End a pregnancy that tests have shown would result in a child with severe abnormalities
These procedures are safe. But, no procedure is free of risk. Problems resulting from abortion can include:
An incomplete procedure
Injury to the cervix or other organs
Reaction to anesthesia
The earlier in a pregnancy the abortion is done, the better the chances of a procedure with no complications.
If you think you might be pregnant, see your doctor. The earlier you find out, the more time you have to make an informed choice about the pregnancy. Early symptoms of pregnancy include:
A missed period
Tender, swollen breasts
Nausea or vomiting
What to Expect
Prior to Procedure
Your doctor may:
Examine you—to determine the stage of your pregnancy by checking the size of the uterus (womb)
Do blood and urine tests—to confirm the pregnancy
Use ultrasound—to give an accurate assessment of the stage of pregnancy
Give you medicine—to help dilate the cervix
Talk to your doctor about your medicines. You may be asked to stop taking some medicines up to 1 week before the procedure
Local anesthesia with sedation may be used. The local anesthesia will numb the cervix. Sedation will help you relax. In some cases,
may be used.
Description of Procedure
You may be given an antibiotic before the procedure.
The doctor may inject a numbing agent in or near the cervix. Special tools will be used to stretch the cervix opening. A tube will be inserted into the uterus. The tube will then remove the fetus and other products of conception.
The steps for an MVA will be followed. The doctor will then use a narrow metal loop to remove the tissue lining the uterine walls.
This procedure is similar to a D&C, except that it is done during the second trimester. It will also require wider dilation of the cervix. The fetus and other products of conception are removed from the uterus with medical instruments and suction. This usually requires regional or general anesthesia.
How Long Will It Take?
About 5-20 minutes
How Much Will It Hurt?
Women report cramps similar to menstrual cramps. Talk to your doctor about medicine to help manage discomfort.
can reduce most of these symptoms. Do not take
unless directed to by your doctor.
1/11/2010 DynaMed Plus Systematic Literature Surveillancehttp://www.dynamed.com/topics/dmp~AN~T115505/Induced-abortion: Robson SC, Kelly T, Deverill M, et al. Randomised preference trial of medical versus surgical termination of pregnancy less than 14 weeks' gestation (TOPS). Health Technol Assess. 2009;13(53):1-124.
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