妊娠中期手术流产为选择性流产, 流产管理和因胎儿畸形和产妇健康状况而终止妊娠.
Surgical Abortion (Second Trimester)
During the second trimester, 15 to 23 weeks after your last menstrual period, 堕胎通常在两天内进行,但不需要在十大赌博平台排行榜过夜. 这些程序被称为扩张和疏散(D&E).
第一天,通常是星期二,你会在十大赌博平台排行榜见到一位健康教育者和十大赌博平台排行榜 UCSF Women's Options Center to prepare for the procedure. This visit will take about two and a half hours.
第二天,你将在锡安山的加州大学旧金山分校医疗中心十大赌博平台排行榜见到十大赌博平台排行榜. This visit will take about four to five hours. In some cases, 对于怀孕18周或更短的孕妇,该手术可以在一天内完成, depending on the circumstances.
颈椎软化和扩张是用药物和小扩张棒进行的, called laminaria or Dilapan, that may be placed in the cervix, 这取决于怀孕的时间和你的病史. 海带是由一种特殊的海藻材料制成的细棍,当它们吸收你身体的水分时,会变宽. Dilapan are synthetic sticks that work in the same way. 海带将在你的子宫颈过夜,为第二天的手术做准备.
Preoperative appointment
在私人检查室,你将了解你的程序,接受检查和 ultrasound, 并接受口服药物治疗,其中可能包括缓解疼痛和抗焦虑的放松药物, if laminaria is required for overnight dilation. 如果你接受了药物治疗,遵循十大赌博平台排行榜的指示是很重要的.
During the laminaria insertion, you'll be awake. 如果有人陪着你,如果你愿意,他或她可以留在检查室. The doctor will:
- Place a speculum to view inside your vagina.
- Clean the cervix with gauze soaked in soap.
- 将麻醉药物(局部麻醉)应用于子宫颈.
- 在子宫颈(子宫的入口)插入纱布(或纱布). The laminaria insertion takes about five to 10 minutes.
After the procedure, you will rest for a few minutes. You may experience cramping and spotting. You may get dressed when you feel able. 我们会给你详细的指导,告诉你如何照顾你的身体,以及如何为第二天的手术做准备.
如果你服用抗焦虑药物,必须有人开车送你回家. Rest at home until the medications wear off.
Surgical appointment
手术前至少8小时内不要进食. 你可以在手术前三小时喝清澈的液体(如水、肉汤或茶).
The next day, 你将在位于锡安山的加州大学旧金山分校医疗中心的十大赌博平台排行榜接待区登记入住, then go to the preoperative area, where you'll meet your doctor.
药物将在您的手臂上静脉注射,以诱导麻醉或失去意识. 大多数女人睡着了,不记得手术过程. After you're well relaxed, 十大赌博平台排行榜会取出脐带膜,用吸盘和妇科器械清空子宫, with ultrasound guidance. 你会在手术室待大约一个小时,但整个过程可能需要15到45分钟.
Recovery
在恢复室,护士会监视你大约两个小时. You may have some cramping and spotting. Before you return home, 你将接受抗生素治疗以防止感染并接受术后护理指导.
整个过程和在十大赌博平台排行榜的恢复期总共需要5个小时左右.
由于服用了药物,在药物失效之前你不应该开车. 请提前安排有人直接送你回家.
如果你没有人陪你回家,联系 Access,这是一个妇女健康权利组织,可能会有一个支持堕胎的志愿司机来帮助你. 这必须在你预约之前与我们的诊所协调, so please make arrangements as soon as possible.
你可以期待第二天恢复正常的活动,比如工作和学习.
See our frequently asked questions about post-procedure care.
Follow-up visits
Unless you experience complications or have concerns, 没必要再去妇女选择中心了. 我们建议你去看你的初级保健十大赌博平台排行榜进行定期评估.
Safety and effectiveness
妊娠中期手术流产是最安全的医疗程序之一. Although rare, possible complications include a blood clot in the uterus that can cause pain or require a repeat aspiration; infection, which is generally easily identified and treated; a tear in the cervix that can be easily repaired with suture; perforation; retained pregnancy tissue requiring repeat aspiration; and excessive bleeding requiring a transfusion.
与分娩相关的并发症相比,手术流产并发症的发生频率和严重程度要低得多.
加州大学旧金山分校健康医学专家已经审查了这些信息. 它仅用于教育目的,并不打算取代您的十大赌博平台排行榜或其他医疗保健提供者的建议. 我们鼓励您与您的供应商讨论您可能遇到的任何问题或疑虑.