger and tension. These experiences reinforce marital conflict. In a significant number of divorced marriages in our time, there is an abortion in their history. The father of the child also subsequently realizes his responsibility for the fact that he once acted cowardly, not providing proper support to his beloved.

A LIFETIME SOLUTION

In an unplanned pregnancy, the prospect of a quick way to become non-pregnant may look attractive. But abortion is not a time machine that can take you back to your pre-pregnancy life, as if you never had a pregnancy.

The Lord has already given you a baby and the consequences of how you treat this gift will stay with you for the rest of your life.

Resist pressure to make a hasty decision. Give yourself a few days to reflect, to make sure that you really know all the consequences of an abortion. Find at this time more information about pregnancy, about the development of a new life, about the true essence of what lies behind the concept of "abortion". You have the right to know about all of your choices and to have access to information that could influence your decision about your future and the future of your child. Do not rush to sign any papers on personal responsibility until you fully understand the essence of the issue.

LET A CHILD INTO YOUR HEART

One of F. M. Dostoevsky said that if only one tear of an innocent baby is needed to create paradise on earth - just one tear! - even then he will not need such a paradise. And he was right, because it is impossible to build paradise, one's own happiness, contentment and well-being on someone's tears, on someone's suffering, on someone's grief. With an abortion, we are no longer talking about tears, but about blood, about our blood relatives, small children.

If parents are expecting a baby, then no matter how long the pregnancy is, for the parents it is already their “baby”. It may still be very small, smaller than a grain of rice, but already very, very desirable. And vice versa, if a child is “unwanted” for parents, he will be a “lump of cells”, “embryo”, “fetus” for them. They will look for various excuses in order, first of all, to convince themselves of the moral permissibility of interrupting the life of their own baby. However, the moral sense still tells a woman that if she is pregnant, then by and large, she no longer has a choice to remain pregnant or not, her child already exists and she is already a mother. The only choice she can make in this situation is to choose the way the baby leaves her womb: during childbirth - alive, or during an abortion ... dead ... in parts ...

If you find yourself in a situation of an unplanned pregnancy and do not know what to do, think with your heart. Give a child life! He has already come to you, He already lives under your heart. He will bring you his love and his joy. Open up to him. Open your heart to him. Accept this new life. He is very small, but very strong. With him, your life will change, together you will overcome everything. This is your opportunity to find the joy of unity with another life, the joy of motherhood, to find love for life, love for people. This meeting is an inspiration. Don't miss this meeting! There will never be another chance to meet this child.

If, in your opinion, the birth of a child must inevitably be accompanied by very great difficulties for you, so that your very life and the life of your child may be called into question, and it seems that there is no one to help you both, you have no relatives, or friends, or even acquaintances who are ready to take part in your destiny, know that you can always count on the help of caring people, whose contact information you can find on the last pages of this information booklet. Call the helpline and get

those information about what types of assistance a woman in your situation can receive for free. A large number of people are ready to help you right now. The main thing is to do everything to save the life that is already warming under your heart. Let the child into your heart, give him life!

PROVIDING SOCIO-PSYCHOLOGICAL ASSISTANCE IN SITUATIONS OF UNPLANNED PREGNANCY IN THE CITIES OF KHMAO-YUGRA:

Nizhnevartovsk

"District Center for Medical and Social Support of Pregnant Women in Difficult Life Situations" (building of the gynecological department)

st. Lenina, 18 building 10, tel. (3466) 41-20-20

Parish of the Church of the Nativity of Christ st. 60 years of October, 68

tel. (3466) 47-05-80, 40-60-15

Surgut

Maternity Support Center "My Joy" at the Church of the Great Martyr George the Victorious

st. Universitetskaya 12, building 2, tel. (3462) 94-02-05, 60-20-24

Nefteyugansk

Women's consultation md. 8a, d. 16., tel. (3463) 23-89-45, 8 950 5170052

Beloyarsky

st. Barsukova, d. 5, tel. (34670) 2-30-37

Parish of the Church of St. Seraphim of Sarov, Pyt-Yakh

Parish of the Church in Honor of the Icon of the Mother of God "Unexpected Joy"

st. Pravoslavnaya 1,

tel. (3463) 46-59-47, 46-25-61

Pokachi

Parish of the Church of the Intercession of the Mother of God st. Mira 13, tel. (34669) 3-74-05

town. Poikovsky

Parish of the Church of the Holy Trinity md. Korzhavino, building 8, tel. (3463) 21-61-86, 21-82-16

Langepas

Temple in honor of the Icon of the Mother of God

"Joy of All Who Sorrow" st. Parkovaya, house 26,

tel. (34669) 5-02-18, 2-85-88

The situation of an unplanned pregnancy is always stressful for a woman, and in a state of stress it is difficult for her to make an adequate choice, to make an informed decision. Are you pregnant and don't know what to do next? Do not be afraid of anything and fight to the last for the Life of your child! You are not alone. There are people ready to help both of you!

