Mini abortion

Mini abortion is a procedure that allows you to terminate a pregnancy at an early stage using a minimally invasive and low-trauma method. The availability of this procedure is high, as are the possible indications for its implementation. But there are some features in the technique of implementation and cases in which it is indicated, which must be taken into account before such a procedure. Before doing any surgery, even if it is a low-trauma procedure, you need to familiarize yourself with possible complications and know the degree of risk you are taking.

Basic information about mini abortion

This procedure is performed only in medical institutions, but it can be done at will, and not only for medical reasons. This significantly expands the use of this method in everyday use, which is both good and bad.

The first indication for a mini abortion is the woman's desire to terminate a pregnancy. The attitude to termination of pregnancy is not discussed in this article, because each case is unique and individual, so the woman's desire is considered an indication for this procedure. In addition, there are other indications for a mini abortion. First of all, this is a huge group of cases of termination for medical reasons. If a pathology has been established in the family, which is genetic and inherited, this may be an indication for a mini abortion with the woman's consent. Also, an indication may be a congenital defect diagnosed in a child during pregnancy. Another absolute indication for termination of pregnancy is rubella in a woman during pregnancy.

Another group of indications is relative. This group includes infectious diseases of a woman in the early stages of pregnancy, which can cause pathology in the future child. Such indications include active acute cytomegalovirus pathology, herpesvirus pathology, toxoplasmosis, syphilis, AIDS. All these diseases require careful monitoring, therefore, in case of pregnancy, it is necessary to explain to the woman the possible harm and offer an early termination.

Until what period can a mini abortion be performed? This question is very important, since serious complications may occur with incorrect indications. First of all, it should be said that termination of pregnancy at the request of a woman is possible only up to twelve weeks, while for medical indications, termination of pregnancy is possible up to twenty-two weeks. In the early stages, non-invasive methods of abortion are possible - this is a medical abortion up to six to seven weeks. This method consists of drug stimulation, which ends with a kind of mini abortion. Then surgical methods are performed - this is curettage of the uterine cavity or surgical abortion up to twelve weeks. After this period, only a medical termination of pregnancy can be performed. As for a mini abortion, the optimal period for this intervention is up to five to six weeks. After this period, this procedure is not recommended due to the occurrence of possible serious complications.

Contraindications to mini abortion are very broad, which must be taken into account when planning this pathology. All contraindications can be divided into relative and absolute, as well as general and local. Absolute contraindications are cases in which this procedure cannot be performed under any circumstances. These include, first of all, an ectopic pregnancy. In this case, it will not be possible to eliminate such a pregnancy, but only severe bleeding can be caused. This is one of the local contraindications. Concomitant acute inflammatory diseases of the internal or external genital organs can also be a contraindication. It is very important that this procedure does not exacerbate the course of chronic adnexitis. The presence of a cervical cyst or an endometrioid cyst of the uterine cavity is also a contraindication to this procedure. General contraindications to mini abortion are acute inflammatory processes of other organs and systems, oncopathology in the active phase, as well as blood diseases that are accompanied by a violation of its coagulation.

The advantages of a mini abortion are, of course, its low-trauma nature, which is important, especially if the woman is young and this is her first abortion. This is due to the peculiarities of the procedure technique. Such intervention makes it possible to significantly reduce the duration of the rehabilitation period and after the procedure, in the absence of complications, the woman can go home. This also applies to rehabilitation associated with the next pregnancy, because after a mini abortion, a repeat pregnancy can be much faster than after a surgical abortion.

As for the disadvantages of a mini abortion, these are the terms of its implementation. After all, this procedure is possible up to six weeks of pregnancy, when not every pregnancy can be detected, especially in women with ovarian-menstrual cycle disorders. Also, the technical procedure is considered a disadvantage, because not every hospital, especially a state one, can perform this procedure. More often than not, this technical support is not cheap, so where you can do a mini abortion, it is quite expensive, since in most cases these are private clinics.

Do not forget about complications. What is the danger of a mini abortion? First of all, with insufficient aspiration of the ovum and its membranes, there may be remnants of the decidual membrane, which, if persistent for a long time, may lead to chorionepithelioma. This is a malignant disease that has an unfavorable prognosis. Therefore, performing a mini abortion at a later date is prohibited, because then the contact of the ovum with the endometrium is very dense and it is possible to leave tissue particles, which will cause such a transformation. Also, a mini abortion is dangerous due to the development of bleeding, although this is a minimally invasive method, but if a large vessel of the uterus is affected, bleeding from severe to minor discharge is possible. If the rules of asepsis or antisepsis are violated, or if a woman has concomitant inflammatory diseases of the genital organs, then a mini abortion is dangerous due to the development of ascending infectious diseases involving the ovaries, fallopian tubes or urinary system organs.

These are the main points to consider before carrying out this procedure.

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Technique of performing a mini abortion

Preparation for the mini abortion procedure should be comprehensive in order to avoid possible complications, both from the abortion itself and from pregnancy in the future.

It is necessary to accurately determine the gestational age, because this procedure is very limited in time. Therefore, it is necessary to conduct a comprehensive examination of the woman on the chair, find out the possible gestational age by the date of the last menstruation, and also conduct additional research methods. It is imperative to conduct an ultrasound examination, which will answer all possible questions about the gestational age, the exact location of the ovum and the presence of concomitant pathology. It is also very important to conduct a bacterioscopic examination of a vaginal smear. This allows you to exclude an inflammatory process and makes it possible to carry out invasive interventions without the risk of ascending infection of the internal genital organs. These are the general rules for preparing for this procedure, which all women must go through. If a woman has any concomitant diseases, then you can consult with specialists on a particular problem.

