Dilation and evacuation is also a kind of surgical abortion that healthcare expert commonly use during the second trimester of pregnancy. Before starting with the procedure general anesthetic. A speculum is inserted gently into the vagina, then dilators are used for opening cervix, then the pregnancy tissues are gently removed by using small forceps. Lastly, by suction method the remaining tissues are removed.
Recovery from dilation and evacuation includes resting after treatment, eating healthy and nutritious food, and doing Yoga and meditation.
Reasons behind Dilation and Evacuation surgical abortion
- When the fetus has severe medical problems or abnormalities.
- A woman who is pregnant as a result of rape or incest may not confirm the pregnancy until the second trimester because of her emotional reaction to the incident.
- Delayed abortions due to the unavailability of affordable abortion specialists.
- Due to legal restrictions for a planned abortion.
- The procedure is also used to remove tissue that remains after a miscarriage.
Available in the second trimester and is a safe and effective way to terminate the pregnancy.
It requires a general anesthetic.
The potential risks of dilation and evacuation include:
- Injury to the uterine lining or cervix.
- Hole in the wall of the uterus, that is, uterine perforation.
- Moderate to severe bleeding
- Tissue may remain in the uterus after abortion
- Cramping abdominal pain and bleeding recur within a week of the abortion procedure.
- Blood clots.
The Risks are higher for surgical abortions done in the second trimester of pregnancy than for those done in the first trimester.
After the procedure
- Antibiotics are given to prevent infection.
- Take rest until feeling better to start with normal activities.
- Acetaminophen or ibuprofen can help relieve cramping pain. Be safe while eating medicines. Carefully read and follow all instructions on the label of the prescribed medicines.
- Medicines may be given to help the uterus contract and return back to its pre-pregnancy size.
- Do not have sex for at least 1 week, or longer, as advised by the health care expert.
- If started having intercourse again, use birth control. Also, use condoms to prevent infection.
When to seek medical help
However, bleeding and infection can be a potential risk after treatment, though the chances are low. If such signs are shown, then consulting the healthcare expert immediately should be the first step.
The patient should call the healthcare expert immediately if she has any of these symptoms after an abortion:
- Severe bleeding
- Signs of infection like headache, body pain, dizziness
- Severe pain in the abdomen is untreatable by pain medicine, rest, or heat.
- Hot flushes or a fever of 100.4°F
- Vomiting not cured for more than 4 to 6 hours
- Sudden abdominal swelling or increased heart rate
- Foul-smelling vaginal discharge
- Pain, swelling, or redness near or in the genital area
Signs and symptoms of depression and anxiety. Hormonal changes after a pregnancy can cause depression or anxiety that requires treatment.
Dilation and evacuation is a very safe and effective method of abortion. It has become the standard treatment of care in the world for an abortion in the second trimester of pregnancy.