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Abortion Risks and Side Effects: How to Avoid Them?

Abortion in Bangalore, India, same day abortion, abortion pills

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Most abortion procedures are safe when performed under prescribed guidelines in certified and safe Medical Termination of Pregnancy (MTP) centres. However, there are certain complications and associated risks in having an abortion

Have you ever had an abortion? If yes, what were the risks that you think you were exposed to at that time? 

An abortion can be a choice of any woman for an unwanted pregnancy or it can be a part of a prescription looking into the health concerns. This post is to help you understand the risks to which a woman is exposed during and after an abortion procedure. 

How to Avoid Risks with Abortion?

If you are looking forward to having an abortion, you need to know that any risks discussed ahead are avoidable. And the only method to prevent them in the first place is to visit only a certified abortion clinic. And by no means, try performing it at home even with abortion pills obtained without prescription. Such an act escalates the probability of risk exposure with unsafe abortion.

The prescribed method of abortion may vary from a simple abortion with the help of safe abortion pills to a complicated surgical abortion procedure. But, some risks are the same regardless of any method. And there are another set of risks which are specific to the method of abortion.

The best method to avoid risks with abortion is an early action.

If the decision for having an abortion is certain, then each day can cause a delay. Abortion risks are minimum with early pregnancy. In the case of unwanted pregnancies, the woman should visit the abortion clinic as early as possible.

The method of abortion in most cases depends on the gestation age. So, visiting as early as up to 6 weeks of gestation will deem you fit for the simplest abortion method, called Medical Abortion.

It is a non-invasive method and holds minimum risks. In the medical method of abortion, the abortion doctor prescribes safe abortion pills, Mifepristone and Misoprostol. Most of the women require only oral dose. Some might require vaginal administration. It seems easy and indeed is a very simple procedure. But, there are several concerns like your medical history and confirmation of the pregnancy to be intrauterine that need an insight before the administration.

Hence, you should not buy abortion pills from any pharmacy or an online store for self-administration. Without a doctor’s consultation in person and recommendation, even these pills can pose great harm. 

Abortion Side effects:

Some side effects of abortion pills or any abortion method can be mild while others can also be life-threatening.

Mild abortion side effects are:

  • Abdominal cramps
  • Nausea and/or vomiting
  • Diarrhoea
  • A little more than expected vaginal bleeding
  • Fatigue
  • Mood-swings
  • Infections

Serious abortion side effects and the weightiest complications can be:

  • Infertility
  • Chronic Pelvic Inflammatory Disease (PID)
  • Sepsis
  • Death

While mild side effects are common and manageable, serious side effects can be very difficult to manage and treat. And some can be so grave which may lead to permanent loss. But, yes it is possible to avoid them and minimize chances of their happening. 

Abortion risks to the pregnant woman:

Abortion Risks and Side Effects - How to Avoid Them?
Abortion Risks and Side Effects – And How to Avoid Them? : Bangalore India

Before an abortion procedure, a woman faces several physical as well as mental disturbances. Many questions about the procedure and its side-effects occupy her mind. And providing sufficient correct knowledge is the only way to clarify her doubts. 

The serious abortion risks are generally due to various complications posed by unsafe abortions. Here are the complications of unsafe abortion and how it is possible to avoid them:

Physical risks associated with abortions:

Risk of Incomplete abortion:

When complete elimination of all the uterine contents does not take place after the abortion procedure, it is called an incomplete abortion. After the abortion, vaginal bleeding can happen for a maximum of up to a week. But, continuous bleeding, from scanty to heavy may be a symptom of incomplete abortion. Bleeding in most cases presents with abdominal cramps and pain. Pregnancy remnants can also cause infection which can spread to other parts, further increasing complications.

An incomplete abortion is possible with any method, either medical or surgical. And to complete the abortion, surgical intervention is necessary to evacuate all the remaining products of gestation from the uterus. 

How to avoid incomplete abortion?

The risks associated with an incomplete abortion are avoidable by getting the abortion done at the earliest possible scheduled appointment. Early abortion means the embryo size is small and the body can expel it easily and completely. With advanced pregnancy age, the risk of incomplete abortion increases. 

Another way out to prevent an incomplete abortion is to prefer an efficient abortion method. Abortion pills are the least efficient of all abortion methods, with efficiency only 93%. And that too only in pregnancies less than 8 weeks and after thorough evaluation of the patient eligibility for abortion pills.

Gentle Care suction abortion and Gentle Care induced abortion are nearly 100% efficient procedures. The suction abortion is for pregnancies less than 12 weeks and induced abortion with Dilatation & Evacuation (D&E) is for pregnancies in the second trimester (up to 20 weeks).