This information booklet was developed in cooperation with the Women's Consultation of the Maternity Hospital No. 4 in Vladivostok and the Primorsky Regional Branch of the All-Russian Public Organization "For Life and Protection of Family Values", Vladivostok.

REGIONAL CHARITABLE FOUNDATION "GIVE LIFE"

Surgut, st. Universitetskaya 12, building 2, tel. (3462) 94-02-05, vk.com/club37376254, e-mail: [email protected].

The booklet was published with the support of the Surgut City Center for Medical Prevention

Termination Questions: page 1

How long is a medical abortion possible? What is a mini-abortion and curettage? Consequences of abortion. The doctors of the medical clinics "Art-Med" answer the questions of patients about the termination of pregnancy.

Ask a Question

The last menstruation was 06/18/2018, 07/23. HCG result - 90.7,28.07. hCG 370.9, but the ultrasound does not show the fetal egg and there are a lot of blood clots. Is this the norm?

An increase in hCG is not an accurate diagnostic criterion for pregnancy.

At 27 weeks I was diagnosed with abdominal ascites, hydrothorax, hepatomegaly and moderate polyhydramnios. They told me to terminate the pregnancy. A perinatal commission was held, which also said to interrupt. I refused. Rh factor is positive and my husband too. Please tell me, is there really no chance?

Based on your description of the fetal ultrasound protocol, it appears to be non-immune fetal hydrops. In such cases, it is believed that the prognosis for the life of the child is unfavorable.

If bleeding does not start immediately after a surgical abortion. The doctor said after three days it's normal.

In the event of bleeding after an abortion, seek medical attention.

Could you tell me, 3 tablets of Elzhina and 3 tablets of Fluomizin could have provoked a miscarriage at 2-3 weeks of pregnancy?

Elzhina is contraindicated during pregnancy. However, it is difficult to say that it was he who provoked an undeveloped pregnancy. Other factors need to be assessed.

First day of last menstruation 03/10/2018. Before that, she went to the doctor, was treated for thrush. 03/07/2018 a smear for thrush was positive. 04/09/2018 took 3 pregnancy tests, all positive, on the same day they took a control smear. 04/11/2018 I went for an ultrasound scan. They wrote that the uterus corresponds to the 2nd phase of the cycle, pregnancy is not visible. 04/12/2018 a smear came, trichomoniasis was found. On April 13, 2018, she began treatment (Trichopolum, Solutab, Osarbon). 04/23/2018 for a smear. Do I have time to do vacuum aspiration after the treatment? And is it possible to do a vacuum aspiration during the treatment?

During treatment, no invasive gynecological procedures are performed.

Good afternoon. At the 17th week of pregnancy, she was diagnosed with hydrocephalus. Ultrasound showed complete filling of the head with fluid. At 12 weeks, all indicators were normal, torch infection was negative. A positive reaction to the herpes virus I and II was revealed. The pregnancy was terminated at 20 weeks by inducing labor. Tell me, if there are no pathologies in the family on both sides, I have never had herpes, my husband often has herpes on his lips - what examinations do I need to undergo? What tests should be taken? I'm 29, pregnancy was the first.

Pregnancy 5 weeks. Have found HPV 16, Cytomegalovirus, Ureaplasma 10 in 4 degrees. Got over the flu. I took Ingaverin and Sumamed for 6 days. Doctors say you need to terminate the pregnancy. Should I stop or can I keep the baby?

You have an increased risk of fetal death and miscarriage up to 8 weeks. After this period, the risk will be the same as for everyone. So it's best to just wait until then. But if there is a threat of miscarriage, it is not recommended to keep the pregnancy.

I took Misoprosol in the gynecology on Wednesday, today I don't feel well, I have headaches and nausea, tomorrow I have to come for the second pill. Is it possible to refuse the pill and ask for a conventional abortion?

If you want to terminate your pregnancy by surgery, this is your right, but medical abortion is the safest method.

I took a test for hcg, the result is 4 weeks pregnant. Is it possible to have a medical abortion at this time?

