Abortion in the second trimester

Information about the procedure and the time afterwards.

Welcome to the Department of Gynaecology

We understand that it is a difficult situation when you are having an abortion. You can experience a lot of thoughts and feelings that are hard, and maybe it can help if you talk about it. The doctors and nurses will help and support you. We provide a private room and you can have a next of kin with you during your entire stay.

How is the abortion performed

You are too far a long in your pregnancy to get an ERPC (evacuation of retained products of conception). You will have to abort the fetus yourself.

You will get the medication Mifegyne 200 mg and this will help soften and dilate your cervix. When you have taken the medication, you can go home. After 2 days you will return to the hospital at 8.30 in the morning.

A doctor will now place two tablets in your vagina, these tablets will make your cervix contract. The cervix will slowly start to open. After the placing of the tablets you will have to stay in bed for about 30 minutes, this is to prevent the tablets from slipping out.

Contraindications

Cytotec can not be used if you have heart disease, high blood pressure or glaucoma.

When your cervix has opened and the abortion is starting you have to be fasting, so you cannot eat or drink.

In most cases the abortion will begin in the next 6 to 10 hours (sometimes longer) You will get a suppository every 3 hours (max. 5 times in 24 hours) until the abortion is completed. We will place a plastic syringe in your hand that we can use to administrate fluids if needed.

How does it feel?

When the uterus is contracting you may experience some bleeding mixed with amniotic fluids.

You will experience pain when the uterus is contracting. You may also experience nausea; this may be caused by the medication. It is important that you tell us if you are in pain or feeling nausea, so we can provide the correct treatment.

It may be necessary for you to push out the fetus yourself.

Control

We measure your blood pressure, pulse and temperature several times to make sure the medicine is working correctly.

After the abortion

When you have aborted the fetus, you will probably need an evacuation to make sure that the entire placenta is out. You will be sedated, and the procedure will be done in the operating room. The procedure takes about 10-15 minutes. After the evacuation you will go back to your room and you can stay here until you feel ready to go home.

Before you go home the doctor will decide if you need medication to prevent tension of the breasts. You will also be offered a conversation about future birth control.

If you need a ”letter of sick leave” you will get this before you leave the department.

You can decide if you want the fetus to be destroyed in the hospital or if you want it to be buried in a cemetery. The nurse will talk to you about the options.

When you get home

It is normal if you experience:

  • Bleeding, like a period
  • Bleeding, that gets les and les and ends up like spotting
  • Spotting until your next period. Your period will normally start again in 4-6 weeks after the abortion.
  • Light menstrual cramps.

Your uterus needs time to contract and get back to normal size. This will take about 2-3 weeks. During this time your uterus is very vulnerable. It is important that you in this period don’t get any inflammations, so you have to stay away from:

  • Bathing, swimming in the sea and swimming pools. You can shower instead.
  • Tampons. Use pads instead.
  • If you have intercourse, use a condom.

If you are bleeding heavily with clumps, experiences pain, gets a fever over 38 celcius or experience tension of the breasts, maybe you are having complications that has to be checked by a doctor. If you experience any of theses symptoms you can contact the department ph. +45 35 45 50 32 or +45 35 45 50 31.

If you experience this more than a week after the abortion, contact your general practitioner

Control with your general practitioner

Even if you do not experience any problems, we urge you to contact your general practitioner 8-10 days after the abortion for a checkup. The doctor will check that your uterus has contracted and that there are no infections.

The reaction

An abortion can be very hard, and we all react differently. Some people can talk to friends and family other talk to the nurses and doctors. Others want to deal with it themselves. No matter how you do it, it takes time. How long varies from person to person.

If you need to talk to a psychologist, your general practitioner can make a referral. The referral gives you a financial contribution from the health insurance.

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