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Which method is safe medical abortion or surgical abortion

The Safest method for Abortion

The choice of two widely accepted methods of medical abortion or surgical abortion is entirely based upon the woman’s preferences, circumstances, physical conditions and most importantly on how far along they are in their pregnancy. Both methods are efficient and safe abortion in Chennai for termination of unwanted pregnancies. The success rate of medical abortion is said to be about 89 to 95 % with a failure rate of 2 to 11 % in comparison to surgical abortion that has a much higher success rate as the whole procedure is completely supervised by trained medical staff and hence effectiveness is definitely more.

Criteria for choosing safe abortion method

If a woman is considering having an abortion, it is important to explore the difference between medical and surgical abortions in order to better understand the options and choose a safe and effective abortion method. Medical abortion may be defined as use of pharmacological drugs to terminate pregnancy which may be also termed as “non-surgical abortion” or “medication abortion”. Surgical abortion involves the use of transcervical procedures including vacuum aspiration and dilatation and evacuation (D&E) for termination of pregnancy. It is important to remember that timing of pregnancy has a major influence over which procedure is safest for abortion. A medical abortion uses two different medications to terminate an early pregnancy that is safest within the first 70 days (10 weeks) of the first trimester, as determined by an ultrasound. A surgical abortion is an in-clinic abortion medical procedure that uses suction to gently remove a pregnancy that is anywhere from the early stages of the first trimester until 20 weeks of the second trimester as determined by an ultrasound. An early surgical abortion involves menstrual aspiration where a simple ultrasound guided syringe is used to remove the embryonic tissue from the uterine lining effective up to 7th week of pregnancy. For a pregnancy between 8th and 12th week of pregnancy, surgical abortion is done via vacuum aspiration or dilation suction that uses ultrasound guidance to ensure all embryonic tissue is removed from the uterus. Because the pregnancy is more advanced beyond 13th week of second trimester, the cervix is dilated in advance and the procedure is done the next day more slowly using gentle suction and medical tools as the uterus is softer at this stage and to ensure that the entire contents of the uterus is removed.

Safe abortion method – comparison of risks and side effects

Unplanned pregnancies are quite common that 1 in 3 women are likely to have an abortion before the age of 35. Women who desire to terminate their unwanted pregnancies are advised to address their concerns with the health educator or doctor at pregnancy abortion clinic in Chennai before consenting to having an abortion. The option to have a medical abortion being similar to a miscarriage, allows to experience it in the comfort of one’s own home, either with or without the support of a loved ones and feeling that it is more natural, less invasive and giving room for privacy. Whereas, surgical abortion being the only option for pregnancy past the 10th week, there are still safety advantages to choosing this method to end an early pregnancy. Surgical abortions are fully supported by well-trained medical staff from start to finish, the procedure is faster than medical abortions. However, both abortion methods carry some risks and complications that can occur in an estimated 3% of cases, major complications are rare. Risks and side effects associated with abortion methods would be:

Risk of incomplete abortion – Incomplete abortion is the most common complication that occurs when the pregnancy is not completely expelled from the uterus after an attempted medical abortion. Cramping or heavy bleeding for long will require surgical procedure to empty the uterus. A small piece of the pregnancy or lining may be left out in the uterus after a surgical abortion usually when done by inexperienced doctors or using wrong technique. A repeat procedure may be necessary if problematic bleeding or cramping occurs.

Risk of ongoing pregnancy – Ongoing pregnancy occurs in less than 1% cases of medical abortion when the pills are not taken is not as directed. Ongoing pregnancy after a surgical abortion is uncommon but is more likely if the procedure is performed under 6 weeks of pregnancy.

Risk of injury to the body – Instruments or suction are not used in medical abortion and hence there will not be any exposure to the chance of cervical injury and uterine perforation that rarely occur with surgical abortion. In surgical abortion when performed by inexperienced practitioners, instruments and suction placed into the vagina and uterus may subject a small risk of cervical injury or uterine perforation that could require further care or abdominal surgery.

Risk of infection – There may be a very small likelihood of infection after medical abortion as the procedure does not recommend or follow up with antibiotics to prevent infection. There is minimal likelihood of infection after suction curettage abortion as well, but antibiotics that are usually prescribed, if taken as directed by the specialist will reduce the chances of getting an infection.

Risk of pain during the procedure – Since the actual abortion process takes place at home, the medical fraternity may not be able to take on more responsibility for the woman’s care other than written instructions on managing side effects and contact numbers to call for questions and emergency. A member of medical staff for safe abortion services in Chennai will be always there during the whole procedure and will also monitor the recovery period. Side effects such as cramping or excessive bleeding can be managed effectively by the doctors and medical assistants immediately as they occur.

Side effects on fertility – There are no indications that suggest that medical abortion affects a woman’s ability to get pregnant when she is ready. Similarly, there is no evidence wherein suction curettage abortion, when done under safe medical conditions affects a woman’s ability to have a baby anytime in future.