Abortion is an extremely serious decision for any woman, because it concerns not only the planning of children, but also the woman’s health, her ability to have children in the future, if, of course, she wants this. The timing of an abortion is the main condition that must be observed if there is a need to get rid of a not entirely desirable pregnancy. Despite the fact that many women now believe that they can have an abortion at any stage, this is far from the case. In gynecology, there is a time for everything, including abortion.

For women who decide to have an abortion, the timing is set by the doctor, based on the characteristics of the body, life situation and medical indications. The timing for an abortion can be early (that is, before 12 weeks) or late (that is, after 12 weeks of pregnancy). At the most early stages As a rule, medical termination of pregnancy is performed, but later cannot be done without serious surgical intervention.

Medical abortion - timing

If a decision is made to undergo a medical abortion, the period cannot be more than 42-49 days of pregnancy. This period calculated from the last day of the last menstruation. According to official guidelines, doctors should not perform pill abortions for which the timing is not met. However, there is evidence that medication can effectively and safely get rid of unwanted pregnancy for up to 63 days (absence of menstruation).

It is important to remember that how effective a medical abortion is depends on the timing of it: the principle “the sooner the better” applies here. Carrying out a medical abortion in the later stages can lead to incomplete abortion and prolonged bleeding. In some cases, pregnancy may even continue to develop. The effectiveness of this procedure, in general, is 95-98%.

Short term abortion is optimally carried out at 3-4 weeks of pregnancy. In order not to miss this period, you need to determine pregnancy as early as possible.

Vacuum abortion - timing

If a woman does not have time to undergo a gentle abortion with medications, or the need for this procedure arises after the pregnancy has exceeded 6 weeks, the doctor may offer a so-called mini-abortion. This type of abortion is performed using an electric suction or manual suction.

Women often wonder how long a vacuum abortion is considered possible and safe. Security this type abortion is completely comparable to a medical abortion, and these types of interventions are considered minimally dangerous for the woman, since they exclude the possibility. Vacuum aspiration is usually performed between 6 and 12 weeks of pregnancy, when the fetus is still almost unformed.

Early surgical abortion

In some cases, abortion at 12 weeks is performed using curettage. In this case, the cervix is first dilated, and then its wall is scraped out with a curette. This procedure can be carried out up to 18 weeks (maximum at 20 weeks).

Long term abortion

The maximum period of abortion that can be performed at the request of a woman is 12 weeks. After the 12th week and up to the 21st week of pregnancy, abortion is possible for social reasons (for example, if a woman became pregnant as a result of rape). After 21 weeks of pregnancy, an abortion can be performed exclusively for medical reasons, that is, when the fetus has severe pathologies, or the mother’s health requires it. Late abortions (the deadline is 40 weeks) are characterized by the use, mainly, of the method of artificially inducing labor.

– artificial or natural termination of pregnancy during the first 22 weeks. Until what time can you have an abortion in our country? Abortion methods that will help minimize risks to the body.

Abortion - unnatural termination of pregnancy

Early abortion

An abortion performed before the 12th week of the gestational period is considered early. In the first trimester of pregnancy, it is carried out at the request of the woman, for medical or social reasons.

Abortion in girls under 14 years of age is carried out by the decision of parents or guardians. Older - only at the girl's request.

Pharmabort using medicines– carried out during the period from 1 to 7 weeks of pregnancy, that is deadline For medical interruption there will be a delay of menstruation of 21 days.

Pharmacological abortion is allowed for 1-7 weeks

It is prohibited to carry out such a procedure on your own. The doctor selects the drugs for abortion. Ultrasound monitoring is indicated before taking medications and after bleeding.

Mini-abortion or vacuum aspiration - indicated for a period of 6 to 12 weeks. It is not advisable to carry out this procedure earlier, since the fetus is not yet formed. This is a gentle variation of surgical curettage.

IN Russian Federation This technique is allowed only up to the 5th week of the gestational period. It is carried out exclusively on the basis of a medical institution.

Surgical – carried out before the 12th week of the gestational period. This classic shape interventions using dilators and instrumental curettage of the fetus from the uterine mucosa. It is carried out on the basis of the gynecological department of the hospital.

Late pregnancy termination

Abortion in the 2nd trimester (long term) of pregnancy is possible only for medical reasons:

late detection of pathology by the midwife;
serious vices physical development fetus;
identified genetic abnormalities of the embryo;
serious conditions that threaten a woman’s health;
oncological diseases detected during pregnancy;
tuberculosis in the active stage;
HIV infection;
Treponema pallidum infection.

All types of late-term abortions are performed only in a hospital. The decision to terminate the pregnancy is made at a consultation. The presence of a local gynecologist and the head of the antenatal clinic is required. The results of ultrasound, various screenings, and tests are reviewed.

