What happens in the vacuum aspiration procedure (abortion)?

Question

How long does the procedure take? Are you put under anaesthetic? How long is the recovery period?

Answer 1

I feel you want an informed and non opinionated answer to a very serious questions so I have pasted the procedure. Misoprostol may be given to help the cervix dilate, and oxytocin may be given to make the uterus contract. The doctor will then insert a speculum into your vagina and clamp it open so that your cervix is in plain view. He or she will then swab your vagina with an antiseptic to prevent infection. Your doctor will most likely inject your cervix with a numbing agent, which will feel like a pinch with each injection. A tenaculum (which looks a little like long, skinny pliers) will be used to grasp your cervix and hold it in place.



Once your cervix is open, the doctor will insert cervical dilators into the opening of your cervix. These dilators are pictured at right. This process takes 5-10 minutes and consists of the doctor inserting the smallest rod and progressively inserting larger rods until reaching the largest, which is about the width of a dime. You will most likely experience mild to strong cramping throughout dilation. The doctor will then insert a plastic tube with a pointed tip, called a cannula, all the way into your uterus, the other end of which is plugged into a suction machine (one type is pictured at right). With the tube still inside your uterus, the doctor will turn the suction machine on and begin to rub the tip of the cannula along the surface of your uterus to dislodge the placenta and the sac that contains the baby. The lining of your uterus, the placenta, and the developing human will be pulled apart and suctioned into the tube and collected in a glass bottle attached to the machine. The process takes approximately 5-10 minutes once the machine is turned on, and you can expect moderate to strong cramping throughout the procedure and a strong tugging sensation as the machine pulls on the uterus. The cramping will lessen once the cannula is removed. You may also feel nauseated or faint, and you may break out in a sweat. The doctor will then stop the suction and examine the contents of the bottle on a tray to be sure that everything has been removed. If something is missing, he or she may continue with more suction or may use a tool called a curette (a thin metal rod with a sharp loop at the end) to sweep around the surface of the uterus a few times. Once the doctor has determined that everything has been removed, he or she will remove the cannula or curette from your uterus and cervix and then remove the tenaculum and speculum. Your uterus will then be inspected by pelvic examination to check for firmness and size.- You should plan on taking the remainder of the day to relax and recover after having a vacuum aspiration abortion done.

Answer 2

it all depends on how far along you are. I was 8 weeks and it only took 10 minutes. Also some clinics offer to put you to sleep under twilite anaesthetic. Some only numb you. The recovery is usually a full 6 weeks. not sex and tampons ect for 2 weeks, no asprin products for 2 weeks, not lifing over 10 pounds for 2 weeks. After that it's just watching what you do, don't over work yourself.

Most clinics are very nice and never judgemental!

Make sure you take all medication when you are supposed to.

good luck!

Answer 3

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Answer 4

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Avoid drinking alcohol and caffeine as this can make you less fertile

Answer 5

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infertility can run in the family and one of the first things the doctor asks you when you go to a fertility clinic is your family history regarding cases of infertility or other reproductive issues.

If infertility is caused by genetic disorder then it's not unusual that one of the kids (your mom) doesn't have it and another does (your aunt).

two months of trying is still to early to be concerned about the fact that you might be infertile and it's also quite early to go to a fertility specialist. Go to a regular Obgyb to get a closer insight and see what ways there are are to improve your fertility rate.

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Answer 6

How it works for most places is you choose your anesthetic. You can do a local which is 1-2 shots in the cervix, or they can put you under. They do give you over the counter pain medication before to help with cramping, and they do give you pre-surgery anti-biotics.

When you schedule an appointment, you will speak to a doctor to give you full details before the procedure, usually by phone.

But what you can expect at the office is filling out medical history paperwork, urine sample pregnency test, blood sample by finger prick or arm, and counsling to make sure it's what you want to do, you can find out other options, and discuss birth control methods you want to take afterwards.

