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SURGICAL ABORTION

Surgical Abortion Procedure
  • Pre-operative Preparation
    Abortion is usually performed as an outpatient procedure. Abortion is done under sedation. Medications are given to sedate you. When the abortion is completed, you will need about an hour to recover from the drowsiness. Before the abortion, you must not drink or eat for four to six hours. This reduces the risk of food content in the stomach from regurgitating into the lung passages. Do arrange to come with a friend, who will accompany you home. Please do not wear nail polish or any jewellery.
  • Post-operative Care
    The abortion takes about fifteen minutes, during which you will be asleep. When you come around, you will experience lower abdominal cramps. You may feel drowsy and nauseous. Pain killers and anti-nausea medication are rarely necessary.
  • Follow-Up Appointment
    You will need to return for a review appointment two weeks after the abortion. Your urine pregnancy test will take about 2-3 weeks to be negative.

Contraceptive issues will be discussed again so as to prevent further unplanned pregnancy. Most of you will have your next period in four to six weeks’ time. If your period is delayed beyond eight weeks, it is important to call in. For two to three week after the procedure, you may want to avoid sexual intercourse in order to minimize the chance of pelvic infection. We will advise you on when it is safe to resume sexual activity when we review you a week later. Emotionally, most of you will feel relieved after the abortion, as the unplanned pregnancy would have kept you worried for a while. Nevertheless, some of you will be overcome by other emotions, such as anger, regret and guilt, which may persist for some time. We strongly encourage you to discuss your reactions with us at anytime. We understand your dilemma and are available to support you through your physical and emotional recovery.

Minimizing Abortion Complication

Abortion or termination of pregnancy, as in any surgical procedure has potential complications. The reason to legalize abortion was to prevent the serious complications that accompany back-street abortions. At our clinic we pride ourselves in making this procedure safe and painless.

Common abortion complications includes:
  • Injury to Womb
    During abortion, the neck of the womb (cervix) is progressively dilated to allow the smallest vacurette to enter. If the cervix is inadequately dilated, inserting subsequent instruments will be difficult, putting the womb at higher risk of being perforated. Piercing the uterus does not permanently damage the uterus. However additional procedures may have to be performed to diagnose if other abdominal organs are injured. On the other hand, excessive dilating the cervix may lead to problems of infertility and repeated miscarriages.
  • Incomplete Removal of Pregnancy
    Abortion is normally a “blind procedure” where the products of conception is removed by feel (and not by sight). The complete removal of all products is not guaranteed. Incomplete evacuation, when some of the products or membrane is left in the womb. In cases where it remained stuck to the womb, a repeat procedure is necessary. To minimize this risk we routinely use ultrasound scan to during the procedure.
  • Bleeding
    Excessive bleeding may follow a successful abortion. In uncomplicated cases, we expect the vaginal bleeding to be mild and last for about a week or two, and it should be bleeding less each day. If you find that your bleeding becomes more and does not appear to be stopping, you need to return to the clinic. Besides incomplete evacuation, you may be developing a womb infection as well.
  • Infection
    Unpleasant vaginal discharge, running a temperature and having lower abdominal pain are features of an ongoing infection. Inflammation sets in when your womb is trying to respond to left behind products that are degenerating, or when bacteria got into the womb. This complication has to be treated actively with appropriate antibiotics and possibly a repeat evacuation.
  • Infertility
    Can your abortion lead on to infertility? Abortion is not a contraceptive method, and repeated abortions cause damage to the wall of the womb cavity, causing it to stick to each other in parts of the womb. However if the procedure is done professionally without complications there should be minimum effect on future fertility.