What are the harms of abortion?
In the early years of abortion, it caused many harms due to the use of inappropriate materials, surgical environments and by unspecialized people. In fact, the death-causing residues left after abortion were seen much more frequently than problem-free abortions. Thanks to the advancement of technology and the determination of the points that need to be intervened in the abortion case by medical technology, the harms of abortion have decreased considerably today compared to the early days.
Perforation in the uterus (rupture)
The uterine perforation, which increases in proportion to the increase in gestational age, is a very rare condition if the procedure is performed with utmost care and by an expert. In possible interventions, the uterus is perforated, which can cause blood flow to the abdominal cavity (bladder, rectum, intestine). In such cases, permanent damage to the intestines, rectum, and bladder is likely to occur. When it is obvious that the uterus has been perforated during an abortion, the surgery is immediately terminated and the patients are kept under observation. If there is no possible bleeding, the hole in the uterus is closed with a minor intervention and the patients are kept under observation.
Infection after abortion
One of the biggest risks of abortion is infection that occurs as a result of not taking the necessary care during or following the surgery. Infections that occur due to not taking the necessary care while trying to have an abortion, if they spread to the uterine canals and tubes, leave residues in these areas and bring about possible infertility . The biggest factors in the formation of infection after an abortion are swimming in the sea without following the doctor's recommendations in the period following the surgery, having sexual intercourse and not following the necessary hygiene rules. Recently, doctors have been applying antibiotic treatment in case of possible infection after an abortion.
Retained Piece (Rest Placenta)
One of the most common complications of abortion is the presence of a piece of tissue in the uterus. This is not noticed during the surgery. If a piece of tissue remains, which becomes apparent with sudden bleeding that occurs within 5-10 weeks following the surgery, it is resolved by performing a second curettage.
Continuation of Pregnancy After Abortion
It is usually seen in pregnancies less than 5 weeks, due to the embryo not being fully removed. In cases where the products of conception are not fully evacuated during the procedure, if the pregnancy continues during a gynecological examination approximately one week later, a curettage procedure is performed again and the problem is resolved.
Blood Accumulation in the Uterus
When the cervix is closed after the surgery, if there is blood inside, this accumulated blood becomes apparent after a while by causing pain that will cause great distress to the patient. In such cases, treatment is carried out by draining the blood through a small incision made in the cervix.
Failure to Perform Abortion
In some women, abortion cannot be performed because the uterus cannot be intervened due to previous illnesses or deformities in the uterus. When the cervix cannot be opened, the patient is awakened by wearing off the anesthesia and the abortion is attempted again at a later date by opening the cervix with medications administered either orally or vaginally.
Occurrence of Menstrual Delays
Under normal conditions, menstrual bleeding in women continues according to a certain period. With an abortion, the date of the procedure is considered the beginning of menstrual bleeding and it is expected that menstruation will continue in a normal period after about 4 weeks. Although this situation may extend up to 60 days under some conditions, it may be a sign of a disease that can be determined by a gynecological examination, even if the pregnancy does not continue. In such cases, a detailed gynecological examination is performed to determine the problem and provide treatment.
Adhesion is seen
If the harms after an abortion are to be ranked in order of importance, adhesions are at the top of the list. Adhesions present on the inner walls of the uterus are a possible situation that can lead to threats such as infertility as a result of menstrual bleeding clotting here and blocking the channels.
This situation is often seen in abortion procedures performed by experts with inexperience, using unhygienic tools and environments.
Excessive Bleeding After Abortion
Bleeding is more common in older or older pregnancies, and is more bleeding than normal during the procedure. This may be due to conditions such as the placenta being attached to the uterus at more points due to the larger pregnancy.
Abortion After Miscarriage
In pregnancies with a low termination method, expectant mothers can recover from the psychological state they are in for a longer time. When the severe trauma experienced is terminated due to reasons originating from the mother or the baby, it is quite a distressing situation to give the news that there are remnants left in the uterus on top of the trauma the expectant mother is in and that the uterus will be intervened again because of this. In cases of miscarriage, when placental remnants are detected on the inner wall of the uterus, in the uterine canal or in the mother's umbilical region, an abortion procedure can be performed on a date determined by experts according to the size of the piece and the risk rate, and the piece can be removed.
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