Thursday, July 19, 2018

Some Important Facts About Abortion In Canada

By Dorothy Snyder


The termination of pregnancy before it reaches a viable state is known as abortion. A viable fetus is one that has reached twenty four weeks or more. Losing a pregnancy before this stage is attained can happen spontaneously or can be induced. When it is induced, the inducer should be careful to prevent infection and other serious complications. These are some of the key facts about abortion in Canada that need to be put carefully considered.

An abortion occurring spontaneously is usually the result of anomalies in the anatomy of the female reproductive system. The most common anatomical anomaly is that involving the cervix, medically referred to as cervical incompetence, CI. In such cases, the cervical tissues are too weak to sustain the growing amniotic sac and the fetus within.

Ultimately, it gives way and the amniotic sac together with its contents are expelled. The classic presentation of women with CI is loss of a pregnancy every time it reaches a gestation period of fourteen weeks. It is during this period that the amniotic sac is fully enlarged, pressing down on the cervix.

Cervical incompetence is caused by a number of factors. Some women could be genetically predisposed to the condition. In others, the incompetence is acquired as a result of frequent instrumentation. Exposing the female reproductive system to instrumentation every now and then not only increases the risk of infection but also makes the structures weak.

Women carrying multiple pregnancies are at a higher risk of sustaining defects in their cervix because of long term pressure meted on the cervix. In addition, women who get precipitate labour are bound to end up with a compromised cervix. Precipitate labour can be said to be the opposite of obstructed labour. The cervix gets to full dilatation within a very short span of time. While this may sound enticing for the expectant mother, it may be detrimental for future pregnancies if any tears are not corrected.

Missed abortions are those that occur without awareness of the woman carrying the pregnancy. They are missed because the contents get retained within the uterus, despite having lost signs of life. Signs that could indicate a missed abortion include a gradually contracting fundus. On examination, the abdominal size is usually smaller than what is expected for the given gestational age.

Radiological examination is the definitive form of diagnosis for a missed abortion. It gets to confirm that there are no longer any signs of life and that the fetus has lost viability. Healthcare providers should find ways of being as empathetic as possible when passing such sensitive information to their clients.

Retained products of conception are usually removed through manual vacuum aspiration after mildly sedating the patient or administering some form of pain relief. Infection prevention measures need to be observed to the latter. The procedure needs to be done under sterile conditions and medication should be given in anticipation of common infections.




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