To resolve the issue of termination of pregnancy, it is necessary to undergo an ultrasound examination.

Ultrasound at 20 weeks of gestation revealed congenital heart disease, bilateral clubhand and fetal clubfoot, screening results at 12 weeks were excellent, pregnancy was terminated. I lead a healthy lifestyle, do not smoke, I have two children from the same husband without the above-described vices, my daughter is 16 years old, my son is 2 years old. There are no facts of the birth of children with clubfoot in the family, I did not pass tests to determine the pathology. What are the chances of having the next healthy baby? What are the possible reasons for this? What kind of tests do my husband and I need to pass before planning the next pregnancy? I am 36 years old, my husband is 37 years old.

Since the diagnosis is not known, it is not possible to give an accurate prognosis for future children. The cause can be either a gene or chromosomal abnormality. Moreover, both inherited and newly emerged. It is advisable for you and your spouse to do a karyotype analysis.

At 30 weeks of pregnancy swelling of the legs, high blood pressure and protein in the urine. Is it possible that this will lead to an abortion?

You describe signs of preeclampsia (toxicosis of the second half of pregnancy). With such symptoms, hospitalization is required for additional examination, therapy and preparation for delivery.

12 weeks of pregnancy, in the fetus of MVPR, on March 28, the geneticist sent for a puncture of the abdomen, then for termination of pregnancy. Can I drink furadonin? Will it affect the test results?

Test results will not be affected by taking this drug.

After pregnancy, anti-Rhesus immunoglobulin was administered, and a medical abortion was performed at 5 weeks of pregnancy. Is it necessary to inject immunoglobulin within 72 hours? Whether there is a probability of a sensitization on such small term? I am Rh negative.

At the embryonic period of 3 weeks (5 obstetric weeks), there is no specific antigen on the erythrocytes of the embryo, therefore, after termination of pregnancy at this period, the introduction of anti-Rhesus immunoglobulin is not indicated.

19-20 weeks of pregnancy, at the moment there is a threat of miscarriage from 14 weeks, also acute cystitis, mild anemia and pyelonephritis, the body does not take pills, severe pain in the lower abdomen, greenish discharge, bloody very rarely, but not strongly. Is it possible to terminate the pregnancy at this time?

Late pregnancy termination is possible for serious medical reasons. The listed features of the course of your pregnancy are not grounds for its termination.

Last period was on January 6-7, every month they shift by 3-5 days. This month, the delay is 3-4 days, the test is positive, it turns out that the gestational age is 4-5 weeks. On ultrasound, the fetal egg is not yet visible, a second ultrasound in a week. I want to have a medical abortion, but I'm afraid that in a week it will be too late. If the fetus is not yet visible, does it mean that fertilization occurred later and in a week it will not be too late? I have the first negative blood type, is it dangerous for me to have such an abortion? And whether it is necessary to prick immunoglobulins?

Without a confirmed pregnancy in the uterine cavity, no one will perform a medical abortion. Ultrasound is a must. You will be examined and, if the Rh negative factor is confirmed, an immunoglobulin injection will be prescribed.

December 14th I had a pharmacist at 5 weeks of pregnancy, now I regret that I did it. I have one child who had a caesarean section. When can I plan a new pregnancy? I am 31 years old.

You need to have an ultrasound of the pelvic organs in the first phase of the menstrual cycle, undergo an examination by a gynecologist and plan a pregnancy 2-3 months after the medical interruption.

6 weeks of pregnancy, decided to terminate the pregnancy by medication, took 1 tablet for uterine contractions. At the last moment, she changed her mind, decided to keep the pregnancy, the uterus was in good shape, but the fetus was preserved. Will this affect the child's health in any way? Or should I have an abortion? I am 37 years old.

In your case, the risk of congenital malformations in the fetus is slightly increased. There are no grounds for termination of pregnancy.

6 weeks pregnant from the start of the last period. According to ultrasound: 4 weeks, the embryo is not visible and the yolk sac is 2 mm, missed abortion. There are chances that the deadline was set incorrectly and it is not frozen?

If the cycle was irregular, then it is possible that the gestational age does not match the data of the last menstruation. It is recommended to repeat the ultrasound examination after 3-7 days and take a blood test for hCG in dynamics.

November 14 was the first day of the last menstruation, she was examined for HPV, treatment was prescribed: Likopid, Trichopolum, Makmiror, Panovir Spray and Remedy. I finished taking all the medicines and found out that I was pregnant. What are the chances of having a healthy baby?

