Safe Termination of Pregnancy: Modern Methods and Recommendations
Українa, м. Дніпро, вул. 25 Січеславської Бригади (вул. Рибінська), 119 ‑ 120
Українa, м. Дніпро, вул. 25 Січеславської Бригади (вул. Рибінська), 119 ‑ 120

Surgery in gynecology: Pregnancy termination

Pregnancy termination

Pregnancy termination refers to the medical process of ending a pregnancy.

Pregnancy termination | Surgery in gynecology
Termination of Pregnancy: Safe Methods, Indications, and Procedure Features

Termination of pregnancy is a medical procedure aimed at artificially ending a pregnancy at an early stage, either at the woman's request or for medical reasons. Modern gynecology offers safe and effective abortion methods that, when sought in a timely manner, do not affect reproductive health and allow for future pregnancy planning.

It is important to remember: the decision to terminate a pregnancy is always individual and should be made after consulting with a doctor. The specialist will explain all possible options, timelines, and features, as well as conduct necessary examinations to choose the most gentle method.

Indications for Termination of Pregnancy

Abortions can be performed at the woman's request or for medical or social reasons.

Main indications:

- The woman's desire to terminate the pregnancy (within the timeframes allowed by law)
- Fetal pathologies incompatible with life
- Severe maternal illnesses where pregnancy threatens her health
- Missed miscarriage
- Cases of violence

In most cases, abortions at the woman's request are performed up to 12 weeks of pregnancy. At later stages, it is possible only for medical reasons and in a hospital setting.

Main Methods of Termination of Pregnancy

Modern medicine offers several ways to terminate a pregnancy. The choice of method depends on the term, the woman's health condition, and examination results.

1. Medical Termination (up to 6–7 weeks)

The most gentle and popular method, where the woman takes special medications that cause natural expulsion of the embryo.

Advantages:

- No surgical intervention
- Minimal risk of complications
- Can be performed on an outpatient basis
- Quick recovery of reproductive function

Important: Medical abortion should only be conducted under a doctor's supervision—self-administration of medications can be dangerous to health.

2. Vacuum Aspiration (up to 8–9 weeks)

A minimally invasive procedure where the contents of the uterine cavity are removed using a soft vacuum device.

Features:

- Performed under local or short-term anesthesia
- Duration is about 5–10 minutes
- No hospitalization required

After the procedure, the patient is observed by a doctor for several hours and can return home the same day.

3. Surgical Termination (up to 12 weeks and later for indications)

Performed using curettage (scraping) of the uterine lining. This method is used less frequently, usually when other methods are not possible or have not been successful.

Features:

- Conducted in a hospital setting
- Requires anesthesia
- May involve a longer recovery period

Preparation for the Procedure

Before undergoing a termination of pregnancy, a mandatory set of examinations is required:

- Gynecologist consultation
- Pelvic ultrasound to determine the term
- Blood and urine tests
- Infection tests (if indicated)

The doctor explains the procedure, possible risks, and post-intervention behavior rules in detail.

Recovery After Termination of Pregnancy

After the procedure, it is important to focus on restoring reproductive health. Main recommendations:

- Abstain from sexual activity for 2–3 weeks
- Avoid physical exertion and overheating
- Maintain intimate hygiene
- Follow-up examination by a gynecologist in 7–14 days
- Choose reliable contraception to prevent unwanted pregnancy in the future

Minor spotting and slight discomfort are considered normal in the first few days. In case of severe pain, high fever, or heavy bleeding, immediate medical attention is necessary.

Possible Complications

Modern methods of pregnancy termination are safe, but complications can occur if recommendations are not followed or medications are used independently:

- Inflammatory processes
- Menstrual cycle disorders
- Hormonal imbalances
- Adhesions and scars in the uterine cavity (more common after surgical abortion)

Professional procedure performance and doctor supervision minimize the risk of complications.

Conclusion

Termination of pregnancy is a serious step that requires a conscious decision and professional medical assistance. The main thing is not to delay visiting a doctor: the earlier the procedure is performed, the safer, simpler, and less traumatic it is for the woman's health.

Modern gynecology allows for pregnancy termination using gentle methods and preserving reproductive function, ensuring the woman has the opportunity to become a mother in the future.
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