Vacuum abortion (mini) is an abortion in an artificial way in the early stages (up to 6 weeks). This procedure is performed if there is a delay of the menstrual cycle of not more than 21 days, ideally by 14 days. It does not make sense to carry out the procedure before, since there is a chance that the fetal egg simply does not enter the catheter, and the late procedure can provoke a number of serious complications.
Mini-abortion is the aspiration of the fetal egg through a special apparatus (vacuum suction). The device in the uterine cavity creates a negative pressure that separates the fetal egg from the walls of the uterus. For the procedure, a woman is given local or general anesthesia. A special catheter (cannula) is connected to the vacuum suction hose, which has a high level of flexibility and reduces the risk of damage to the walls of the uterus and other organs to zero.
Preparation before the procedure
In order to reduce all the risks of complications after an abortion, the gynecologist prescribes the following studies for the patient: a blood test for the Rh factor and group; blood test for HIV infection, hepatitis and syphilis; check for urogenital infections; Ultrasound examination; pregnancy test; general gynecological examination; smears to determine the state of microflora in the vagina.
In order for the entire procedure to be successful, it is important: not to put it off for later, timely contact with a doctor is the key to success and minimal harm to the body.
The procedure is mandatory under the supervision of an ultrasound machine, in order to see the location of the fetal egg as accurately as possible. Otherwise, it is impossible to completely guarantee the termination of pregnancy.
Mini abortion algorithm
After the gynecologist received the test results, you can proceed directly to the procedure. The patient is conveniently placed on a gynecological chair in a standard position. A woman is given anesthesia. After the doctor performs aseptic treatment of the perineum and vulva. Gynecologist carefully inserts a special spoon-shaped gynecological mirror into the vagina, which allows you to treat the walls of the vagina and cervix with antiseptics. The neck is fixed by using bullet forceps.
The doctor begins to probe the uterus using a special probe. The cervical canal does not artificially expand, the doctor introduces a plastic cannula from it from the vacuum suction. The procedure for aspiration of the ovum takes three to five minutes. After the woman is transferred to the couch, a heating pad filled with ice is placed on the lower abdomen and left to rest for two hours. After four hours, the woman will feel normal and will be able to return to her usual work schedule.
Benefits of Vacuum Abortion
Among the advantages of mini-abortion is worth noting:
- the complete absence of consequences that could subsequently lead to infertility;
- the uterine cavity is restored much faster than after a standard medical abortion;
- the procedure is carried out without the need to expand the cervix, therefore, its muscular apparatus is not damaged;
- a flexible plastic cannula does not damage the walls of the female genital organs;
- vacuum abortion is performed without curettage, therefore, the walls of the uterus do not suffer;
- the duration of the procedure is up to 7 minutes;
- both local and general anesthesia are expected;
- in the early stages, you can terminate the pregnancy without harming the body.
Menstruation after a vacuum abortion (mini)
A week after a mini-abortion, a woman may develop discharge with impurities of blood, the intensity of each woman is different. Many women decide that this is menstruation, which is not a correct interpretation. Discharge after a vacuum abortion is the reaction of the uterus to injury (termination of pregnancy), and the walls of the uterus thus respond to hormonal surges.
The real first menstruation will begin no earlier than in 1 month. In women who have already given birth, the recovery of the cycle can occur within 3-4 months, and in women who have not given birth, the cycle is restored within 7-9 months.
In order to prevent unwanted pregnancy after the procedure and in the coming year and to restore the hormonal state of the woman, the gynecologist without fail prescribes the use of combined oral contraceptives. Their use must begin on the day of the procedure.
Possible complications and recommendations after a vacuum abortion (mini)
Like all other methods of abortion, mini-abortion also has its own list of possible complications: hematometer (accumulation of blood in the uterus due to spasm of the cervical canal); progressive pregnancy (the fetal egg did not fall into the cannula); the formation of a placental polyp at the place of detachment of the fetal egg from the uterine wall; hormonal imbalance; psychological stress in women; inflammatory processes of the appendages and uterus.
If a long period of time there is pain in the lower abdomen, fever and blood discharge of maroon or scarlet color - you need to urgently consult a doctor.
For the procedure, there are contraindications: chronic or exacerbated diseases of the appendages and uterus; the presence of infectious diseases in the pelvic area.
A month after a vacuum abortion, it is recommended to abandon sexual contact. It is also necessary to avoid overheating and hypothermia. It is important to refuse to visit the pool, saunas, baths, or to take hot baths (shower only). Your gynecologist needs to appear 14 days after the procedure in order to exclude the manifestations of postoperative complications. The doctor may prescribe an additional ultrasound scan. Ultrasound allows you to exclude the presence in the uterus of a progressive pregnancy, a benign tumor or a placental polyp. A month is a rest mode, without burdens, physical exertion.