Abortion: the consequences. Doctor version

Abortion: the consequences. Doctor version

Last week we got acquainted withpsychological effects of abortion,facing a woman. Today we will talk about the health risks of abortion. This helped us to understand the talentedintern doctor Natalia Dichko.

 

- Natalia, what are the consequences of an abortion for women's health?

- For clarity, I would like to first show some statistics: every year there are 53 million abortions in the world. In Ukraine, the frequency of abortions is 45.8 procedures per 1000 women of the reproductive age. It should be noted that according to sociological research, half of all pregnancies in Ukraine are unplanned. There was a false and flawed stereotype that it is possible to “solve the problem” of unwanted and unplanned pregnancy with the help of an artificial interruption, which, in turn, does not in the most favorable way affect the health of the nation and the birth of new generations.Abortion has a "palm" in the list of causes of death of mothers.Every thirdthe woman subsequently faces complications. The frequency of severe late complications is very high! In addition to the general and significant deterioration of the reproductive state of the beautiful half, abortions carry the following threats: infertility, further inability to bear the fetus, endocrine complications and inflammatory diseases of the genital organs in a chronic form. If we talk about statistical data, then in Ukraine, 28% of women interrupt their first pregnancy with abortion. In 58.7% of cases, women who have terminated their first pregnancy experience gynecological diseases. And this is absolutely not a small percentage, more than half! These figures make you think, is not it? But most often complications arise when the abortion procedure itself is carried out in inappropriate conditions, or not by sufficiently qualified specialists. I want to note thatas defined by who“An unsafe abortion is an artificial termination of a pregnancy or the treatment of its complications by an unqualified person,as well as complications after abortion, as they are the main causes of death for women of reproductive age or severe violations of their reproductive health. "

 

- What methods of abortion exist?

- Depending on various factors, the reasons for the abortion and the very health of the woman, there are such options: medical and surgical. In progresssurgical methodproducts of conception are removed from a woman’s uterus by vacuum aspiration or by scraping the uterus (curettage). These methods are used for pregnancy for up to 12 weeks. In later periods, the risk of complications increases. The most serious and dangerous complication that can occur during the surgical method is the breakthrough of the uterus, which can be accompanied by damage to neighboring organs. This entails an expansion of surgical interventions and very serious consequences. Curettage, in which the products of conception are scraped from the uterus, are of great danger. In this case, the frequency of complications is two times higher than with vacuum aspiration.A very serious complication is bleeding during surgery! Also, with incomplete abortion, residues of the products of conception in the uterus may remain. Inflammatory diseases such as metroendometritis (inflammation of the lining of the uterus), salpingo-oophoritis (inflammation of the appendages) are quite common after abortions and can turn into chronic forms. In some cases, there is a need for repeated surgical interventions, as methods of treating complications. In progressdrug methoduse of drugs that affect the function of the corpus luteum and the contractile activity of the uterus is used, which, in turn, leads to the termination of pregnancy. Medical abortion methods are applied before6weeks of pregnancy. It is important to note that during this method, a woman after a full examination signs a written consent to use the drug, and then takes it in the presence of a doctor. However, there are cases where the drug method is ineffective, and later a surgical method is used. Complications can be in the form of heavy and heavy bleeding, or progressive pregnancy.The surgical method is applied without fail, since these consequences can entail very serious complications (the development of a fetus with numerous defects, massive bleeding). Despite the fact that women are more easily tolerated by the medical method of interrupting abortions psychologically, it has many disadvantages and is not as safe with a more detailed study: increased pain, duration, high cost, the need for regular visits to the doctor, a very high risk of complications.FinallyIt can be noted that the drug method is very dangerous with abundant and prolonged bleeding, which later threaten to even death. Complications after surgical interventions can drastically change the reproductive capacity of a woman, since if complications occur, extended surgical interventions (removal of the ovaries or post-traumatic operations on the uterus) can be performed, which can lead to infertility or miscarriage. It is worth remembering that in the early stages of pregnancy it is safer to use the drug method,however, at a later stage, vacuuming should be applied.

 

- How to monitor health after an abortion?

- In cases where it is not possible to avoid abortion, then for all types of abortion, vaginal microflora should be carefully monitored. Because even if an abortion was carried out under proper conditions, successfully and without serious complications / injuries, anyway, any traumatic intervention (such as abortion) into the integral mucosa leads to a number of consequences: inflammatory process, impaired function, regeneration of the damaged epithelium, etc. . It is necessary to pay close attention to those who did not give birth, since for them the question of reproductive function will continue to be more acute than for women who already have children. Primigrams need to very carefully select and perform abortion techniques, and especially if they are teenage girls. In the course of rehabilitation, techniques are applied that include the correction of the vaginal microbiocenosis, the resumption and regulation of the cycle, and physiotherapeutic procedures.

“Abortion is always a significantphysicaltrauma, no matter how conventionally “sparing” method it was carried out. It requires a recovery period, limits the usual activities (a woman needs to have a more relaxed lifestyle, give up sex, sports, walks for a while, experience serious physical discomfort - pain and discharge, examinations) - and this alone creates psychological difficulties. In addition, abortion is in any case accompanied by serioushormonalfailure - and this is damage to the health and activity of the nervous system, because a woman's mood and well-being directly depends on the hormonal balance, "- explainspsychologist and art therapist Anna Rymarenko.

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  • Abortion: the consequences. Doctor version

    Abortion: the consequences. Doctor version

    Abortion: the consequences. Doctor version

    Abortion: the consequences. Doctor version

    Abortion: the consequences. Doctor version

    Abortion: the consequences. Doctor version

    Abortion: the consequences. Doctor version

    Abortion: the consequences. Doctor version

    Abortion: the consequences. Doctor version

    Abortion: the consequences. Doctor version

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