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Same as with an abortion but it depends on how far gone you are. If we are talking the very end of a normal pregnancy they recommend like a natural birth. It helps dealing with the grief process. A c-section is considered to invasive.

Medical AbortionA medical abortion uses two types of medicine to end a pregnancy instead of surgery. The first medication will either be an injection of methotrexate, or a tablet form of mifepristone (also known as RU-486). They both affect the body differently, so your doctor will help you decide which medication will be better for you. Methotexate stops the ongoing process of implantation of an early pregnancy. Mifepristone blocks the hormone progesterone, which causes the lining of the uterus to break down and end the pregnancy. 2 A second medication, misoprostol is taken in tablet form and will cause the uterus to contract and drain. A return visit is needed to ensure the abortion is complete. Medical Abortions are only an option during the first trimester of pregnancy. 2

Bleeding may occur after the first drug and this bleeding may be light or it may be like a heavy period. The misoprostol usually causes cramping and bleeding within a few hours of taking the medication. The cramps will last for several hours, and many women will pass blood clots as they are aborting. Misoprostol causes the most common side effects, which include: headache, nausea, vomiting, diarrhea, fever, chills, or fatigue. 1 Cramps and bleeding will usually decrease after the embryonic tissue has been passed; however, bleeding may last for one to two weeks after the abortion.

Surgical AbortionSurgical abortion is one of the safest types of medical procedures. The three most common methods of surgical abortion are manual vacuum aspiration, dilation and suction curettage, and dilation and evacuation. The method that will be used depends on how long you have been pregnant, or the number of days since the first day of your last period.

The manual vacuum aspiration, or MVA, can be done as soon as you know you are pregnant and up to 10 weeks of pregnancy. The abortion provider will insert an instrument, called a speculum into your vagina to hold the vaginal walls apart. The provider will usually numb the cervix, the opening to the uterus, with a local anesthetic before gradually widening (dilating) it. When the cervix is about as big around as a drinking straw, the provider inserts a small tube attached to a suction apparatus (similar to the one dentists use the clear the mouth of saliva). The machine will gently suction out the contents of the uterus through the tube; therefore, ending pregnancy. 1 This procedure takes about ten minutes. 2

The dilation and suction curettage method has the same procedure as the MVA; however, the provider will then check the walls of the uterus with a small, narrow metal loop called a curette. The curette is used to clean the walls to be sure no tissue remains. 2 This method is performed six to fourteen weeks after your last period and will take about ten minutes.

The dilation and evacuation method is a two-part procedure that can be done up to 24 weeks of pregnancy. The doctor will slowly open the cervix and will use medical instruments, suction, and curettage to complete the procedure. 2 Abortions are not usually performed after 24 weeks unless there is a serious health reason.

During the procedure, and for a short time afterward, women may have strong cramping. Spotting or bleeding like a period may last for a few days or weeks. Complications are rare, but include infection, excessive bleeding, a tear in the cervix or uterus, incomplete abortion, or a continuing pregnancy.

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15y ago

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