Now, the actual procedure starts with a sonogram and a normal ob/gyn type check up. Then with the tool they use for the check up, they will expand your cervix. Give you the shot(s), then they stick a small tube inside that will suck the pregnency "stuff" off of the walls of the uterus. Then they'll do another sonogram, and you're done. They let your rest with a drink and crackers for about 20 minutes. Then for the next couple of days you'll experience cramping, and then you'll get your period. But you can take up to 800 mg of Ibuprofen, and that should work for you.

They say to not insert anything (so no sex) for up to 3 weeks. But most places give you at least 1 month free birth control that you can actually start taking the day of your abortion and you'll start being protected after 1 week.

But check out Miena... It's an IUD (it goes in your uterus). It's more effective then getting your tubes tied, a doctor does have to put it in and take it out, but you can have it for up to 5 years, and if you want kids within 5 years, you can get it removed and your fertility will come back almost immediately.

Answer 7

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Answer 8

its not half as bad as some people are making out. you go to hospital in the morning, wait around for a while while they prepare you and the other girls as there are always other people having it done too, and then you go under anaesthetic and wake up 10-20 mins later and it is all over, generally you need someone with you for the next 24 hours but after that its fine, recovery time really depends on the person but most people are ok strait away with the aid of pain killers. it is very importand tho that you are sure about your decision and that someone you know and trust can be with you.

Answer 9

your under anesthetic for a max of half hour!

and the recovery is about a week to two!

you can still move about but it does feel abit strange down there for a few days!

and u can go home an hour after the procedure!

they will give u pain killers and tablets to take after and they give u juice for sugar and a couple of biscuits!

look out for clots and alot of bleeding after!

u should just have an average like period after but if its more then average you have to go back coz they may have teared the uterus but that rarely happens!



also dont go threw with it if a part of u inside doesnt want to! because u will regret it for the rest of your life!

also dont be bullied into doing it by parents of the father!

Answer 10

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Answer 11

recovery period for u-not too long but that poor kid inside u has no recovery period..nothought for the baby at all.my god wat is up with u ppl..that u can have an abortion just like that..if ppl would stop havin unprotected sex then all these babies would not be killed

Answer 12

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I think the best help would be to super glue her vaginal hole shut.

Answer 13

Hi ladies. So I sit and write this 24 hours POST vacuum aspiration abortion under local anaesthetic... I felt this treatment was the only option for me as I had to travel to the UK from Ireland and needed to be home in the same day and was told I cannot fly after anaesthetic and the tablets would require a second appointment the following day.

I had spoken toBPAS staff over the phone and they sent me information packs etc which said vacuum aspiration would be "gentle suction and may feel cramping" LIES!!!!! I have never in my whole life felt what I had yesterday. I was not scared before the procedure because they had sugar coated it so much for me (which I guess in hindsight was probably best as I was not nervous before hand) but if they had of been honest, I'd have opted for a different procedure and extended my stay!

