What is an abortion?
An abortion is an early termination of a pregnancy, whether or not desired. This information is about the desired termination of pregnancy, the abortion provocatus.
In the Netherlands this is done for 10% of unwanted pregnancies. Three quarters of this arises because something has gone wrong with birth control, for example, forgetting the pill or tearing a condom. For the rest, no contraception was used at all.
Every year about one in every 100 girls aged 15-19 becomes unwantedly pregnant.
The first phenomenon of a pregnancy is that your period does not come (‘being overtime’).
To be sure you are pregnant, you can do a pregnancy test. You can buy such a test at the drugstore or pharmacy, but you can also have it done at your doctor’s. Such a test measures the presence of pregnancy hormone in your urine.
If you are pregnant unwantedly, you will have to decide whether or not you want to keep the pregnancy. This is a difficult decision, especially talk about it with others. With your friend, family, girlfriends or your doctor. You do not have to make the decision in a hurry, you have enough time to get everything straight.
What can you expect?
If you have decided to interrupt your pregnancy, make an appointment with your doctor or an abortion clinic. You can further discuss what is possible with them.
If you are less than 16 days late, there is no question of an abortion, but of an overdue treatment. An abortion can take place up to a gestational age of 13 weeks. Some clinics may even perform an abortion for up to 22 weeks. After the first meeting with the doctor you will have 5 days to think before the abortion will be done. This is laid down by law.
If you are younger than 16, you must inform your parents. There are two ways in which the abortion can be performed.
Suction curettage Hereby the uterus is sucked empty with a tube. This can be done under local anesthesia or with a ruffle and takes a few minutes.
The procedure itself does not hurt much. Afterwards you can feel cramps, as with normal menstruation, after a few hours you can go home again. The days and weeks after the abortion you can still suffer from stomach cramps and blood loss. Three weeks later there is a follow-up check (this can also be done at your doctor’s).
The follow-up check consists of a pregnancy test and an internal examination.
Abortion pill In the second place there is the possibility of the abortion pill, this can be up to a pregnancy of 49 days, calculated from the first day of your last menstrual period. This abortion pill is called mifepristone (Mifegyne®).
You must take three tablets at the same time. Two days later you get a second medicine (prostaglandin) at the abortion clinic, you stay there for 4 to 6 hours. During that time the pregnancy is released from the uterus and the abortion takes place.
Here too you have a follow-up check three weeks later. The side effects of that abortion pill can be abdominal pain, nausea and vomiting. Both treatments are reimbursed by the insurance.
It is wise to take someone to the abortion clinic. You may not feel well afterwards. Although an abortion is medically a minor intervention, it can of course be a very radical event for you. Having an abortion is a decision that you usually don’t make just like that. It is quite normal that you may have psychological difficulties after the procedure. Talk to trusted people in your area about this.
Where can you go for an abortion?
For an abortion you can go to an abortion clinic. It is often nice to first make an appointment with your doctor. The doctor can explain what you can expect and advise you on a clinic.
When to the doctor?
If you doubt whether you want an abortion, it is advisable to talk to your doctor about this. You can also do that at an abortion clinic. You can also go to the doctor for more information about birth control.
If you get a lot of blood loss, a lot of cramps or a fever in the weeks after the abortion, contact your doctor or the abortion clinic.
What can you do about it yourself?
If you do have sex but have not used anything to prevent a pregnancy (birth control), it is advisable to talk to your doctor about this. You can find more information about this in the doctordokter.nl folder “contraception”.
General advice and precautions
Be well informed about contraceptive options and use that knowledge as well. If you have become unwantedly pregnant, talk to someone about it. You don’t have to make a decision headlong. Take your time for it.
Source : dokterdokter