Abortion in the first pregnancy

Abortion at the first pregnancy is a difficult moment when a potential mother faces a choice, to leave the child or not.

When it comes to deciding whether to interrupt pregnancy or not, every woman finds herself in a rather complicated position of reflection about the advisability of such actions. We do not always expect a child, life situations are different, then often abortion is forced or simply necessary in the prevailing conditions.

More details about the most common types of abortion - surgical and medicamentous - and the permissible periods of abortion in the story of an obstetrician-gynecologist, a doctor of ultrasound in the highest category, Yavorsky Yury Tsezarevich, a doctor with 32 years of work experience.

[1], [2], [3]

Abortion in the first month of pregnancy

When the gestation period does not exceed twelve weeks (three months), the pregnant woman has the right to interrupt pregnancy by surgery. Physicians remove the fetal egg from the uterine cavity, using special tools. In modern realities, during such operations, intravenous anesthesia is used to anesthetize the patient. The price for surgical abortion during the first pregnancy in Ukrainian clinics varies from country to city, but on average the minimum price is from three hundred hryvnia.

Vacuum aspiration (also called mini-abortion) is a fetal sucking by a special device from the uterine cavity. It is produced when menstruation was not present for a period of up to twenty-five days, which must be confirmed by ultrasound.

Naturally, all of the above methods are not safe, after them, some violations of the woman's health are possible. Nature does not have absolutely harmless methods of interrupting the natural course of pregnancy, because conducting an abortion in any form represents a certain risk to the body.

[4], [5],

Medical abortion in the first pregnancy

An advantageous alternative to surgical abortion is the interruption of pregnancy by the drug method. Because of the negative consequences of the first, medical abortion is gaining more and more supporters every day. Medical abortion in the first pregnancy in the practice of abortion is not at all new: earlier this process occurred under the influence of various infusions and broths, this was done by special healers and sorcerers.

The preparation of Mifepiston was held in France in the seventies and eighties of the last century. In the eighty-fifth it was used to induce an induced (stimulated) miscarriage. The prostaglandins with which it is combined, so that the uterus begins to contract. The international names of Mifepristone are Mifegin, Mifyprex, RU-486. If we consider the chemical structure of the drug, it is a synthetic steroid hormone.

Mifepristone characterizes the blocking of sensitivity to progesterone of the uterine receptors (this hormone helps to maintain pregnancy). Because of this, there is a loss of growth capacity of the fetal egg, which causes its death and separation from the uterine cavity. This process is accompanied by uterine contractions, softening of the cervix, opening and expulsion of the embryo from the uterine cavity. Prostaglandins additionally support these actions.

In addition to supporters, medical abortion also has many opponents. The ninetieth year of the last century was marked by a rather large resistance, headed by the National Organization for the Protection of the Right to Life of the United States of America, headed by John Willke. But, nevertheless, the popularity of medical abortion in a variety of states is increasing every day.

Studies conducted in 2006 showed that more than seventy percent of abortions in France were medicated, Switzerland and Sweden showed a figure of fifty percent, Belgium and Finland thirty percent, and the United States of America twenty-five percent. Ukraine does not particularly "honor" this method due to the fact that our women do not trust the hormonal drugs with which medical abortion is performed. Synthetic hormones did not justify trust when the method of hormonal contraception tried to settle down in our country. The danger of the use of synthetic hormones is their carcinogenicity (the possibility of provoking the appearance of cancer tumors). But even in spite of this, many women of our country choose medical abortion at the first pregnancy because of its simplicity and efficiency and relative safety.

Complications after surgical abortions

Surgical abortion during the first pregnancy carries a number of certain complications, which imply the presence of:

• mechanical injuries of the uterine cavity, cervix, because during the operation, surgical instruments are used. There may even be perforation of the uterine cavity - a surgical instrument can damage the walls and penetrate beyond the uterus and injure neighboring organs (damage to the bladder, intestines, etc.).
• the presence of bleeding due to the fact that the uterus was damaged; that the uterine cavity contains the remains of a fetal egg; the blood coagulation system was disrupted. In the presence of bleeding, surgical intervention is inevitable, since it is necessary to perform an instrumental revision to rid the walls of the uterine cavity of the remains of the fetal egg.
• the presence of hematomas, when blood clots accumulate in the uterine cavity, due to the fact that there was a spasm of the cervix or its bend. Most often, the appointment of re-surgical operations to expand the cervix and remove blood clots.
• presence of inflammatory diseases of the uterine cavity and its applications.
• the presence of complications after anesthesia.
• there is a risk of being infected with such diseases as hepatitis, HIV infection. Naturally, this factor accompanies not only abortion, but also any other surgical operation.

The long-term complications of surgical abortions is the presence of:

• chronic inflammatory processes, which can affect the internal sexual organs.
• dysfunction of the ovaries due to abortion can disrupt the menstrual cycle.
• occurrence of an ectopic pregnancy.
• formation of infertility.
• the presence of spontaneous miscarriages in the future.
• subsequent labor can be accompanied by anomalies.
• birth in the future can occur with severe bleeding.
• the presence of a number of psychological problems (stress, depression, feelings of guilt) - postabortny syndrome.

[6], [7], [8], [9]