What is an abortion? 

Wilfully ending the pregnancy by removal or expulsion the foetus before it can survive outside the uterus, with an intent to terminate the pregnancy is called an Abortion. Whereas, if pregnancy gets terminated preterm, on its own, without any external influence, it is called a miscarriage or a spontaneous abortion. Where deliberate steps are taken to end a pregnancy, it is termed as an induced abortion. A similar procedure of terminating a pregnancy after the foetus has potential to survive outside the womb is known as a “late termination of pregnancy”.

Where allowed by law and performed by trained personnel; nursing care plan for abortion is quite safe. Modern methods use medication or surgery for abortions. The drug mifepristone in combination with prostaglandin is a safe and effective as surgery during the first and second trimesters.  However, in a surgical termination of pregnancy, the most often used process involves dilating the cervix and using a suction device to extract contents of the uterus. Birth control, such as the pill or intrauterine devices, may be started immediately post the abortion. Induced abortions do not increase the risk of long-term mental or physical problems if it is done wilfully by the woman using legal means.

Before going a planned abortion, patient will be required to attend a scheduled appointment to discuss options, choice and what happens next. To avoid any risks patient is recommended to get a nursing care plan of abortion.

Here are the two commonest choices for a wilful abortion

• Medical abortion using the abortion pill – Patient simply takes two drugs, generally about 24 to 48 hours apart, to cause a miscarriage
• Surgical abortion – Patient will go through a small procedure to eliminate pregnancy and she generally moves home the same day

Following the surgery, you will be required to take nursing care plan on abortion and take things easy for a couple of days. You will face some discomfort and vaginal bleeding for a couple of weeks.

Abortion types are utilized to classify each situation possible for a pregnant woman. The type to be used can be established only after a comprehensive assessment is completed and could be any of the following.

• Threatened abortion – The embryo is currently alive. The products of conception are still together, and the cervix is closed, however there’s vaginal bleeding present. Get a nursing care plan for threatened abortion to receive proper and professional nursing.
• Inevitable / Imminent abortion – The embryo is dead and the products of conception may either be intact or partially expelled. The cervix is already dilated, and vaginal bleeding exists.
• Entire abortion – All products of conception are expelled along with the dead embryo. The cervix is dilated, and there’s gentle bleeding.
• Incomplete abortion – The embryo is dead although a few products of conception remain undamaged. The cervix is already dilated and there’s acute vaginal bleeding.
• Missed abortion – The embryo is dead while within the uterus. The products of conception remain completely inside, and the cervix is still closed and there are brownish discharges.
• Recurrent / Habitual abortion – Abortion is termed recurrent when a woman has had 3 consecutive miscarriages in the exact same gestational age.

Physicians are tasked with analysing patients and to offer them the precise and baseline information. Before ruling out some causes that are very similar in terms of symptoms, the signs and symptoms of abortion must be recognized by the Physicians.

• Vaginal spotting – Vaginal spotting appears as little brownish to red stains of bloodstream coming from the vaginal opening. This may happen since the pregnant woman may have attempted to lift heavy items or due to an injury to the abdomen because of which the cervix dilates.
• Vaginal bleeding – Bleeding is a critical occurrence during pregnancy since it may show that the dilation of the cervix has started, and products of conception may be expelled.
• Cramping / sharp / dull pain from the symphysis pubis – This may happen on either side and may be brought on by injury or early contractions that may cause cervical dilation.
• Uterine contractions felt from the mother – Uterine contractions could be false or true, but either of those two may possibly be alarming during the first phases of pregnancy since it might expel the contents of the uterus hence resulting in abortion.

Abortions are very safe, and women will not face any issues while undergoing the same. However, like any other medical treatment, there are still some risks that something can fail and therefore the patient is recommended to take abortion nursing care plan  and follow it regularly.  

Possible complications

• Disease of the uterus – happens in around 1 in each of 10 abortions; it can usually be treated with antibiotics
• Septic Abortion- This is a serious uterine infection during or shortly after an abortion. A septic abortion is an infection of the placenta and fetus, or products of conception, of a pre-viable pregnancy. You can get nursing care plan for septic abortion if there is any problems post surgery.
• Some contents of the maternity remaining in the uterus – happens in around 1 in 20 abortions; and additional therapy may be required in case that occurs
• Continuation of the maternity – happens in less than 1 in every 100 abortions; and additional treatment will be needed if this occurs.
• Excessive bleeding – happens in approximately 1 in every 1,000 abortions; acute cases might require a blood transfusion.
• Harm of this entrance to the uterus (cervix) – happens in around 1 in each 100 surgical abortions.
• Harm to the uterus – happens in 1 in every 250 to 1,000 surgical abortions and much less than 1 in 1,000 clinical abortions completed in 12 to 24 months.

Women who have an abortion are likely to experience mental health issues which they will need to deal with tactically with support of partner, friends and family and with prescription medicines if required.

It is very good to understand what is to expect after an abortion, which means you understand what to be aware of and exactly what to expect.

While everyone will have a different experience, normally you may experience some bleeding which range from stains to heavy clots. This might be protracted, irregular, or unpredictable and may continue up to your period. It is important that you use not and menstrual cups or tampons since this can give rise to infection and to loosening of the vaginal floor post an abortion. Additionally, it is normal to have crampy pains or cramps.

Symptoms will begin to settle after a day or two. Vomiting and nausea are also among the known signs. It is also normal to get tender breasts for many weeks.

Feelings may develop for individuals such as sadness and relief, after an abortion. All of these are normal. We may arrange counselling, either face-to-face or on the telephone and here to speak at any given moment. In case you have any issues call our line-up to consult with a nurse.

Pain relief following an abortion

After an abortion, cramps may come and go or could be continuous. It is also not abnormal to keep getting to cramp off and on at the first 2 weeks. People use pain relief pills like aspirin, codeine, or paracetamol, but we advise to please not take aspirin because it is a blood thinner and may increase bleeding.

Here are other ways that you may employ for managing your symptoms.

• Employ a heating pad or warm or hot water bottle wrapped in a blanket or towel into a lower abdomen.
• Wear comfortable, loose clothes.
• Make sure you are comfy and relaxed in your home.
• Important items to keep in mind after an abortion

Here are some things

• Prior to taking a pregnancy test, please wait. This is because a few pregnancy hormones may be present for up to 3 months after an abortion, which may provide a positive test result even though you are pregnant. If the pregnancy test is favourable, please consult doctor.
• For at least 4 weeks after an abortion / miscarriage, like in cases of a child birth, you should avoid intercourse as communicated in your abortion aftercare. It is extremely important to be aware it is possible to become pregnant after an abortion. If you don’t wish to get pregnant, we advise that you have contraception prepared for following your therapy. We can talk about different kinds of contraception to you that will assist you to find.
• Since this might raise the danger of infection, you should not get into a bathtub for 48 hours following your abortion but you may take a shower. If you feel light-headed, for the security please don’t own a shower without somebody there with you.

To take things easy and have relief you can get our nursing care plan of abortion in which the patient will be taken care of by Professional/Certified nurses.

Nurses assigned under the nursing care for abortion must  possess a proper nursing training and can  independently follow any doctor instruction and administer treatment accordingly to help well-being and the security of their individual. A proper nursing care of abortion patient must be taken.

Nursing Assessment

The presenting symptom of abortion is obviously vaginal spotting, and after this is noticed from the pregnant woman, she must immediately notify her doctor, family, partner.

As physicians, we’re always the first to obtain the very first information so we ought to know about the guidelines in analysing bleeding when pregnant.

The request of the pregnant lady’s activities prior to the spotting or bleeding happened and identifies the steps she did when she noticed the bleeding.

Also, there will be queries around the duration of and level of the pain or bleeding felt. Also, there will be a need to identify the customer’s blood type for instances of Rh incompatibility. If any discomfort is felt by the patient, she must contact the doctors or nurses around.

Nursing Interventions

• If bleeding is profuse, set the woman level in bed on her side and monitor uterine contractions and foetal heart rate via an outside screen / doppler / Ultra Sonography.
• Also, quantify output and set up renal function and evaluate the woman’s vital signs to establish maternal reaction to blood flow.
• Quantify the maternal blood loss by saving and weighing the pads that are used.
• Save any tissue located in the pads since this may be part of the products of pregnancy.

As the patient recovery is ensured by a postoperative nursing care, postoperative care is a vital element of the curing process. Post-operative nursing care of abortion patient might be easy and may be short term or long term or may entail procedure for a few.

In case of long term post-operative care, a patient is much better off within the warmth or home rather than in a hospital. Aiding this kind of care is something that we provide with our nursing care plan for abortion. As a part of our abortion nursing care plan, our group of nurses and other caregivers, would come and see you and offer care. In some cases, the nurse may remain with the individual for 24*7 monitoring and attention.

Therefore, if you require nursing care in your home, look no further and get a nursing care plan on abortion; trust your loved ones’ care to Care24 and we guarantee a satisfactory and quick recovery of the individual in the most effective and fastest way possible