The attending physician may recommend termination of pregnancy at such a late period in cases of severe physical or mental pathologies that are observed either in the mother or in the fetus.
The procedure for abortion. In medicine There are different methods of abortion after 20 weeks, the choice of which is determined by the period of pregnancy. As a rule, these are the three basic procedures:
1. Expansion of the cervix and removal of the fetus with forceps and a special suction tube. This method is used in the second trimester of pregnancy.
2. Interruption of pregnancy by partial birth. Expand the cervix, the fetus is pulled outward by forceps by the foot so that the fetal head partially remains in the cervix of the uterus. Then an incision is made on the neck, into which a tube is inserted, through which the brain is sucked. In consequence of which the fetus is easily removed through the vagina This method is used in the third trimester of pregnancy is very rare.
3. Artificial childbirth is a very painful way, rarely done. With the help of medicines, the contractile activity of the uterus is initiated.
There are a number of indications for late abortion at 20 weeks
- The woman did not know about pregnancy, as she did not recognize the sign of pregnancy;
- Significant violations in the monthly cycle of women;
- A significant error in the calculation of the last menstrual period;
- Later, the decision to abort, in consequence of fear of telling about a pregnancy partner or parents;
- It was necessary a lot of time (after the first trimester) to make a decision about abortion;
- Impossibility to receive qualified medical care and to have an abortion at an earlier date;
- Deep emotional trauma after the severance of relationships due to pregnancy with a partner;
- A woman for various reasons just did not know that abortion is possible;
- Later detection of serious pathologies of the fetus;
- Essential health problems for the woman herself.
Confirmation of pregnancy: in order to determine the most accurate period of pregnancy, an ultrasound examination is necessary.
Preoperative examination: it is necessary to conduct all necessary blood tests (determination of hemoglobin level, Rh factor), as well as urinalysis. In addition, they carry out some testing for the susceptibility of a woman to various types of anesthesia.
Advising a psychologist: psychological support is very important for a woman, because it is a strong emotional stress. In addition, the woman is informed about different methods of abortion (the choice is given), the procedure itself, as well as possible complications.
After the abortion, the woman remains in the hospital for rehabilitation. Over time, you need to undergo a follow-up checkup.
Late-term abortions
This is a big risk for health, because surgical intervention is associated with various complications.
It is an invasive procedure, and quite often very painful.
Perhaps severe bleeding and spasms.
There is discomfort due to anesthesia.
If to talk about statistics, abortion after 20 weeks (in late terms) takes about 1% of the total number of abortions.