Terminating a pregnancy at 12 weeks can be accomplished using either medical or surgical methods, each with specific procedures, benefits, and considerations.
Medical Termination: Mifepristone and Misoprostol
The combination of mifepristone and misoprostol can be used to medically terminate a pregnancy up to 12 weeks.
- Mifepristone blocks progesterone, necessary for pregnancy maintenance, leading to the thinning of the uterine lining.
- Misoprostol, taken 24-48 hours later, induces uterine contractions to expel pregnancy tissue.
Procedure:
- Consultation: Confirm pregnancy and gestational age through ultrasound and discuss the process.
- Mifepristone: Take 200 mg orally.
- Misoprostol: Take 800 mcg 24-48 hours later, either buccally, sublingually, or vaginally. Additional doses may be necessary.
- Monitoring: Expect cramping and bleeding. The process can take several hours to a few days.
- Follow-Up: Within 1-2 weeks, ensure the abortion is complete.
Side Effects and Risks:
- Common: Nausea, vomiting, diarrhea, heavy bleeding, cramping.
- Risks: Incomplete abortion, infection, heavy bleeding.
Surgical Termination: Dilation and Curettage (D&C)
D&C is a surgical method to terminate a 12-week pregnancy.
Procedure:
- Consultation: Review medical history and conduct a physical exam.
- Preparation: Change into a gown and lie on an examination table.
- Anesthesia: Administer local or general anesthesia for comfort.
- Dilating the Cervix: Use thin rods or medication to gently dilate the cervix.
- Curettage: Use a curette and suction to remove pregnancy tissue from the uterus.
- Confirmation: Perform an ultrasound to ensure the uterus is empty.
Aftercare and Support:
- Physical Aftercare: Rest, avoid strenuous activities, use sanitary pads, and follow pain management guidelines.
- Emotional Support: Seek support from friends, family, or counseling services.
Conclusion
Both medical and surgical options for terminating a 12-week pregnancy are effective but require careful consideration and professional medical guidance. Always consult with a healthcare provider to determine the most suitable method for your specific circumstances and to ensure proper care and support throughout the process.
