In the article, we consider whether it is possible to have an abortion at 14 weeks.
Abortion is one of the most scary and debated procedures for which many cannot find excuses. But the women who decided on this had their own reasons, and sometimes quite compelling. Someone did not plan a pregnancy at all, someone was abandoned by a loved one, some were blamed for the lack of material wealth, condemnation of relatives, and this is only the smallest of what can push expectant mothers to such a risky act. After all, a woman who has decided to terminate a pregnancy cannot but be afraid of side effects and consequences.
Abortions are different: spontaneous (miscarriage) and medical, carried out using drugs or by surgery.
How is pregnancy progressing?
Is abortion possible for 14 weeks of pregnancy? A woman by this moment is already fully adapting to her position, her hormonal background is in a stable state, and the placenta takes on the life support of the fetus. To supply the embryo with important nutrients and oxygen, the pregnant body spends a large amount of resources. There may be deterioration in the condition of hair, nails, and skin (a doctor should be consulted to determine the cause). The cases of heartburn are becoming more frequent, since the uterus increases by this time to 14 cm and does not fit in the small pelvis, this makes it rise in the abdominal cavity.
The woman’s chest is noticeably increasing in size, becoming more sensitive. The areoles around the nipples become darker, and a pigmented strip of pregnant women appears vertically from the groin to the navel on the abdomen.
At this time, the weight of the embryo is already 43 g, and the length of its body is not more than nine centimeters. He has fully formed all organs and systems, although some of them still function poorly. On ultrasound, the doctor may even be able to determine the gender of the unborn child. Increasingly, a woman begins to experience lower back pain, this is due to an increase in fetal weight and a shift in the center of gravity. Sometimes there are pulling pains in the lower abdomen, which indicate a uterine distension. The discharge should not have a pungent smell. Pay attention to curd flakes, foam or pus, which indicate a possible infection of the pelvic organs. Sudden pain, accompanied by spotting, is a clear sign of spontaneous abortion at week 14. With such symptoms, it is urgent to consult a doctor.
14 weeks - is it possible to terminate a pregnancy?
According to the law of the Russian Federation, termination of pregnancy at the request of a woman can be carried out only until the 12th week of gestation inclusive. For this procedure at a later date, good reasons are needed - either social or medical.
In the event of pregnancy due to rape, interruption is allowed until the 22nd week. This is possible in the case of the death of a spouse, a minor age is also an acceptable reason for the operation.
Medical indications
Medical indications include an ectopic or frozen pregnancy, the development of the fetus with severe pathologies, both genetic and caused by the use of drugs and chemicals. This also includes diseases of the mother, such as hepatitis, tuberculosis, mental disorders, viral infections.
If there is a threat to the life and health of the pregnant woman in case of detection of an oncological tumor; disorders of the central nervous system; acute renal or heart failure is also allowed to have an abortion at week 14.
Medical Commission Decision
To solve the question of the advisability of terminating a pregnancy, a medical commission should be convened at the clinic where a woman is observed. The consultation should evaluate possible methods to maintain gestation. Permission to conduct surgery can only be given by the patient herself. In this case, the doctor must explain why abortion is necessary in this case. Only in urgent cases, when it comes to the immediate saving of life, the intervention is carried out without her consent. An abortion at such a time simply cannot be done at its own whim.
Contraindications
Attention should be paid to a number of contraindications to abortion.
- The presence of a Rhesus conflict during the first gestation. An abortion in this case will lead to the development of a second conflict in subsequent attempts to become pregnant.
- Inflammation and infections of the pelvic organs: STDs, HIV, syphilis.
- Poor blood coagulation.
The presence of contraindications is not yet a reason for refusing to perform surgery. Before the procedure, the doctor must evaluate all the risks to maintain the patient’s health.
Before having an abortion at 14 weeks, some tests must be done.
Analyzes
Before interruption of gestation, a woman is sent for the necessary tests:
- Blood for the detection of viral infections (HIV, syphilis, hepatitis, etc.).
