How to do abort during Third Trimester?

Abortion, at Third Trimester or late term abortions, are not legal in many countries. In India, the decision depends on the medical practitioners.

The conditions are:

Only if the continuation of pregnancy might have a risk to the life of the pregnant woman or might cause a grave injury to physical or mental health to the pregnant woman.

And also if there is a risk such as a child might suffer from physical or mental abnormalities as to be seriously handicapped.

The late term is the time frame when a baby is considered “viable”. 24 weeks gestation is established by most medical communities.

The methods that can be executed in the Third Trimester will be.

Induction Abortion:

This method is very rare. Here it involves a surgical procedure where urea, salt water or potassium chloride is injected to amniotic sac. Here Prostaglandins are inserted into vagina and Pitocin is injected intravenously.

Dilation and Extraction:

After 21 weeks of gestation, a surgical abortion procedure is used to terminate the pregnancy. This method is also known as D & X, Intact D & X, Intrauterine Cranial Decompression and Partial Birth Abortion.

Complications of Third Trimester Abortions:

There are several complications like Postabortion triad(Low-grade fever, Bleeding, Pain), Hematometra, Bowel and bladder injury, Disseminated Intravascular Coagulation, Cervical Laceration, Cervical shock, Septic Abortion, Uterine perforation, Failed abortion, and Complications of Anesthesia.

Underreporting of Abortion Complications:

Many significant underreporting of abortion complications do exist like,

Maternal death is one which happens during pregnancy or within 42 days of termination of pregnancy as defined by International Classification of Diseases. Pregnancy-associated deaths also occur which are not included here.

International Classification of Diseases(ICD-9) Coding rule requires deaths because of medical and surgical treatments like in the case of infections which are reported in the complication of the procedure.

Incase there are complications most women within hours of procedure go to hospital emergency.

There is no accurate history as 50% of women who have aborted under late-term abortion deny the experience.

 

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