The commission may take into account the social factors for termination of pregnancy indicated by the woman. But they do not influence the decision of the council.

If a woman does not want to terminate her pregnancy if indicated, then doctors do not have the right to carry out any actions regarding the mother and child.

Abdominal caesarean section - in emergency conditions, the purpose of which is to save the woman’s life. Spend 2 or 3 trimesters in any month.
Transvaginal C-section– with dissection of the cervix and extraction of the fetus with forceps, it is used extremely rarely. The intervention is extremely traumatic, high risk postoperative complications, development of bleeding.
Introduction of saline solutions into the uterine cavity, medications to kill the fetus. The drugs are administered transcervically or transabdominally.
The use of gels and oxytocin preparations to stimulate contractile activity of the uterus.

After birth and expulsion of the placenta, the doctor performs surgical curettage of the uterus.

Until what period can a pregnancy be terminated?

Termination of pregnancy - induced abortions - is possible up to 22 weeks of the gestational period or until the fetus reaches a weight of 1 kg.

Medical abortion

Pharmaceutical abortion involves the use of mifepristone and prostaglandins. The maximum possible period for this method of termination of pregnancy is 49 days from the 1st day of the last menstruation.

Advantages of this method:

non-invasive;
the ability to keep the fact of pregnancy a secret;
the embryo is not yet attached to the wall of the uterus;
infection and uterine trauma are excluded;
psychologically easier to tolerate than surgical procedures;
does not require pain relief;
carried out on an outpatient basis, but under the supervision of a doctor;
the body perceives this condition as a natural miscarriage;
suitable for young girls and nulliparous women.

Medical abortion is the safest

The procedure seems simple, but has a clear algorithm of actions.

The doctor must monitor the patient’s condition at each stage:

Confirmation of the fact of intrauterine pregnancy is a standard examination, ultrasound. Next, the patient writes consent to undergo medical procedures.
Tests - smear for flora, blood test for syphilis, confirmation of the absence of contraindications.
Taking the drug suggested by the doctor.
The second visit to the doctor is after 36–48 hours. The gynecologist gives the woman the following group of drugs that cause expulsion ovum from the uterus. It is advisable to spend this period in a hospital setting. But if the doctor’s recommendations are followed, the patient can go through this stage at home.

If severe pain or bleeding develops, a woman must contact a medical facility.

Control ultrasound – after 3 days – to confirm the fact of expulsion of the fertilized egg from the uterine cavity.
The second ultrasound is performed 7–14 days after taking the drugs. The doctor will assess the condition of the uterus and rule out inflammatory processes.

Contraindications for the use of medications:

dysfunction of the adrenal cortex;
long-term use of hormonal medications;
inflammatory processes in the reproductive system;
neoplasm of various origins in the cavity or on the wall of the uterus;
blood diseases, increased prothrombin time;
ectopic pregnancy;
severe diseases of other organs and systems.

Abortion medications should not be taken during an ectopic pregnancy.

Tablet abortion is the least dangerous for a woman’s health.

But taking medications can cause the following complications:

pain syndrome;
nausea and vomiting;
increased body temperature;
development of the inflammatory process;
diarrhea;
bleeding;
hematometer - an accumulation of blood in the uterus after the expulsion of the embryo.

In rare cases, pregnancy is not terminated after taking medications. Further actions depend on the woman’s decision.

Vacuum

A mini-abortion is performed using vacuum suction at 5–6 weeks of pregnancy. The deadline is 21 days of delay. A catheter is inserted into the uterine cavity, a vacuum is created using the device and the embryo is separated from the walls of the uterus.

The advantages of this method:

does not require hospitalization;
there is no risk of perforation of the walls of the uterus or cervical canal;
fast recovery;
The duration of the procedure is 2–5 minutes;
no general anesthesia required.

After the procedure, the woman is under the supervision of a doctor for 2 hours. Then he can return to his normal life. After 2 weeks, the patient should come for a routine examination to the gynecologist.

Vacuum abortion is allowed at 5-6 weeks of pregnancy

Vacuum aspiration should not be performed in the following cases:

previous abortion was performed less than 6 months ago;
ectopic pregnancy;
infectious or inflammatory processes in the acute stage;
elevated temperature;
blood diseases;
uterine tumors;
pregnancy period is more than 5 weeks.

The risk of complications with this method of abortion is minimal. But the more such manipulations in history, the higher the risk of perforation of the uterine walls, inflammatory processes, incomplete removal of the fertilized egg, hematometer, and hormonal disruptions.

The surgical method is the removal of the fertilized egg using a specialized instrument. An abortion is performed before the 12th week of gestation.

