Surgical abortion is a possible choice for all women and can be performed until the twelfth week of pregnancy.
The abortion law gives the woman the right to decide whether she wants to abort or complete a pregnancy before the end of the 18th week of pregnancy. The application must then be submitted to the National Board of Health and Welfare. Until quite recently, abortion has been performed solely as a surgical procedure. Today, all women are offered the choice of surgical or medical abortion. In 2017, 95.5% of all abortions, even nine weeks pregnant, were performed as a medical abortion.
Surgical abortion can be performed until the twelfth week of pregnancy. You get a time for surgery after having a conversation with a doctor and midwife or nurse at the abortion clinic.
In order for the operation to be as gentle as possible, a pre-treatment is usually given before the operation. You then get two tablets with a substance that softens and enlarges the cervix. The tablets can be taken as wearing pills (the drug is inserted into the vagina), under the tongue or swallowed. The staff at the abortion clinic will provide instructions on how to take the tablets and also provide painkillers to be taken at the same time. These tablets should work for one to three hours before surgery.
The tablets can provide:
Once you have taken the tablets you cannot regret it. Then you have to complete the abortion because the tablets can have a teratogenic effect.
The abortion procedure itself takes place under anesthesia or in local anesthesia. The doctor enlarges the cervix and then inserts a plastic or metal tube into the uterus. Then the pregnancy is sucked out in a gentle way that does not harm the uterus. The entire procedure takes about 20 minutes. Thereafter, you are observed at the ward for a few hours after the procedure is completed, before you are allowed to go home. If you have pain after the procedure, painkillers are offered.
After the procedure at the hospital, most people bleed in a gradually reduced amount for about seven to ten days.
When the uterus is emptied, a spiral is inserted if this is chosen as a contraceptive. If you have chosen a p-stick or a p-spout, these are also given in connection with the procedure.
Treatment usually has few side effects and most treatments are straightforward. The most common disorders are due to anesthesia and manifest themselves as nausea and vomiting. Some may experience copious bleeding and contractions. The risk of infection is low, but it is important to follow the instructions and seek treatment for suspected infection or bleeding that is more abundant than expected.
Sometimes a new operation must be performed if all pregnancy material is not removed at the first operation. In rare cases, damage to the uterus, bladder or intestine can occur.
It is very rare that the procedure does not interrupt the pregnancy. However, if the period does not return after four to six weeks, you should contact the midwife or doctor to make sure the pregnancy has been aborted.
Checking for surgical abortion is not mandatory but can be good especially if you have a spiral or p-rod inserted in connection with the procedure, or if you have started with a new method of contraception. You book your own time for a possible check with a gynecologist or midwife.
Chlamydia Infection during Pregnancy
The chlamydia bacterium is found in 1-4% of all pregnant women. Chlamydia occurs mainly among young women. If a pregnant woman has chlamydia, it can cause eye infection and pneumonia in the newborn baby. Chlamydia can also lead to a number of complications for the woman herself – including sterility.
Chlamydia infections do not always produce clear symptoms, but can be detected with bacterial specimens from the vagina or cervix. If the test result is positive, the infection is treated with antibiotics.