Termination of Pregnancy for Medical Reasons
Almost each of us has witnessed a situation when a healthy, young, and in all aspects productive woman cannot get pregnant. Once the desired pregnancy occurs, the woman thinks that she is sure to have a baby; however, it often does not happen so. According to medical statistics, approximately every 25-30 pregnancy is accompanied by hazardous factors that may threaten the health and the life of both the baby and the mother. In such situations, doctors recommend to terminate the pregnancy.
First, it is necessary to find out what methods of abortion exist, and at what terms they are used. For termination of pregnancy under 6 weeks, gynecologists offer medical abortion, under 8 weeks of pregnancy — a vacuum aspiration. Up to 12 weeks of pregnancy, a traditional abortion and dilation are performed. After 12 weeks, abortion can no longer be performed at the request of the pregnant, but exclusively for medical reasons.
The procedure can be performed by labor induction or С-section. Naturally, at such a term the fetus is born dead, as it is not able to live independently from the mother’s body. Doctors recommend the pregnant woman to have an abortion if her health, and sometimes life are in serious danger, or if the fetus has very serious abnormalities of development.
Diseases and Pathologies that Require Abortion
The list of maternal indications for termination of a pregnancy:
- severe malformations of the heart and blood vessels;
- renal failure;
- severe liver damage, that makes impossible its normal functioning;
- open tuberculosis;
- tuberculosis of intestines, peritoneum, urinary tract, bones and joints, laryngeal tuberculosis;
- bilateral nephrolithiasis;
- Basedow's disease;
- malignant tumors
- malignant anemia;
- contracted pelvis, with fibrosis of vaginal tissues;
- physiological immaturity of the pregnant;
- dementia, chronic psychosis;
- diabetes mellitus;
- severe chronic disease of the cornea;
- retinitis or optic neuritis;
- strong depression and other chronic psychological disorders;
- progressive and not treatable epilepsy;
- drug addiction.
Throughout the pregnancy, the woman repeatedly makes ultrasound scans and different tests, which allow to monitor the baby’s development and detect congenital diseases, if there are any. Sometimes tests and ultrasound results happen to raise an issue of abortion.
Fetal indications for termination of pregnancy include:
- malformation of one or more vital organs that will cause death of the fetus immediately after the birth;
- severe handicap;
- chromosomal abnormalities in a baby acquired from parents suffering from hemophilia, idiocy, a severe form of schizophrenia, etc.
No matter what diseases a mother has and what defects are detected in a child, nobody can get pregnant to have an abortion. Doctors can only explain the consequences that entail the maintenance of pregnancy to the expectant mother, but it is up to her to decide on the termination.
In case if a pregnancy threatens a woman's life, the doctor should do his best to talk her into terminating the pregnancy. In case if a woman still refuses to terminate the pregnancy, she should sign an informed consent document to certify that she is aware of the possible consequences. This document removes from doctors any responsibility for her health and life.
The decision to perform an abortion is adopted at a special counsel with the mandatory presence of:
- a gynecologist, who leads the pregnancy;
- a physician specializing in the disease, which is the main indication for abortion;
- the chief physician of the institution which the pregnant attend.
In most cases, the pregnant women agree with doctors and undergo abortion. Subsequently, practically any young woman, except for those who suffer from severe hereditary illnesses or genetic diseases, is able to give birth to a normal and healthy child.
You need to understand clearly that abortion at any term of pregnancy is a complicated medical manipulation; especially it applies to abortions with curettage and, of course, to induced labor. Every woman should know that despite the advances of the modern medicine, even nowadays abortion could cause serious consequences. In connection with this:
The decision on termination of pregnancy shall be delivered in public health institutions. The abortion procedure should be performed in the same hospital or in any other state-owned hospital on the doctor’s prescription. It is not worth to go to private clinic to perform this procedure.
You should follow all the doctor’s instructions. Although abortion doesn’t require hospitalization, it is better to stay for 1-2 day in the hospital under the supervision of specialists.
It is recommended to avoid sex in the first month after abortion.
Pay special attention to personal hygiene. It is advisable to use panty liners, regularly change underwear and take a shower, avoid swimming in ponds, pools, going to saunas, etc.
Abortion should not affect the menstrual cycle. In case of a missed period or, inversely, regular scare blood secretion, immediately consult the doctor.
The woman should devote to her health the first month after abortion. Avoid supercooling and hard physical work. At the slightest deterioration of state, consult the doctor.
Therapeutic abortion is not a sentence. Potentially any woman can become a mother even if she has serious health problems. Doctors, in most cases, advise to abandon attempts to conceive for 6-12 months after abortion, but it does not mean that this time is lost. A year is likely to be enough to eliminate the cause that has led to abortion or reduce it to minimum. This time is enough to strengthen your immunity and emotional state, which is very important. After a year devoted to your health, you have all chances to give birth to a strong and healthy baby.