The procedure is performed under general anesthesia, so hospitalization is required. Using forceps and clamps, the doctor dilates the cervix. Then it destroys the fertilized egg and, using a curette, removes the contents of the uterus and scrapes out its walls.

Advantages of the method:

general anesthesia;
used for periods from 6 to 12 weeks of gestation;
There is no risk of continuing the pregnancy.

The duration of the surgical intervention is 15–30 minutes. Then for 2-3 days the woman should be under the supervision of doctors.

Surgical abortion is the most dangerous

Contraindications to surgical abortion:

infectious diseases of any origin in the active phase;
pathologies of the reproductive system;
increase in prothrombin time;
thrombosis;
individual intolerance to anesthesia drugs.

Complications of the procedure:

bleeding - sometimes so severe that hysterectomy is indicated;
infection;
trauma, uterine perforation;
infertility;
habitual miscarriage;
premature birth in further pregnancies;
incomplete removal of the embryo;
subsequent obstruction of the fallopian tubes;
polyposis

Surgical abortion can cause uterine polyposis

It is possible to minimize the risk only when performing the procedure in the early stages of pregnancy in a medical facility.

Circumstances vary, but abortion should not be a permanent method of contraception. Taking birth control pills will not cause as much harm as terminating a pregnancy by any means.

Unfortunately, not every pregnancy is desirable. A woman for whom conception becomes a problem, an obstacle to fulfilling her desires, tries to find a solution, choose a method of terminating the pregnancy. Such methods are also used if carrying a baby is impossible for health reasons.

Methods of abortion and their features

In most cases, a surgical method is used to terminate a pregnancy. At the same time, the uterine cavity is cleaned out, the fetus dies. Such operations are allowed up to 12 weeks from the moment of conception.

The formation of the child’s basic functions lasts up to 13-14 weeks. After this is carried out ultrasonography fetal development. If developmental abnormalities are detected, additional tests and an MRI are prescribed. If abnormalities are confirmed, surgical termination of pregnancy is also suggested. Unfortunately, this type of abortion can lead to serious negative consequences: infertility, adhesions, inflammation. During the operation, the cervix dilates and the embryo is removed using a wire loop.

In the early stages, it is possible to perform a vacuum abortion. If pregnancy is detected at 4 weeks, the pregnancy can be terminated using a special vacuum device. During the procedure, local anesthesia is used. The fertilized egg is removed from the uterus by suction. This technique significantly reduces the risk of harm to women's health. The walls of the uterus are not injured, the whole procedure takes only a few minutes. This type of termination of pregnancy is carried out before the 7th week.

Exist traditional methods getting rid of the fetus. This is a decoction of oregano, bay leaf, tansy, wild rosemary, parsley. But these recipes should not be used, as the consequences can be unpredictable.

Recently, medical termination of pregnancy up to 6 weeks and beyond has become increasingly popular. This method has many advantages, which ensures increased interest in it.

Features of medical termination of pregnancy

If you want to know up to how many weeks you can have a medical termination of pregnancy, you should ask how exactly it is carried out and what contraindications there are.

When using this method, several special drugs are used:

Oxytocin.
Mifegin.
Norkolut.
Postinor.
Sayotek.
Mifepristone.
Sinestrol.

Before prescribing a particular drug, a medical examination is carried out. This allows the doctor to determine until what week a medical termination of pregnancy can be performed and to select the necessary medication.

Performing an abortion

After the patient is examined by a gynecologist and a blood sample is taken from her, the examination necessary tests, the optimal remedy is prescribed. Termination of pregnancy in this way can be carried out at 8 weeks, if no contraindications are identified.

After a woman has taken the pills, she should be under medical supervision for some time. If no complications arise, the patient is sent home. In three days she needs to return to the clinic. There she is given maintenance medications. They cause the death of the fertilized egg and its removal. Using ultrasound, it is determined whether the embryo has been completely removed.

Complications after medical abortion

If you are interested in how many weeks you can have a medical termination of pregnancy, it is worth considering that any abortion is less dangerous in the early stages. Timely interruption makes it possible to avoid violations reproductive function, inflammation, complications. You can provoke an abortion with the help of medications even at 8 weeks, but in this case there is a danger of incomplete removal of the fetus. This requires the additional use of vacuum equipment and creates the risk of inflammation and complications.

It is important for women to understand that a medical abortion at 6 weeks or 10 weeks in any case has a certain risk. Therefore, you should be more careful when choosing contraceptives to avoid such situations. It is especially important to think about this for young, nulliparous women.

Apr 24

Until how many weeks does an abortion take place?

Termination of pregnancy can be carried out either at the request of the woman or for medical reasons. But in both cases there are deadlines for safe abortion. A pregnant woman has exactly 12 weeks to decide on the need and possibility of childbirth. In the second trimester, termination of pregnancy can be performed only by doctor's decision. The deadline for getting rid of the embryo is 22 weeks. All women need to know until how many weeks they have an abortion., and especially for those girls who do not yet plan to have offspring.