Anesthesia during a mini abortion is chosen by a specialist and depends on the duration of the intervention and the presence of concomitant pathologies. More often, a mini abortion is performed under general anesthesia, which allows the woman to relax and the postoperative period passes in a less tense psychological environment.

The technique for performing a mini abortion may differ if we are talking about any termination of pregnancy at the earliest stages.

Mini abortion with pills is an accessible and easy method due to the possibility of its implementation in an outpatient setting, but under the strict supervision of a doctor. For this purpose, hormonal drugs are used. This type of abortion is carried out in two stages. The first stage is the intake of a progesterone antagonist, which ensures the rejection of the fertilized egg from the uterine cavity and causes, in fact, an involuntary miscarriage. In this case, the woman is under the supervision of a doctor. After the rejection of the fertilized egg has occurred, it must come out under the influence of contraction of the muscle fibers of the uterus. Therefore, the second stage of medical abortion is the intake of prostaglandin drugs after 48 hours. These drugs stimulate contraction of the uterus, and the fertilized egg comes out of the uterine cavity in the form of bloody discharge. After this, after a week, it is necessary to undergo a repeat examination and ultrasound examination, as a control of the woman's condition.

Mini abortion at home involves the use of various methods, herbs that stimulate premature contraction of the uterus and the release of the fertilized egg. But such methods are very dangerous, as they can provoke severe bleeding with serious complications. Therefore, such methods cannot be used, especially considering the availability and ease of a qualified doctor's consultation and professional abortion.

Mini abortion with vacuum aspiration works on the principle of a home vacuum cleaner, only it has thirty times more power. In this case, this method should be carried out under ultrasound control, which allows you to accurately determine where the fertilized egg is. In this case, the cervix is first dilated using laminaria or prostaglandin, and then a sensor is inserted, which is directed to the embryo under ultrasound control. After this, a device is attached, which sucks out the fertilized egg. This is the main principle of this method.

Surgical mini abortion is a premature termination of pregnancy at an early stage, which can be performed up to twelve weeks. Therefore, this method is most widely used, because most often it is at 9-10 weeks that pregnancy is confirmed. In this case, technically, the uterine cavity is scraped with an internal functional layer of the endometrium, which is a very traumatic procedure, compared to vacuum aspiration. Therefore, if possible, preference should be given to mini abortion with vacuum aspiration.

Mini abortion for uterine fibroids can also be performed if the fibroid is local and manifests itself as a node in the uterine cavity, which is located submucously. Then surgical mini abortion is the most justified method of treatment, which has priority. The use of a vacuum can cause bleeding, so it is not recommended.

Consequences and complications of mini abortion

It is always necessary to remember the possible complications of any action, even if these are minimally invasive methods, they can still have a serious impact on health.

The most serious consequence of a mini abortion is a hydatidiform mole and chorioepithelioma. These complications can develop with an incomplete abortion, when parts of the decidual membrane remain, which have a tendency to malignant growth. Also, complications of the mini abortion procedure itself are bleeding, which can be either severe or minor bloody discharge. Discharge after an abortion can last for several days, and in addition to being bloody, it can have a purulent appearance, in which case you should pay attention to this, since this already indicates a serious inflammatory pathology.

Abdominal pain after a mini abortion is also a common symptom, since the uterine cavity is irritated, and the response is a spasm of muscle fibers and pain in the lower abdomen. Such pain may be normal and should not be severe or bother you for a long time. Therefore, any intense pain requires a second examination and examination by a doctor.

Temperature after a mini abortion can rise under normal conditions to subfebrile numbers, if such a rise is higher than these numbers, then you need to think about a possible cause. Such a cause may be inflammation after a mini abortion, which develops with exogenous infection or after activation of an internal source of infection. That is why not only a thorough examination and preparation for a mini abortion is necessary, but in some cases it is also necessary to undergo prophylactic postoperative antibiotic treatment.

Bloating after a mini abortion may be due to digestive problems after anesthesia, when intestinal paresis occurs. In this case, such a complication may occur in the early period, then it is necessary to start the intestines with a special diet.

Sex after a mini abortion should be postponed until the next menstruation, when the cycle resumes and after the first menstruation the risk of complications decreases.

The rehabilitation period after a mini abortion depends on the method that was used. If vacuum aspiration was performed, then this period is not long - a month. If we are talking about a surgical abortion, then the rehabilitation period is the longest from three to six months. During this period, it is not recommended to become pregnant. Care of the genitals after a mini abortion is no different from that under normal conditions - this is daily hygiene procedures, sometimes it is necessary to use anti-inflammatory suppositories or antibacterial suppositories, if an inflammatory process develops.

Is it possible to get pregnant after a mini abortion? This question interests all women who decide to take this step. It is really very important. The answer here is unambiguous - you can get pregnant normally if you follow all the doctor's recommendations regarding the rehabilitation period and timely examination, of course, in the absence of complications.

Mini abortion is a surgical intervention that involves terminating pregnancy at an early stage. It is necessary to evaluate not only the presence of indications, but also possible contraindications. Time should be devoted to careful preparation to avoid complications. In any case, this decision is made by the woman and it is necessary to think carefully before carrying out any manipulations not only with her health, but also with the life of the future child.

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