Basically my day started with an appointment with a nurse who took, height, weight, blood pressure and pricked my finger to test my blood for Rhesus. Turns out I was negative so after the procedure I would need an Anti D injection. Then I had an internal scan with a different nurse who really struggled to find the pregnancy within the sac as I was only 5 weeks on the dot. She said if she could not see the pregnancy, they would not perform the abortion! Thankfully after 10 minutes of very uncomfortable prodding, she found it. Another hours wait and I was given some Ibuprofen to prepare me for the Op. 30minutes later I was called in but my partner could not come with me (he also wasn't able to come to either of the previous nurse appointments!) I undressed into a night gown and lay on a bed in the middle of a freezing cold corridor. Then I started to panic and not one person stopped to ask if I was okay as I lay there with tears down my face. Soon I was wheeled into theatre and my legs were placed into the stirrups as they scanned my belly once more. Again, they had trouble finding it but eventually they did. The surgeon repeatedly asked me if I was positive I wanted to do this awake and that I must be good with pain etc I told her yes as I needed to get home tonight... She shrugged and began washing my vagina with anti bacterial wash and inserted a speculum. A health care assistant stood with me the whole time and told me talk to her . This did not distract from the pain of the injection into my cervix what so ever! I squealed and squeezed her hand so tight. Leaving absolutely no time for the pain relief to kick in, she began with the suction. OH MY GOODNESS. I cannot even describe the pain. There is nothing I could liken it to other than putting a Hoover inside and trying to suck your guts out. I screamed and writhed in pain, it truly was unbearable. She kept shouting at me to stay still and to stop being silly. I genuinely thought I was going to pass out any moment. It was nothing like "cramping period pains" as they had told me! After 10minutes, she had filled 5 syringes and it was all done. I had an internal scan to double check and thankfully it was all out as I really couldn't have gone through that again. She inserted and antibiotic pessary then I was wheeled into recovery where I could instantly feel the blood pouring out of me. They rolled me over and injected my bum with the Anti D jab then dressed me in net knickers and a huge pad. The nurses were not at all compassionate or understanding in any way. I saw girls either side of me come around from their anaesthetic who were confused and dazed etc and they never once reassured them or told them where they were etc. After 10 minutes in the recovery bay I was taken upstairs in a wheel chair then moved onto a recliner chair and left alone. No one asked if I wanted my boyfriend or if I needed a blanket etc. 15 minutes spent sat in a baron room in absolute agony before a lovely health care assistant, Juliet, came to see me. Out of everyone I met that day, she was the only person who asked me how I was feeling. She wrapped me in a blanket, gave me some pain killers and called my boyfriend up. Soon after I was back and forwards to the toilet. Each time I stood up I could feel the blood falling out of me. There were several large clots that came away too. This heavy bleeding lasted 2 hours and the nurses became very concerned by it. I was given more anti biotics orally which made me incredibly nauseous so in turn, had to have an anti nausea injection into my arm. I was hot then cold, shivering, felt faint from the loss of blood and still had not eaten anything since 10pm the night before. They told me I would have to stay in for the night if the bleeding did not subside. Thankfully, the bleeding did ease and they decided I was able to go home as long as I could eat something as my stomach was just full of Ibuprofens, paracetamols and antibiotics. I forced myself to eat half a sandwich as I was so desperate to get out of there. We arrived at 8.30am and did not leave until 5pm. We then had 2 trains and a flight to get home. I felt awful, like a horrendous hangover with the added pain from the procedure. After a good nights sleep in my own bed, my bleeding has stayed very light with only spots in each pad and I haven't needed any painkillers today. I know that every woman is different when it comes to these things and I think I was very unlucky with my experience as having read other forums, some women had little pain at all. I have also read though, that women used gas and air as well as the local anaesthetic. This was not offered to me but if I had of known, I would have asked for it and in hindsight I would have had the general anaesthetic and gone to sleep! Regardless of what procedure you choose, Abortion is not an easy thing for anyone. It is emotionally and physically tough for both partners in the relationship. This has really affected my boyfriend and he feels awful that I had such a bad time of it but we are not in a good financial time to give a baby everything it needs. There were people at the clinic of all ages, sizes, races, backgrounds etc and I don't believe anyone should judge those who have been through it as you never know their reasons. Good luck to any women who are going through this, like I said, my experience was a very rough but also very rare one so don't let it put you off, you will know in your heart what is right.

Answer 14

most people in this section are going to give you a hard time for posting a question about this. but i dont judge... so i will answer your question. (even though i am SO AGAINST ABORTION)



here is all the info you need:

Vacuum aspiration is more common than D&E. It is used up to 14 weeks after a woman's last period. More than 90 percent of abortions in the United States happen during this time.



D&E is usually performed later than 14 weeks after a woman's last period. Fewer than 10 percent of abortions in the United States happen during this time. After 24 weeks of pregnancy, abortions are performed only for serious health reasons. Fewer than one-tenth of one percent of abortions happen during this time.







How do they work?



Vacuum aspiration empties the uterus with gentle suction of a manual syringe or with machine-operated suction.





Performed with a manual syringe, it is known as manual vacuum aspiration or MVA.