You have a moderately increased risk of fetal death and miscarriage before 8 weeks of gestation. After this period, the risk will be the same as for everyone - population (relative to malformations in the fetus)

24 weeks of pregnancy, the first ultrasound was all right, the second showed a kidney tumor and cysts. The doctor talks about the termination of pregnancy, the third ultrasound confirmed the formation of a tumor. Is ultrasound in this case the basis for termination of pregnancy?

Ultrasound is not the final criterion for termination of pregnancy, except in cases of verified fetal death. The decision is made by the family after consultation with specialized specialists (pediatricians, surgeons). Tumors are of various types, many are successfully operated on. When prolonging pregnancy, it is necessary to undergo an examination in dynamics and assess the general condition of the fetus.

I had an abortion at the 6th week of pregnancy, on November 6 I took the first pills, on the 8th - the next ones, bleeding began, a week later I did an ultrasound, they said that the fetus came out, but there were clots - the doctor removed them, after a couple of days they repeated the ultrasound - the clots were cleaned out, the doctor said everything was fine. The bleeding ended on November 24, there was no discharge, but on November 28 they began again. What could it be? The first pregnancy ended in a caesarean section, I have fibroids, but they are small and cervical erosion. What started the discharge again? I am 28 years old.

Termination of pregnancy is a great hormonal stress for the body, against this background there may be a violation of menstrual function.

12 weeks of pregnancy, the first ultrasound was made - non-developing pregnancy, term 8 weeks, CTE 14 mm, heartbeat, fetal movement is not determined, the yolk sac is sclerotic. Could there be a mistake, suddenly they messed up with the deadline and he is alive, but they didn’t hear a heartbeat?

At the 8th week of pregnancy, the heartbeat and movement of the fetus is visualized by ultrasound, to clarify the situation, repeat the ultrasound.

Pregnancy 3, 15 weeks. Severe varicose veins of the 2nd degree of the lower extremities, protrusion of the intervertebral discs L4-L5-3. 8 mm, L5-S1-4.1 mm, gallstone. Up to 12 weeks I felt good, did not interrupt. Now my right leg hurts a lot, it hurts to walk, I lie a lot. I'm going to work soon, I'm afraid that I won't be able to walk at all and report the pregnancy. Can I terminate my pregnancy, where should I go? I am 37 years old.

You need to visit a neurologist or a neurorehabilitologist. The doctor will select a set of physical therapy exercises that will help keep your back in good condition and carry the pregnancy through.

I had a mini-abortion at the 5th week of pregnancy, there were spotting for 5 days. A week later, the discharge began, as with normal menstruation, it has been going on for two weeks. I took a pregnancy test - 2 strips. What is this?

To clarify the situation, an ultrasound of the pelvic organs should be performed.

3 weeks pregnant. She took drugs: trichopol, furadonit, hexicon suppositories, viferon, acyclovir, injections of solcoseryl, B6, cycloferon, B1. Is it possible to hope for a healthy baby and not terminate the pregnancy? I am 22 years old.

You have an increased risk of fetal death and miscarriage up to 8 weeks. After this period, the risk will be the same as for everyone - population.

5 weeks of pregnancy, according to ultrasound - non-developing. Doctors say that it is urgent to do an interruption, but I feel good. What happens if you wait another month?

The longer an undeveloped fetal egg “sits” in the uterine cavity, the higher the likelihood of developing endometritis, bleeding and problems with the blood coagulation system.

6 weeks and 2 days pregnant, twins. In January of this year, there was a caesarean section, the baby is healthy, everything is fine. What are the chances of enduring and that everything will be fine? Should I have an abortion?

The probability of successful pregnancy with twins in this situation is not too high. But the decision is up to you.

4-5 weeks pregnant. After the first birth, 6 months passed, immunoglobulin was administered. Is it possible to have a medical abortion and what are the consequences?

If you do not want this pregnancy, you are free to terminate it. The most gentle way to terminate a pregnancy is medication. The consequences of abortion are described in detail in the articles on our website.

Diagnosis: mitigated measles. The last menstruation was on March 5, ovulation - March 18, hCG - 150. Is it necessary to terminate the pregnancy in this case?

Not necessarily, the risk of congenital malformations in the fetus is less than 1%. Make an expert ultrasound at 11-12 weeks of pregnancy.

I had a medical abortion on December 24 at 5-6 weeks of pregnancy. At the end of January, the result of ultrasound: an ovarian cyst and several fibroids. The endometrium is good.

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