- Urine to determine the level of hCG.
- A smear from the cervical canal to determine the flora of the intimate zone.
- General blood analysis.
Due to the fact that termination of pregnancy at this period takes place under general anesthesia, more examinations are needed: ultrasound of the heart, liver or kidneys, ECG, MRI or CT scan, coagulation, etc. If the interruption occurs due to fetal pathology, then a chorionic villus biopsy or amniocentesis is mandatory. This procedure is necessary to confirm or, conversely, to refute an earlier diagnosis.
14 weeks abortion methods
The method of abortion at week 14 is determined by the indications for this procedure. There are several methods for performing this operation:
Dilation and evacuation, it is recommended by WHO as safer at this time. The operation consists in expanding the cervix with the help of preparations containing prostaglandins or antiprogestogens. This process takes place under general or spinal anesthesia and can last from a couple of hours to a day. A special surgical spoon expands the cervical canal, after which a vacuum aspirator is used, which removes the embryo along with the amniotic fluid. The whole procedure is done under the control of ultrasound to exclude damage to the walls of the uterus and to make sure that there are no residual products of gestation. There are cases when the introduction of a solution of KCl into the chest of the fetus is required to stop its heartbeat. At the end of the operation, the woman is identified in the ward, for further observation. A woman is usually prescribed for 5 days already. What else can an abortion last for 14 weeks?
- Dilation and curettage, or, as they call it, curettage. This method is most often used in our country at such a time. The technology is almost the same as during dilatation and evacuation, but instead of using a vacuum aspirator, a curette is used to curettage
- fetus. With this procedure, there is a high risk of damage to the cervix, which can lead to profuse anatomical bleeding. According to the WHO, complications after this operation are two to three times higher than the frequency of complications after vacuum aspiration.
- Hysterotomy, or a small cesarean section, is used if the pregnant woman has contraindications to other methods of interruption in the form of heart or kidney failure; coagulopathy; neoplasms of the uterus and appendages; CNS pathologies. Doctors carry out an incision along the front wall of the cervix, through which the fetus and placenta are removed. Such an intervention is carried out if the abnormality of the fetus or its death are such that another type of abortion is not applicable. It is carried out according to a pre-planned schedule or on an emergency basis.
Now we know when abortion can be done at 14 weeks.
Possible risks and complications
Early health problems can develop immediately during or after an abortion. The first thing that doctors pay attention to is discharge, they are bloody and last about a week, as during normal critical days. There are cases of minor bleeding within a month. You should pay attention to possible impurities in the discharge, the appearance of an unpleasant odor, deterioration of color. Such changes must be urgently addressed to specialists for timely troubleshooting.
The amount of blood lost is also taken into account. If in an hour you spend more than two operating pads, you need to call an ambulance. The cause may be incomplete abortion.
If you feel an unpleasant odor, most likely an infection develops in the vagina.
You can have an abortion at 14 weeks, but adhesions, infertility are also possible from it.
Postoperative Recovery Period
When leaving a medical institution to exclude the development of complications, doctors recommend:
- exclude sexual intercourse;
- avoid swimming in ponds, pools;
- do not use tampons until menstruation is fully restored;
- refuse to play sports for at least two to three weeks;
- take a course of taking multivitamins and minerals;
- consume more foods that contain protein;
It is necessary to control your well-being: monitor blood pressure, temperature. And of course, it’s important to take a course of treatment with an antibiotic and hormonal drugs after the operation to restore the menstrual cycle.
If the interruption was due to genetic abnormalities of the embryo, a genetic doctor should be consulted before the next pregnancy.
Where to get an abortion at 14 weeks? The procedure is carried out in a private or municipal medical institution.
findings
It turns out that they have an abortion at 14 weeks. But there are big risks. Therefore, this issue must be approached with extreme caution. After the operation, follow all the advice of your attending gynecologist. Closely monitor changes in your body and take the recommended medications. All this will allow recovery as soon as possible both physically and mentally.