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Abortion Methods

So, it is possible to avoid an incomplete abortion by the right method at the right time.

Hematometra / Post-abortion syndrome (PAS):

This happens when vaginal bleeding decreases to a significant extent. Instead of expelling, the blood starts accumulating in the uterine lining. A protruding belly can be seen in women who have PAS.

How to avoid PAS?

PAS is usually a result of incomplete abortion. Hence, it is avoidable by making sure the abortion procedure is complete. With abortion pills, you can schedule a follow-up appointment after a week. An ultrasound can confirm if the abortion is complete.

With Gentle Care suction abortion and Gentle Care induced abortion, you may usually not require a follow-up since the procedure completes within the clinic. However, if you suffer any bleeding beyond a week or experience heaviness in the belly, you can also get a post-abortion ultrasound to confirm if the abortion was complete. 

Infections:

There are risks of infection during the abortion. These can be due to unhygienic premises and equipment. Besides, risks for infection increase after any surgical procedure. Even these are preventable and manageable. 

How to avoid Infection after abortion?

The risk of infections is completely preventable if concern for hygiene is taken care of starting from pre-abortion to the post-abortion. Visiting a hygienic abortion hospital near you can prevent the risk of infections after abortion. Besides, your hygiene is always in your hands and you can prevent yourself from catching any infection. 

infection-free abortion in Bangalore
Abortion in Bangalore

Post-abortion antibiotic therapy and the therapy to maintain the urogenital flora can help prevent the occurrence of many associated infections of the urogenital tract such as bacterial vaginosis, vulvovaginal candidiasis, vulvovaginitis and pelvic inflammatory disease (PID). 

Abortion doctor prescribes prophylactic antibiotics, probiotics and prebiotics during and after the procedure. Also, the certified MTP centres take care of hygiene and sanitation throughout the procedure. 

Hypersensitivity:

Allergic responses to certain substances can cause hypersensitive reactions, also known as anaphylactic reactions. Do you know any medicine you are allergic to? You might have heard or read about people being allergic to the penicillin class of antibiotics. Similarly, there can be allergies to various other medicines. A woman can also be allergic to any ingredient(s) of abortion pills or any other medicines or substances used during the procedure.

How to avoid allergic responses during abortion?

These are entirely avoidable if you make your doctor known about any allergies you may be having. The doctor can discuss your medical history and perform a patch test before intravenous administration of the antibiotic during the abortion. If there is any allergic response, the doctor can substitute the medicines or even abortion method, as per your specific needs. 

Contraindications:

Do you have any existing medical condition such as hypertension or diabetes or bronchitis or any other? If not, it is good. But, if yes, you might be taking certain regular medicines. Or you may simply be taking oral contraceptives.

How to avoid contraindications?

In all events, you should tell your doctor about your medical history before an abortion. So, the doctor can strike out any interacting medicine from your prescription and can prescribe another medicine.

These kinds of risks are easily preventable provided you visit the qualified gynecologist for abortion who will take all these noteworthy things into his/her consideration. 

Internal Injury:

  • Hemorrhage: It refers to the rupture of any blood vessel that can lead to uncontrolled bleeding. 
  • Physical trauma: Handling surgical equipment during the surgery needs special care and precision. In case of improper uterine perforation, any internal organ can injure. The uterine lining may scar. Cervix and/or the womb can also distort.

How to avoid abortion trauma?

Hemorrhage and physical trauma usually follow unsafe procedures performed by untrained and unqualified people. And hence it is possible to avoid these by getting an abortion only by a qualified gynecologist, equipped with necessary training and facilities to perform a safe MTP procedure.

As a result of these complications, the risk to health and life can multiply. They may result in several comorbid conditions and can even be fatal. But, remember, they are avoidable. 

Abortion risks for future pregnancies:

Will abortion be risky to my future pregnancy? This is the most obvious query of any woman seeking an abortion. Indeed it is the most crucial concern for any woman. 

The simple and incomplete answer to your query is YES, abortion can be risky to your future pregnancy. But, the answer is incomplete without saying that the risk of partial or complete loss of fertility is avoidable. And you can have a safe abortion and a safe future pregnancy. 

Infertility due to an abortion can be due to diverse reasons, some of which are:

Infertility due to ectopic pregnancy:

With an unwanted pregnancy, the want for abortion can drive you to having abortion pills at the earliest. Many women think they can get these pills from any nearby or online pharmacy and get abortion. This is because they may not know about ectopic pregnancy.

An ectopic pregnancy is a pregnancy in which the fertilized egg does not implant in the uterine lining. A simple home urine pregnancy test (UPT) by an easy to use pregnancy test kit can reveal that a woman is pregnant. But, what it does not tell is whether this pregnancy is intrauterine or not. This is detectable only by an ultrasound scan. 

