Suction Curettage

This is a procedure generally used in the first 12 weeks of a pregnancy (the first trimester). Unless there are unusual complications, this procedure is done on an outpatient basis and may be done in a physician's office or a clinic.

The doctor first widens (dilates) the cervix, which is the opening of the uterus. This may be over a period of several hours by inserting a small rod or sponge into the cervix, which swells as the sponge absorbs moisture. The doctor may choose to enlarge the cervix right before the abortion by inserting and withdrawing larger and larger smooth metal rods until the cervix has been opened to the necessary size.

Most women experience some pain, so the physician will give you a pain-killer, either locally by shots in the area of the cervix or, on rare occasions, by a general anesthetic.

After dilation, a plastic tube about the diameter of a pencil is then inserted into the uterus through the enlarged cervix. The tube is attached to a pump which then suctions out the fetus, the placenta and other uterine contents. After the suctioning, the physician may find it necessary to use a curette (a sharp, spoon-like instrument) to gently scrape the walls of the uterus to make sure all the fragments of the fetus and placenta have been removed from the uterus.

The procedure will usually take about 10 to 15 minutes. You may experience uterine cramping afterwards. You will remain for observation for approximately one hour following the procedure. If you are not experiencing heavy bleeding or other complications you will be allowed to leave.

Risks and Complications Associated with this type of Abortion

Following is a list of some of the risks which in the past have been associated with this type of abortion procedure. Not all of these risks may pertain to any one patient. This procedure should be discussed with your physician for information regarding risks which may apply to you.

Complications may include infection, heavy bleeding, perforation of the uterus (a hole or tear in the wall of the womb), cervical incompetence (a condition in which the cervix opens up too early in future pregnancies, increasing the risk of a miscarriage in future pregnancies), and injury to the cervix.

Repeated abortions could increase the possibility of premature delivery or a low birth weight infant in future pregnancies.

While rare, some women may experience depression, feelings of guilt, anger, sleep disturbance, or loss of interest in work or sex, as a result of an abortion. If these symptoms occur and are intense or persistent, professional help is recommended. Maternal death occurs in less than one of every 100,000 abortions.

Risks and Complications associated with Pregnancy and Delivery

For every 100 hospitalizations for delivery there are approximately 22 hospitalizations for pregnancy complications.

Some of the complications of pregnancy which may result in death or hospitalization include heavy bleeding or infection, preeclampsia and eclampsia (characterized by seizures, swelling and high blood pressure), blood clots, ectopic pregnancies (fertilized eggs growing outside the womb), miscarriage, death of the fetus or newborn, premature labor, urinary tract infection, excessive vomiting during pregnancy, and diabetes.

Maternal death occurs approximately eight times out of every 100,000 pregnancies.

Available Services

Many services may be available to you should you choose to continue your pregnancy. You should contact your local health department, the Michigan Department of Community Health, or your county Family Independence Agency office if you would like to know about services available in your area.

If you would like information about services available through public agencies to assist you in placing your child in an adoptive or foster home, you should contact your county Family Independence Agency office. Or, contact a local private adoption agency. Check the yellow pages of your local phone book under the listings for adoption or pregnancy services.

If you experience subsequent adverse psychological effects from your abortion, you may contact your community mental health office, your local public health office or your county Family Independence Agency office for assistance in obtaining counseling.

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