Later abortions are usually only performed for medical reasons. As well as the overall time limit, there are also limits on when certain types of abortion can be performed. You can have:. We only perform terminations up to 19 weeks. Different kinds of surgical terminations can be performed by some clinics after this time, but the procedure is more complicated. Although you can have an abortion up to 19 weeks, it is a good idea to see the doctor as soon as you can.
The risk of complications is also lower if you have the procedure earlier in the pregnancy. The contents on this site is for information only, and is not meant to substitute the advice of your own physician or other medical professional. You can have: Medical termination with the abortion pill up to 9 weeks Manual Vacuum Aspiration up to 12 weeks Surgical termination by Dilation and Curettage up to 19 weeks but usually only performed after 9 weeks We only perform terminations up to 19 weeks.
How soon did you know you were pregnant? Did you wait before taking a test or seeing a doctor? How common is abortion and who has it? What is a Threatened Abortion? How is Abortion Regulated Around the World? There are two treatments available. At your first clinic visit you will be seen by a doctor who will assess your general health and how far along the pregnancy is. They will talk to you about the available treatment options.
They may also ask you about what you plan to do for contraception or birth control after the abortion. The clinic may be able to help - for example, by fitting a coil after the surgical procedure has been done. They may also offer to take a cervical smear test if you need one. For a medical abortion you will be given two types of medicine which together cause you effectively to have a miscarriage.
You will be given a tablet called mifepristone to take. You will be asked to stay for a couple of hours, to make sure you are not sick after it. You are then allowed to go home until the next tablet. After hours you are then given a medicine called misoprostol.
The timing and the dose of the misoprostol the second medication will depend on how far along in your pregnancy you are. It will also affect the options for taking it. You can either let it dissolve under your tongue or inside your cheek, or inside your vagina. Not all these options are suitable at all stages of pregnancy. Some time after this you start to have stomach cramps and vaginal bleeding. Most women will lose the pregnancy sometime after this.
If you do not start to bleed you may need more misoprostol doses. After the second tablet you have a choice whether to stay at the clinic or go home. This is a personal choice.
If you prefer to be in your own home, you can be. It may be a good idea to have someone on hand to help or offer support if needed. Some women may be anxious about being at home whilst they lose the pregnancy. They can choose to stay at the clinic until it is all over.
Before the procedure, you may have a tablet put in the vagina to help make the neck of the womb cervix softer. This helps the procedure go smoothly. If you have a surgical abortion you will come back to the clinic for the procedure.
The procedure is quite quick normally 10 minutes or less but you will be asked to stay until the effect of any sedation or anaesthetic has worn off. This varies between people but is normally a couple of hours. They will also want to check that you are not bleeding heavily and can pass urine without a problem. You will normally be given the option of having a surgical abortion while you are awake with local anaesthetic or asleep general anaesthetic. The other option is to be awake but relaxed and sleepy sedated.
Usually in early pregnancy, up to weeks, all these options are possible. Then an instrument is carefully placed through the neck of the womb and suction is used to remove the pregnancy from the womb.
At later stages of pregnancy, instead of suction the doctor uses surgical instruments to remove the pregnancy. If you are later into your pregnancy weeks pregnant or more you will be advised to have a general anaesthetic. Find a range of women's health pharmacy services, delivered by local providers at a time that suits you.
Both types of procedure usually work very well. There is a small risk that you may continue to be pregnant after both types of abortion. This happens to less than one in a hundred women who have had an abortion. If your periods do not return or you continue to feel pregnant, you should contact the clinic that treated you. Also, if you continue to bleed after two weeks, or your bleeding is very heavy, or you experience a lot of pain, you should see your GP or contact the clinic that treated you.
This may vary locally but guidelines produced by the Royal College of Obstetricians and Gynaecologists say that a woman should be seen within five working days of the referral letter being received. After assessment, an abortion should be offered no more than five working days later. If you have a serious medical condition, you may need to be seen at another hospital.
They will have the necessary specialists to take care of you safely. No procedure is without risks; however, major problems are very rare. The most common complication is infection. This occurs in 1 in 10 procedures. Before the abortion, the risk is reduced by screening for the germs bacteria usually responsible and by giving antibiotics. Sometimes there may be damage to the neck of the womb cervix.
This happens in approximately 1 in surgical procedures. It is less common when the procedure is done earlier in the pregnancy. In about 1 in 1, surgical operations, there may be a small hole made in the womb. This is called perforation. This happens because the womb becomes softer than it normally is, when it is pregnant.
The risk of serious bleeding increases the further along the pregnancy is. Serious bleeding is that which needs a transfusion to correct. If you are under 13 weeks pregnant the risk of serious bleeding is 1 in 1, These may require transfer to hospital or surgical procedures and may have serious long-term health effects.
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