Any surgical intervention requires preliminary preparation and a series of studies. An obligatory stage of preparation for artificial termination of pregnancy is analysis. What are needed for an abortion? Let us consider this question in more detail below. It is worth noting that the list varies depending on the form of the procedure and the gestational age of the woman.
How to get a termination of pregnancy?
What tests are needed for an abortion, every gynecologist knows, but first a woman should get a referral. Pregnancy is terminated artificially at the request of the patient only up to twelve weeks, according to the soc. indications - up to twenty-two weeks, according to honey. indications - at any time.
Social indications for artificial interruption are:
- pregnancy due to crime (rape);
- a court decision on the deprivation or restriction of parental rights;
- stay of a woman in places of restriction of freedom;
- death of the father of the child during pregnancy or the presence of a disability group in the husband of the I-II group.
To get a referral, you need to contact a suitable state medical institution or paid clinic, do an ultrasound scan and get a gynecologist's consultation. The possibility of abortion in each case and what tests need to be done for abortion, the doctor will determine. In the case of chronic diseases, additional examinations by specialized specialists can be prescribed. Also, the pregnant woman must sign the consent to the abortion.
In the later stages of abortion for honey. the testimony is carried out if the pregnancy threatens the state of health and life of the woman, the fetal pathology is diagnosed. Indications are oncological diseases, fetal death, ectopic pregnancy, genetic abnormalities, various pathologies at the stage of laying the internal organs and systems. The algorithm of actions in this case is the same. Only a pregnant woman will likely have to take more tests that are necessary to confirm the diagnosis.
Medical abortion tests
Medical termination of pregnancy is carried out from the 42nd to 49th days from the beginning of the last menstruation. This is the safest way that requires minimal preparation. What tests are needed for medical abortion? The gynecologist will give a referral for a blood test. By express method, these studies can be performed in the clinic within one to two hours. To get a referral for an abortion, you need to additionally make a smear on the flora and tests for AIDS / HIV, syphilis, hepatitis.
Vacuum suction (better known as mini abortion)
Aspiration is the extraction of an embryo with a vacuum pump. Before the procedure, the woman is given a referral for ultrasound diagnostics. What tests are needed to have an abortion? This is necessary to determine the exact location of the embryo. Additionally, standard tests for hCG are prescribed, which will confirm the fact of pregnancy, and general.
What other tests are needed for an abortion? Often (for any type of abortion) an Rhesus test and a group are additionally prescribed to know these data, if transfusion is needed, PCR for latent infections, biochemical analysis to determine glucose levels (critical sugar values can adversely affect a woman's condition), general urine test and fluorography.
What tests need to be done for abortion (surgical)?
Surgical abortion is a more complex procedure and requires careful preparation. What tests need to be done before an abortion? It is imperative to make a smear on the flora in order to exclude the presence of infectious diseases and STDs, analysis for gonadotropin, blood and urine tests, blood for human immunodeficiency virus, hepatitis and syphilis, as well as a coagulogram. Some clinics offer a surgical abortion without the need for a preliminary medical examination, but this can lead to bleeding and other complications after surgery.
Preparation for abortion after 12 weeks
An abortion of more than twelve weeks can only be done if there is evidence (medical or social). The interruption itself in this case will be a serious operation, and from 21 weeks - in fact, artificial delivery. Such operations are extremely dangerous, may result in the inability to continue to bear and give birth to a child or the death of a woman. To exclude risks and develop unforeseen conditions, an extensive list of medical studies is prescribed.
What tests are needed before an abortion at a later date (more than 12 weeks)? The list of required includes all studies listed above. Additional attention is paid to examination, including screening of the uterus, palpation. If the pregnant woman is on cardiological or endocrinological registration, consultation of narrow specialists is necessary.
After abortion, which lasts more than twelve weeks, antibacterial drugs are required to minimize the risk of various complications and adverse effects.
Recommendations for women before abortion
The process of preparation for artificial termination of pregnancy causes many difficulties for patients. The main recommendations are as follows:
- Stop taking anti-inflammatory drugs.
- Do not smoke one day before surgery.
- Notify the doctor about taking any medications (even “harmless” pills for migraines or for coughing).
- Before a medical abortion, it is allowed to eat yogurt or drink sweet tea.
- Before the intervention, you can not eat a day before the operation.
It is important to know that before conducting an abortion, it is mandatory in state hospitals to consult a psychologist. In private clinics, patients are offered advice both before and after (optionally) terminating the pregnancy.
The consequences of abortion
If you know what tests are needed for an abortion, undergo an examination and fully follow the doctor's recommendations, then complications can still occur. The probability of their occurrence depends on many factors: the doctor’s qualifications, the general condition of the woman’s body, the technical equipment of the clinic, and so on. Often after abortions, patients encounter various cycle disorders, psychological disorders, hormonal imbalances, bleeding and other problems. In some cases, during the operation, the doctor has to remove the entire uterine body. This is an extreme case, but gynecologists resort to this action when it comes to saving the patient's life.