Abortion Clinic Services in Johannesburg

Surgical Procedure

A surgical abortion ends a pregnancy by surgically removing the contents of the uterus. Different procedures are used for surgical abortion, depending on how many weeks of pregnancy have passed.Care before and after a surgical abortion includes a physical exam and lab tests, education about what to expect, self-care instructions, symptoms that mean you should call your doctor, and birth control planning.

Surgical methods in the first trimester (5 to 12 weeks)

Manual vacuum aspiration (MVA) or machine vacuum aspiration uses suction through a small tube to empty the uterus of all tissue. Surgical method in the second trimester

Dilation and evacuation (D&E) is typically done when an abortion occurs in the second 12 weeks (second trimester) of pregnancy. It usually includes a combination of vacuum aspiration, dilation and curettage (D&C), and the use of surgical instruments (such as forceps) to clear the uterus of fetal and placental tissue. A D&E is most commonly used during the second trimester because it has a lower complication risk than induction abortion.

Medical Procedure

Induction abortion ends a second-trimester pregnancy by using medicines to start (induce) contractions, which expel (push) the fetus from the uterus. If the fetus has severe medical problems, a woman may choose to have an induction abortion.

Medicines currently available in the South Africa for inducing abortion are:

Misoprostol. This hormone softens and opens (dilates) the cervix and triggers uterine contractions. Misoprostol used alone may end a pregnancy but is much more effective when used with other medicines, such as mifepristone or methotrexate, in first-trimester abortions.

Mifepristone and misoprostol. Mifepristone, also known as Mifeprex or RU-486, blocks the effects of the hormone progesterone. This stops the placenta’s growth, softens the cervix, and makes the uterus ready for labor. Misoprostol is then used to start contractions to clear the uterus of all tissue.

A typical treatment schedule for a medical abortion usually requires at least two visits to your doctor over several weeks. For the first visit, one medicine is taken during the visit and a second medicine is given to be taken at home. Vaginal bleeding may last about 14 days. Usually about 2 weeks after the first medical visit, a follow-up examination is needed to see if you are recovering well and to make sure the procedure worked.

Medical care before and after a medical abortion includes physical exams and lab tests, education about what to expect, self-care instructions, information on when to call your doctor, and birth control planning.

Procedures for Early Pregnancy

Early Abortion Procedures are best completed in the first ten weeks of pregnancy. Manual Vacuum Aspiration (MVA) can sometimes be used up to 12 weeks at the doctor’s discretion. The safest and most gentle early abortion procedure is MVA. MVA is also the most private abortion procedure because it can be completed in a regular doctor’s office. Surgical procedures are the most common abortion method. In addition to MVA and Surgical Abortion, the Abortion Pill can also be used to end early pregnancy..

What is Manual Vacuum Aspiration?

Manual Vacuum Aspiration is a quick, non-surgical procedure that can be completed in a regular medical examination room. MVA uses gentle suction to naturally release the pregnancy tissue into a handheld device.

How does Manual Vacuum Aspiration work?

• The doctor carefully inserts a speculum (like a pap smear)

• The doctor inserts a thin sterile cannula (straw) through the natural opening of the cervix.

• The doctor attaches the straw to the IPAS handheld device and applies gentle suction.

• The pregnancy tissue is gently removed into the IPAS device.

Abortion Procedures: Which is the safest?

All early abortion procedures are extremely safe. The safest abortion procedure is Manual Vacuum Aspiration. It is the safest because it does not utilize scraping, electric suction, or general anesthesia, so there are no major complications. The Aspiration Procedure and the Abortion Pill are endorsed by the World Health Organization as the safest abortion methods.

Surgical Abortion Procedures: Are they safe?

Surgical abortion, or D&C, is the most common abortion procedure and is one of the safest medical procedures available. The safest way to complete a surgical abortion is with no uterine scraping, and no general anesthesia. Uterine scraping is unnecessary under 12 weeks of pregnancy. A surgical abortion without scraping is often called a “suction curettage” procedure. The safest anesthetics are either local anesthesia or “twilight” anesthesia. General anesthesia is unnecessary and not worth the risks involved. If you are calling a clinic and scheduling a surgical abortion you can ask if they scrape the uterus.

How is Manual Vacuum Aspiration different from Surgical Abortion Procedures?

In a typical surgical abortion, the doctor scrapes the lining of the uterus with a sharp instrument and uses electric suction. This experience can be painful and frightening, so most women are advised to undergo general anesthesia. Recovery after general anesthesia can take hours and many women report not feeling back to normal for days. A MVA is performed using plastic instruments and a quiet, handheld device that delivers gentle pressure. Discomfort is usually considered minimal, so general sedation is unnecessary. Women recover within minutes after a MVA Procedure and feel well enough to resume normal activities immediately.

For all your Abortion/Termination Services +27 71 591 3918