Performed with machine-operated suction and the use of a curette — a narrow metal loop used to remove the tissue that lines the uterus — it is sometimes called dilation and suction curettage or D&C.



D&E is a two-part procedure. The cervix is slowly opened. The procedure is completed by emptying the uterus using a combination of suction and medical instruments.





How long does it take?



Vacuum aspiration takes about 10 minutes. D&E usually takes between 10 and 20 minutes. (Allow more time for the whole process, which also includes client education, a physical exam, forms to read and sign, and a recovery period.)



How effective are they?



Vacuum aspiration and D&E are nearly 100 percent effective. They fail to end a pregnancy about one out of 500 times. This can happen due to unusual conditions: there can be more than one chamber in the uterus or the pregnancy may not be in the uterus. Repeated aspiration or other treatment may be needed if the initial procedure does not end the pregnancy.



What do I need to do to have a vacuum aspiration or D&E?



You will need to



Be informed about the benefits and risks of the procedure



Sign a consent form



Give a medical history



Have laboratory tests



Have a physical exam — which may include an ultrasound





Special considerations may be necessary if you ...



Are extremely uncomfortable about having the procedure



Are extremely overweight



Have certain kinds of sexually transmitted infections



Have an infection in your uterus



Have seizures more than once a week

Are running a fever



Have certain serious health problems



Have problems with anesthesia









How does it feel?



Most women feel pain similar to menstrual cramps. For others, abortion is more uncomfortable. Local numbing medications are usually used. Some clinics use a kind that allows you to be awake but deeply relaxed. Others offer general anesthesia so you can sleep through the procedure. This, however, increases the medical risks and how long you must remain at the clinic.







How is MVA performed?



Your uterus will be examined.



A speculum will be inserted into your vagina.



The clinician may inject a numbing medication into or near your cervix



The opening of the cervix may be stretched with dilators — a series of increasingly thick rods. Or you may be given a medication. Or you may have special absorbent dilators inserted that will absorb fluid and slowly stretch open your cervix — sometimes absorbent dilators are inserted the night before and work as you sleep.



A tube is inserted through the cervix into the uterus. A hand-held pump gently empties the uterus.



How is a D&C performed?



Your uterus will be examined.



A speculum will be inserted into your vagina.



The clinician may recommend sedation and may inject a painkiller into or near your cervix.



The opening of the cervix may be stretched with dilators — a series of increasingly thick rods. Or you may be given a medication. Or you may have special absorbent dilators inserted that will absorb fluid and slowly stretch open your cervix — sometimes absorbent dilators are inserted the night before and work as you sleep.



A tube is inserted into the uterus. This tube is attached to a suction machine.



The suction machine is turned on. The uterus is emptied by gentle suction.



A curette may be used to remove the tissue that lines the uterus.



How is a D&E performed?



Your uterus will be examined.



A speculum will be inserted into your vagina.



You may be given medication or have special absorbent dilators inserted as early as the night before that will absorb fluid and slowly stretch open your cervix as you sleep. You may also be given antibiotics to prevent infection.



You may be sedated and may be given intravenous painkillers and other medications to make you more comfortable.



A local numbing medication is injected into or near the cervix.



The dilator is removed.



The fetus and other products of conception are removed from the uterus with medical instruments and suction.



What are the health risks of abortion?



Vacuum aspiration and D&E are very safe. But there are risks with any medical procedure. The risks increase the longer you are pregnant and if sedation or general anesthesia is used. Your overall health is another factor that affects your risk of complications. Risks associated with vacuum aspiration and D&E include:



Incomplete procedure — Rarely, pregnancy tissue is left inside the uterus. Repeated aspiration and other tests or treatment may be needed.



Blood clots in the uterus — Very rarely, clots cause cramping and abdominal pain. Repeated aspiration may be needed.



Infection — Rarely, an infection develops in the uterus. Usually antibiotics clear up the infection. In rare cases, repeated aspiration, hospitalization, or surgery is needed.