Women who either take abortion pills without a doctor’s consultation or visit a quack for an abortion do not perform this scan before the abortion procedure. In events where abortion pills are taken for terminating the pregnancy which happens to be ectopic, the abortion procedure will not be complete. The fertilized egg that remained in the fallopian tube can lead to a burst. The ovary and fallopian tube of that particular side will require surgical removal. So, the probability of getting pregnant again may reduce to half.

How to avoid ectopic pregnancy impact on future pregnancy?

An early diagnosis with an ultrasound scan can prevent rupture of an ectopic pregnancy. Also, avoid self-medication. As soon as the pregnancy test is positive, you must visit the doctor for abortion. She can rule out any possibility of ectopic pregnancy. And even if your pregnancy happens to be ectopic, the doctor can treat it medically, without the need of a surgery in most cases. 

Infertility due to internal injury:

As mentioned above, during a surgical abortion, improper uterine perforation can lead to internal injury. If this injury is of a higher degree and to any reproductive organ, it can lead to partial or complete loss of fertility. 

How to avoid internal injury with abortion?

Again, this is an avoidable risk by choosing safe hands to perform the procedure. 

Difficulty in pregnancy due to the bicornuate uterus:

Abortions can sometimes lead to the bicornuate uterus which is a congenital uterine malformation. The normal uterus has a single cavity. But, improper abortion technique or more uterine contractions can result in uterine cavity separated into two conjoint chambers. 

The bicornuate uterus does not make a woman infertile but it makes it difficult for a fertilized embryo to implant in the uterus. So, women when planning for pregnancy might not even realize why they are not getting pregnant. 

How to avoid uterine distortion with abortion?

This risk is avoidable by getting the abortion by a trained professional who takes care of all the guidelines for the procedure.

Infertility due to infections:

Urogenital flora can face disturbance if not properly managed. This can lead to several infections of the reproductive tract. But infertility due to infection might not seem like a risk to future pregnancy to you at first thought. But, it can adversely affect your future pregnancies.

Female genital tract is colonized with bacteria, viruses and other microorganisms and has a variable presence of these bacterial colonies. There is considerable variation in the amount of bacteria present and shifts of dominant bacteria present throughout the menstrual cycle. 

Bacterial Vaginosis (BV) occurs when normal bacteria lose their balance. Hormones and exposure to other bacteriae can also result in BV. Many women can attest to the susceptibility of yeast infections after antibiotics. Reduction of the vaginal microbiome causes the Candida (yeast) population to occupy more real estate. The predominant species of the genital tract is the Lactobacilli species. If ‘bad-pathogens’ replace the ‘good-pathogens’ they can hinder the process of embryo implantation in the uterine lining. So, it is essential to restore the microbiome with healthy flora.  

Research and studies have shown that women with infections of the reproductive tract conceive with difficulty and are more prone to miscarriages. 

How to avoid?

This risk can be eliminated by proper personal hygiene and monitoring the hygiene of the abortion facility. Also, speak to your doctor in case of any problem that can be a result of an infection so that it can be treated on-time. 

Generally, infections are represented by an increase in body temperature (fever with or without chills). Other indications could be smelly vaginal discharge or any other discomfort. In any such event, consult the gynecologist so that the treatment can be given. 

Mental risks associated with abortion:

Apart from physical challenges, abortions also pose a threat to women’s mental well-being. Abortion is looked down due to being associated with societal stigma. Though it is a reproductive right of every woman in India, yet being associated with the choice of terminating an unborn life, it can make the woman feel guilty of her decision. 

Guilt is one emotion which can trigger a chain of negative emotions like anger, fear, stress, anxiety and depression. These emotional disturbances can also disturb her physical well-being and can also inculcate suicidal tendency. 

Then, there can be other repercussions disturbing the woman’s relationships and life. These can be sexual dysfunction, loss of libido, also making her fall in for abuse of drugs, alcohol overindulgence, etc. 

The disturbance caused to hormonal balance after an abortion can also be linked to the mood-swings. 

How to avoid?

But, these risks are also avoidable by visiting the right MTP centre. A good MTP gynecologist will do consultation and counselling both before as well as after abortion to ensure complete recovery. 

Mental traumas can be dealt with only by proper counselling and a certified MTP centre like Bangalore Genesis Hospital (BGH) ensures the woman’s health is safe in all respects. 

You can now ascertain how a single choice of the abortion centre has the potential to alter your health and future life. So, choose wisely when making the choice of an MTP centre for your abortion procedure. Let not unwanted pregnancies bring along unwanted consequences. 

We are here to help you. Call or message us to get your doubts cleared and book an appointment for a consultation.

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