Medical abortion

In the initial stages - up to 4-6 weeks, it is possible to terminate the pregnancy by taking medications. The essence of the procedure is to alternately use medications that cause the fertilized egg to separate from the walls of the uterus, and medications that promote contraction of the reproductive organ. The advantages of medical abortion are the absence of surgery and the need for anesthesia. But even this, at first glance, harmless interruption of the natural process is a great stress for the body and has a number of contraindications.

Vacuum abortion

Vacuum aspiration is performed during pregnancy up to 6-7 weeks. In rare cases, this method can be used for up to 12 weeks. A mini-abortion is the suction of a fertilized egg that has not yet had time to firmly contact the uterus. During the procedure, the doctor carefully runs a special instrument along the inner surface of the uterus, tracking, if appropriate equipment is available, the progress of movements using ultrasound. The operation is performed under local or general anesthesia, lasts no more than 5 minutes and does not require a hospital stay.

Surgical abortion

Surgical termination of pregnancy has to be done in cases where a woman lately became interested in how many weeks an abortion can last without surgery. The procedure is performed under general anesthesia and involves scraping out the uterine cavity with special medical instruments. The recommended gestational age for curettage is 12 weeks. In rare cases, they resort to a classic abortion for up to 22 weeks - but for this there must be serious reasons and permission from doctors, since the consequences of a late abortion negatively affect women's health.

Artificial birth

In exceptional cases, doctors may decide to terminate a pregnancy beyond 22 weeks. But such an interruption is usually considered an artificial birth, since the fetus at this stage, under certain conditions, is already capable of maintaining vital functions.

Until what period can a pregnancy be terminated at will and medical necessity? Unfortunately, a woman does not always decide to keep a conceived child. This can be hampered by financial and psychological problems, and sometimes health problems arise that force an abortion.

So, the timing of termination of pregnancy at will in Russia is limited to 12 weeks, that is, the first trimester. At this time, the woman can decide how to have an abortion. The most famous method is the opening of the cervix, followed by cleaning the uterine cavity from the fertilized egg and its membranes. It should be noted that this method is the most dangerous in terms of health consequences. It is not recommended for women who have not yet given birth, as they risk remaining infertile. The risk of pathologies is reduced if the procedure is carried out according to all the rules, sterilely, and the woman then follows all the doctor’s recommendations. That is, he takes antibiotics, is not sexually active for at least two weeks, and does not bathe in baths or bodies of water. That is, everything must be done to ensure that no pathogenic microorganism penetrates into the uterus.
But the problem can arise not only with the uterine cavity, but also with the cervix. It is easily injured by mechanical, instrumental expansion. To prevent this from happening, you can use kelp seaweed for a gradual, slow opening. This is not very often practiced in Russian hospitals, as it requires an extra day of hospital stay. However, for a fee it is certainly feasible almost everywhere. Surgical abortion is usually performed between the 8th and 12th weeks of gestation.

Many women know until what time it is possible to terminate a pregnancy with a vacuum, i.e. vacuum aspiration is 7 weeks. This is quite a sufficient period of time to make sure that there is an intrauterine pregnancy and decide to remove the fertilized egg from the uterus. This method, compared to the instrumental one, is less traumatic. It is virtually painless and therefore does not require general anesthesia. It can be performed in a antenatal clinic, meaning hospitalization is not required. But it is not always possible to do it for free... The cost of a mini-abortion is on average 1000-3000 rubles.

Another interest Ask- How long can a pregnancy be terminated with medication (pills) at home? This is a relatively new procedure for Russian women that allows you to induce a miscarriage at home. True, it is quite expensive. And medications prescribed by a doctor are not sold in pharmacies. Thus, for up to 6 obstetric weeks, this is about 2 weeks of missed menstruation - you can get rid of pregnancy without any medical intervention at all.

If the pregnancy is already 12 weeks or more, then it will not be possible to terminate it at will. And it’s hardly worth finding out at what maximum period a pregnancy can be terminated for medical reasons. If they are not there, no doctor will take the risk under the article. And you shouldn't take risks. Over such long periods, there is a huge risk of complications, uterine perforation, and cervical ruptures. As for the timing, if there are real indications for medical interruption. indications, they are not limited. For example, doctors may perform an emergency caesarean section on a woman at 30 weeks if she has preeclampsia. And at 20 weeks, induce an artificial birth if Down syndrome is discovered in the child through invasive diagnostics. Accordingly, the type of abortion according to honey. The indications depend on the specific stage of pregnancy, the condition of the woman and the child.

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