How does Abortion Work?

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William Henderson
How does Abortion Work?

Abortion is a legal method of surgery when done by a qualified medical practitioner.

Complications of surgical abortion may include inflammation, injury to areas of the reproductive system, and heavy bleeding.

See your GP immediately if you have excessive bleeding, fever or extreme cramps, or tummy pain.


Abortion means a miscarriage that is done intentionally. Around 80,000 women abortion is practiced each year in Australia. Abortion is a typical style of surgery (if it’s a surgical one). When done by a qualified medical practitioner, it is a very effective operation. However, there is a downside to any surgery. Surgical abortion risks include inflammation, reproductive injury to areas of the system, and excessive blood supply.

The reproductive system of women consists of the following:

The vaginal canal, known as cervix uterus tubes (womb) – a muscular channel that leads to the input (neck), on either side, of the uterus tube. 

They open in front of the ovary and bring ovaries from the ovaries into the uterus – two little glands containing the eggs (ova).

A fertilized egg lies in the lining of the uterus as you get pregnant (the endometrium). An operative abortion entails the evacuation by operative means of the vagina of the fetus (sometimes known as the 'contents of the uterus’).

Preparing for an abortion

Check with your clinic all the time, but basic guidelines include:

Do not smoke, drink or eat for about six hours before the surgery (not even water).

At least two hours are expected in the clinic.

Bring sanitary towels, letters of referral, blood group id, Medicare card, and a medical insurance card.

Bring someone to the clinic who can take you home.

Your doctor can also advise you for an abortion with pills if you are in the first trimester. He might recommend some tests and, after that, tell you to use the Abortion Kit

Complications in abortion

In about 3% of surgical abortion cases, complications arise. As your pregnancy advances, the probability of experiencing complications increases. Abortion in the first quarter is the safest. In the first trimester, most surgical abortions take place.

Surgical abortion complications can include:

Bleeding – bleeding from a menstrual cycle following abortion may be close. The abortion could not be complete if severe bleeding happens. Even a curettage of the uterus is used to treat this. Transfusion of the blood is seldom necessary.

Injury to the cervix – during miscarriage, the cervix is extended. The cervix is often considered an incompetent cervix if you have many processes.

Uterus injury – muscular yet soft walls of the uterus. Operating tools for abortion can often damage (or 'perforate') the uterus. It can lead to abdominal (peritonitis) inflammation and serious blood loss sometimes. This is a very unusual complication, which is normally recognized and handled immediately if this happens.

An inadequate cervix could cause complications in the later pregnancy as it is too fragile for the weight of a growing pregnancy to stay completely closed.

The last two complications mentioned above are unlikely since professional surgeons perform surgical abortions. The doctors get some tests done so that they can be 100% sure about the treatment. If your pregnancy can be terminated via medicines (also known as medical abortion), then your doctor might tell you to take the abortion pills - Mifepristone 200mg and Cytotec 200 mcg. This will help you get rid of the situation without the need for surgery. However, medical abortion is only feasible during the first 9 to 10 weeks of pregnancy.

What to expect

The clinic will request you to speak with a consultant or medical professional about your decision before taking an abortion appointment. This individual would answer your questions and let you know about your birth control choices. You would just want to make sure the decision is yours and that nobody pressurizes you.

A doctor conducts a physical examination and checks, including blood tests occasionally. They can perform ultrasounds to validate the extent and options of your pregnancy. You should provide written orders on drugs, which you should call after you go home if you have any concerns.


Any clinics will give you the option between a medical abortion (also called an abortion pill) and a surgical abortion (also known as an in-clinic abortion). Each approach takes time, and whether you choose to be mostly at home or in the clinic, the decision may vary depending on how far you are in your pregnancy. Country-to-country recommendations and protocols can also differ.

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