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Late medical abortion (from 33 weeks of pregnancy)
As well as being used for early abortion, mifepristone and prostaglandin can be used for abortion later in pregnancy. However, the abortion will take longer, and more than one dose of prostaglandin may be needed. This type of abortion is similar to having a late natural miscarriage. After the procedure, you can return home the same day, but sometimes an overnight stay in hospital is required. Surgical dilation and evacuation(from 15 weeks of pregnancy) Surgical dilation and evacuation (D&E) is a procedure that is carried out under general anaesthetic. The cervix is gently stretched and dilated and forceps and a suction tube are used to remove the foetus. The procedure usually takes 10-20 minutes to perform and, if you are healthy and there are no complications, you may be able to return home the same day. You may have some bleeding for up to period days. Late abortion (20-33 weeks) There are two options for a late abortion carried out at 20-24 weeks. Both require an overnight stay in hospital. Surgical two-stage abortion: – stage one stops the heartbeat of the foetus and softens the cervix – stage two (carried out the following day) removes the foetus and surrounding tissue – each stage requires a general anaesthetic |
Medically induced abortion:
– similar to a late natural miscarriage – the medicine prostaglandin is injected into the womb, making it contract strongly (as in labor) – contractions can last 6-12 hours – you will remain awake during the procedure and may be given medicines to control the pain – D&E may then be used to ensure that the womb is completely empty If you bleed heavily, have a lot of pain or a high temperature after an abortion, seek medical help immediately. |