Patient's question:
Detailed medical condition and consultation purpose: Today I went to the hospital for a check-up, 40 weeks pregnant. The ultrasound results showed: the uterus is enlarged, with one gestational sac inside, measuring 252727mm, normal shape, smooth sac wall, with visible embryonic tissue inside, but no visible primitive heart tube. The bilateral adnexa showed no abnormal echoes.First follow-up question: I decided to have an abortion without anesthesia. Today I went to the hospital for a check-up, and the doctor said I have cervical inflammation and prescribed some medication for me. Originally, they told me to come on Friday, but just now they called and asked me to come on Wednesday! Could you please tell me if it's better to go on Friday or Wednesday? Can you give me a quick reply as soon as possible?
Doctor's answer:
Women within 49 days of pregnancy can choose medication abortion or surgical abortion. Around 70 days, surgical abortion is the only option, and for those over 100 days, induction abortion is necessary. According to social surveys, the reasons for induction abortion among families generally include: natural fetal termination of pregnancy, the baby's gender not meeting parental expectations leading to forced abortion, or the fetus having deformities or diseases.The difference between induction abortion and miscarriage or abortion lies in the fact that the fetus has already passed the three-month danger period. At this stage, even surgical procedures like D&C (dilation and curettage) cannot guarantee the safety of the pregnant woman, let alone medication abortion.
Therefore, for the health of women, it is crucial to understand how far along in pregnancy one cannot undergo surgical abortion. Timely medical abortion is essential to avoid missing the best opportunity.
If the pregnancy exceeds 12 weeks, the above two types of surgical abortion are no longer possible, and hospitalization for induction abortion is required, which increases the pregnant woman's suffering and the risk of the procedure.
Thus, pregnant women who need surgical abortion should strive to undergo vacuum aspiration within 10 weeks of pregnancy to minimize the pain of the procedure.