Very heavy bleeding — Very rarely, excessive bleeding, a hemorrhage, develops. Medication, repeated aspiration, blood transfusion, or surgery may be needed.



Injury to the cervix — Very rarely, the cervix is cut or torn. Medication, or rarely, surgical stitches in the cervix, may be needed.



Organ injury — Very rarely, an instrument goes through the wall of the uterus. Surgery, or very rarely, hysterectomy, may be needed.



Allergic reaction — Some women may be allergic to the local anesthetic or to other medicines used. Tell your clinician about any allergies you have, and what medications or recreational drugs you take. It will be strictly confidential.



Death — Death from abortion is extremely rare. The risk of death from childbirth is 11 times greater than the risk of death from an abortion up to 20 weeks of pregnancy. After 20 weeks, the risk of death from an abortion is about the same as the risk of death from childbirth.





After the abortion ...



You will rest in a recovery room.



If you have an Rh-negative blood type, you will receive an injection to protect future pregnancies.



You will receive written after-care instructions and a 24-hour emergency phone number. Call your clinician if you have heavy bleeding, pain, fever, an unpleasant smelling vaginal discharge, or signs of a continuing pregnancy.



You can discuss birth control with your counselor.



You will make a follow-up appointment in two to four weeks.









How will I feel later?



You may have cramps. You may want to relax for the rest of the day. You may shower as soon as you wish. Do not take baths, douche, or use vaginal medications. Do not drive after the procedure if you've had sedation. You can usually return to work or other normal activities the next day. Recovery after D&E may take longer.



Will I bleed afterward?



Some vaginal bleeding is normal after an abortion. It is normal to pass a few clots the size of a quarter. If your clots are larger than a quarter, or if you are passing many of them, call your clinician. It is also normal to have no bleeding, spotting that lasts up to six weeks, heavy bleeding for a few days, or bleeding that stops and starts again. Use sanitary pads — not tampons. Call your clinician if you soak two or more maxi pads an hour for two hours or more.



When will I get my period?



Abortion begins a new menstrual cycle. You should have a regular period in four to six weeks.



When can I have sex again?



Don't have vaginal intercourse or insert anything into the vagina for one week after the abortion. You can get pregnant very soon after the abortion. Discuss birth control options with your clinician.



Where can I get an abortion?



Contact Planned Parenthood® at 1-800-230-PLAN, other women's health centers, or your private clinician. Or call the National Abortion Federation at 1-800-772-9100.



How much do vacuum aspiration and D&E cost?



Fees depend on how long you've been pregnant and where you go. Nationwide, the cost at health centers ranges from about $350 to $700 for abortion in the first trimester. Hospitals generally cost more. Costs vary from community to community, based on regional and local expenses. Contact your nearest Planned Parenthood health center at 1-800-230-PLAN for information about costs in your area.

http://www.plannedparenthood.org/ppsfl/vacuum-aspiration-and-dande-abortion-questions-and-answers.htm

Answer 15

People are very judgemental and preachy on here aren't they? She didn't say she was having one and you don't know the circumstances.

Answer 16

www.abortion.com. Look it up.

Answer 17

most people in this section don't have abortions...



I think they are wrong by the way, but I guess if you can live with that... then go ahead

Answer 18

Your asking pregnant women!!!!! Why dont you google 'abortion' and see for yourself just how sick it is!!

Answer 19

You should go to you tube and you will see the video there, of how irresponsible people don't use any protection and end up killing their own baby, I don't care how far along you are with your pregnancy abortions should be illegal.....

Answer 20

don't get an abortion. if you where an adult to have sex then be an adult to take care of your action. don't take an innocent life away the baby has the right to live.http://abortionno.org/Resources/pictures.html

Answer 21

They suck apart the baby piece by piece leaving the head the head is too big to suck out so they smash the babies head in and pull it out all smashed up and bloody. So go ahead be a murderer I am glad the babies blood isn't on my hands!

Answer 22

please don't do it...its a life. and the recovery is horrible and something you will carry with you for the rest of your life. STOP HAVING UNPROTECTED SEX!!!!