Medical Termination Of Pregnancy
advice to young married couples is that they should seek proper
and timely advice in planning their babies so as to avoid
abortion when an unplanned baby comes along. Especially the
first time round. While you can go through a well executed
MTP or medical termination of pregnancy (abortion) like a breeze, were
there to be any complications, the infertility associated
with disastrous. The fear of infertility associated with an
Medical Termination of Pregnancy (abortion) is no myth. Ofcourse, the chances are much less when an
experienced surgeon and an antiseptic hospital atmosphere
are involved-but do you want to take the chances?
to Avoid Abortion
speaking, what a Medical Termination of Pregnancy (abortion) involves is opening and dilating of
the cervix to evacuate the uterus by suction. This process
requires connection of the vagina to the uterus and therein
lies the critical part. The vagina and particularly the mouth
of vagina, could be carrying a number of bacteria. Therefore,
the surgeon must be careful to clean the vagina very well
because as the uterus is connected to the vagina during the
process, there are fair chances of the bacteria traveling
to the uterus and the fallopian tubes, causing undetected
damage such as blockage of the tubes.
other reason why you must go to a competent surgeon is the
possibility of scraping too little or too much. If the uterus
is scraped too little for fear of damage to the uterus wall,
particles of the embryo may remain in there and you may require
a second or third D&C (Dilation and Curettage). If this were
to happen, then besides the fact that you would continue to
bleed heavily for several days after the MTP (Medical Termination of Pregnancy) or Abortion and experience
discomfort, you would have remained open. On the other hand,
if the scrapes too much, it might damage the uterus walls.
They may not heal and instead stick together-causing infertility,
which you would get to know of only at a later period when
you attempt at conception and face failure. The condition
is called Asherman's Syndrome and while it can be treated
in a minor case, it may be so severe that it cannot be treated
at all. The doctor admits that such complications occur only
in one in a thousand cases-but after all, you don't want to
be part of the lower statistic. What is heartening is that
the number of infections due to MPT(Medical Termination of Pregnancy) or abortion has gone down substantially
in the last few years, as surgeons now ensure that a good
antibiotic is pushed into the uterus before the Medical Termination of Pregnancy or abortion is undertaken.
other complication associated with an MTP (Medical Termination of Pregnancy) or abortion is perforation.
The surgeon may perforate the uterus and pull the intestines
or other vital organs, presuming they are part of the embryo.
If detected in time, the patient has a chance or else, in
a bad case this could be fatal as well. And there is also
the possibility that the uterus is damaged so badly that it
has to be removed all together. Ofcourse, small perforations
are fairly common during an MPT (Medical Termination of Pregnancy) or abortion but these heal by themselves.
In all, a Medical Termination of Pregnancy is a five to ten minute procedure and can even
be undertaken under local anaesthesia but for the last, the
patient has to be sufficiently motivated and co-operative.
Local anaesthesia may be advisable for somebody who has been
through a pregenancy and knows the operational ropes such
as legs being put up on stirrups etc. The cervix is also easily
dilated the second time around so a local anaesthesia works
regards tests required prior to an MTP or abortion, it's the usual-blood
group, sugar level and haemoglobin. The blood group is an
important factor-if the mother is a plus group and the father
a minus, the patient must be administered anti-D to prevent
sensitivity to Rhesus antibodies in subsequent pregnancies.
you need to look out for a fter an abortion is the extent
to which you are bleeding. While a certain amount of bleeding
is normal, the warning bells should ring if you find yourself
bleeding for over ten days, or you experience an unwarranted
pain or spells or dizziness. The doctor also advises that
a 24-48 hour period of rest is enough after an abortion. In
many cases, the patient brings psychologically induced weakness
upon herself which is best avoided by resuming normal activities
as soon as possible, though she should refrain from having
intercourse until the bleeding stops. Contraceptives should
be used as soon as intercourse is resumed. If the couple so
wishes, they can plan a child after two-three normal menstrual
cycles, post MTP or abortion.
Factor In Abortion
MTP or abortion undertaken for a 10 or 11 weeks old foetus is safe, 12
weeks, which is equal to two and half calendar months, is
not a recommended period because now the foetus is neither
too small nor too big. After 16 weeks, the MTP needs to be
executed like a mini-labour by administering injections that
can cause expulsion of the foetus. At this stage, if the injection
does not seem to work, the abdomen may need to be opened up
and the MTP executed like a caesarian.
is important to realize that while what you are undergoing
is a minor operation, its effects are important. Avoid quacks
and neighbourhood clinics altogether. Make sure that you are
undergoing the procedure under the hands of a capable doctor
and in a clean and reliable hospital.