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elective abortion; therapeutic abortion

The deliberate termination of a pregnancy.

Elective abortions are those initiated by personal choice. Therapeutic abortions are those recommended by the health care provider to protect the mother's physical or mental health. In the United States, 1 legal abortion occurs for every 4 live births.

Early pregnancy symptoms include:

• breast tenderness
• breast enlargement
• discoloration of breast areola
• nausea
• light headedness or dizziness
• missed periods

A pelvic examination is performed to confirm pregnancy and estimate the weeks of gestation. A serum HCG (blood test) may be performed to confirm pregnancy.

Most therapeutic abortions take place between 8 and 12 weeks of gestation. The procedure consists of dilating the cervix and removing the contents of the uterus by scraping (curettage) and suctioning the inner walls of the uterus.

Legally performed abortions are relatively safe. Complications rarely occur. A first trimester legal abortion is physically safer for a woman than actually giving birth.

Excessive loss of blood and/or infection are the most frequent complications. These complications are rare when the procedure is performed legally by a competent provider in an adequate facility. Teenagers may not be aware that they are pregnant until the second trimester and could increase the danger to their own lives with second trimester abortions.

Call for an appointment with your health care provider if an unplanned pregnancy occurs and information is desired about the choice of elective abortion.
Call your health care provider if an elective/therapeutic abortion has been performed and vaginal bleeding continues beyond what was predicted. (Excessive bleeding can cause shock.)
Call your health care provider if signs of infection develop, including persistent fever, foul odor to vaginal drainage, vaginal drainage that looks like pus, or abdominal pain or tenderness.

Improved methods of contraception can help prevent many unplanned pregnancies. This includes education related to abstinence, or, in the case of chosen sexual activity, contraception education. Such methods will not totally alleviate the perceived need, since unplanned pregnancies occur even when couples practice adequate methods of contraception to the best of their abilities.

The information provided herein should not be used for diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions.