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Procedure for surgical termination of pregnancy, recorvery time and care - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Abortion and Stillbirth
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3511 Questions
User :   my girlfriend took an oral contraceptive 48 hours after unprotected sex but yesterday her pregnancy report turned out positive. she doesn't wants to go for a baby. what can be done? her pregnancy is of 3-4 weeks
Doctor :   Hi
User :   hello
User :   my girlfriend took an oral contraceptive 48 hours after unprotected sex but yesterday her pregnancy report turned out positive. she doesn't wants to go for a baby. what can be done? her pregnancy is of 3-4 weeks
Doctor :   May I know her age?
User :   yes it is 24
Doctor :   Let me brief you.
User :   alright
Doctor :   The procedure involved for termination of pregnancy are as follows.
Doctor :   1. She would need to confirm her pregnancy by repeating the pregnancy test and by ultrasound examination.
User :   ok
Doctor :   If ultrasound examination reveals intrauterine pregnancy and not an ectopic one, then medical termination can be attempted by use of medical drugs.
Doctor :   There are abortion pills which are prescription only medications.
User :   i see
Doctor :   These medications are effective in terminating the pregnancy effectively in 90% instances.
Doctor :   Occasionally, there can be failure of this and in such cases D&C is required.
Doctor :   Since all these procedures are to be performed under guidance of a trained expertise, I would suggest you to consult a gynaecologist who will help your friend through this.
Doctor :   The chances of abortion are most effective when performed before 12 weeks of pregnancy.
Doctor :   Hence suggest your friend to repeat the pregnancy test and if turns to be positive again, to consult the gynaecologist for medical termination of pregnancy.
Doctor :   Have you followed what I have suggested?
User :   she is very depressed..how can i help overcoming her by that?
User :   yes i do understand your procedures doctor
Doctor :   Does she have an history of depression in the past?
User :   no not exactly
Doctor :   Ok
User :   will there be any problem in the later pregnancy after this abortion doctor?
Doctor :   Since her depression is due to the present condition with the help of your counselling and getting the termination done as early as possible.
Doctor :   If the procedure is done under trained experts, then there would be no problems during later pregnancy.
User :   yes she is going to see a gynecologist today
User :   but how come even after taking oral contraceptive such things happen?
Doctor :   There are reports of infection, uterine trauma in individuals, who had undergone
Doctor :   abortion by an non professional individuals.
Doctor :   All pills are not 100% effective, there are chances of failure in about 5 - 10% individuals.
Doctor :   Unfortunately your friend has been in that small group of pill failures.
Doctor :   There are more chances of preventing abortion, if morning after pills or emergence contraceptive pills are used and not just oral contraceptive pills.
User :   hmmm..what precautions would she be required to take during her termination procedure of pregnancy?
Doctor :   These abortion pills induce vaginal bleeding which is the sign of abortion.
Doctor :   this is a normal event.
Doctor :   She may have to watch out for these.
Doctor :   Occasionally the bleeding can last for a few weeks following successful termination too.
User :   oh is bleeding very much?
Doctor :   Yes, bleeding will be slightly higher this time, which is the sign of abortion.
Doctor :   and it might continue for a few days to few weeks.
User :   may i have your mail id?
User :   if u don't mind?
Doctor :   You can write to us, if you wanted to the following email id YYYY@YYYY
Doctor :   Alternatively you may chat with us again.
Doctor :   I am Dr XXXX
Doctor :   Do you have any other query?
User :   but u won't be available next time?
User :   or can i refer your name when writing the mail?
Doctor :   Yes, you may.
Doctor :   Do you have any other query?
Doctor :   Are you there?
User :   thanks for ur advise doctor
User :   i will mail u once she gets an ultrasound
Doctor :   Thanks for consulting me. Bye for now
User :   does am ultrasound posr abortion is also required?
User :   does an ulrasound post abortion is required?/
Doctor :   It may be needed to confirm the successful abortion.
Doctor :   Presence of residual products of conception following abortion is an indication of D&C.
User :   yes one last question..what is d&c?
User :   what is to be done in that case?
Doctor :   D&C - dilatation and curettage is an technique in which the products are removed manually
Doctor :   with the help of instruments.
User :   oh is kind of minor operation?/
Doctor :   Yes, its a minor surgical procedure which lasts for 15- 30 minutes.
User :   oh she won't be required to admitted in hospital or something like that na?
Doctor :   Do you have any other query?
Doctor :   She may need to stay in the hospital for some time(12-24hours)
Doctor :   The need for this are more higher, in later stages of pregnancy.
Doctor :   Hence if abortion is attempted before 12 weeks, the need for D&C are less.
User :   alright thank you very much
Doctor :   Have you followed what I have suggested?
Doctor :   Do you have any other query?
User :   yes very well
User :   no that's all for now
Doctor :   Thanks for consulting me. Bye for now.
User :   ok
User :   bye
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