Second-trimester surgical abortion is performed for elective abortion, miscarriage management and for pregnancy termination due to fetal anomalies and maternal health conditions.
在妊娠中期, 上次月经后15到23周, abortions are typically performed over a two-day period but don't require an overnight stay in the hospital. These procedures are known as dilation and evacuation (D&E).
On the first day, usually a Tuesday, you'll meet a health educator and doctor at the UCSF女性选择权中心 为手术做准备. 这次访问大约需要两个半小时.
第二天, you'll meet the doctor at UCSF Medical Center hospital at Mount Zion. 这次访问大约需要四到五个小时. 在某些情况下, the procedure can be performed in one day for pregnancies 18 weeks or less, 视情况而定.
Cervical softening and dilating is performed with medication and small dilating sticks, 叫做海带或Dilapan, 可以放在子宫颈, depending on the term of the pregnancy and your medical history. Laminaria are thin sticks made from a special seaweed material that widen as they absorb moisture from your body. Dilapan是一种合成棒，工作原理相同. The laminaria will stay in your cervix overnight and prepare your body for the next day's surgical procedure.
In a private exam room, you will learn about your procedure, undergo an exam and 超声波, and receive oral medications that may include a pain reliever and anti-anxiety medication for relaxation, 如果需要使用海带过夜扩张. If you're given medications, it's important that you follow the instructions provided by your doctor.
在插入海带的过程中，你会保持清醒. If someone accompanies you, he or she can remain in the exam room, if you wish. 利来登录将:
- Apply numbing medication (local anesthesia) to the cervix.
- Insert laminaria (or Dilapan) into your cervix, the opening to the uterus. 插入海带大约需要5到10分钟.
手术后，您需要休息几分钟. 你可能会有抽筋和斑点. 你可以自己穿衣服. We will give you detailed instructions on how to take care of your body overnight and how to prepare for the next day's procedure.
Someone must drive you home if you take anti-anxiety medications. 在家休息，直到药物失效.
Don't eat for at least eight hours before your operating room procedure. You may drink clear liquids (such as water, broth or tea) up to three hours before your procedure.
第二天, you'll check in at the hospital reception area of UCSF Medical Center at Mount Zion, 然后进入术前区, 你会在哪里见到你的利来登录.
Medication will be administered intravenously (IV) in your arm to induce anesthesia or loss of consciousness. 大多数女人睡着后都不记得手术过程了. 在你完全放松之后, the doctor will remove the laminaria and use suction and gynecological instruments to empty your uterus, 与超声指导. You'll be in the operating room for about an hour, but the procedure may take from 15 to 45 minutes.
In the recovery room, nurses will monitor you for about two hours. 你可能会抽筋和出血. 在你回家之前, you'll receive antibiotics to prevent infection and instructions for postsurgical care.
The procedure and recovery period at the hospital takes about five hours in total.
Because of medications administered, you shouldn't drive until the medications wear off. Please make arrangements ahead of time for someone to take you home directly.
如果没有人陪你回家，联系 访问, a women's health rights organization that may have a pro-choice volunteer driver to assist you. This must be coordinated with our clinic before your appointment, 所以请尽快安排.
You can expect to return to normal activities, such as work and school, the next day.
除非你有并发症或担忧, there's no need to return to the Women's Options Center. We recommend that you see your primary care doctor for regular evaluations.
Second-trimester surgical abortion is one of the safest medical procedures. 尽管罕见的, 可能出现的并发症 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.
Complications from a surgical abortion are considerably less frequent and less serious than those associated with giving birth.
加州大学旧金山分校健康 medical specialists have reviewed this information. It is for educational purposes only and is not intended to replace the advice of your doctor or other health care provider. We encourage you to discuss any questions or concerns you may have with your provider.