The complete abortion
procedure requires one visit to the clinic and takes about three hours. It
includes the following stages necessary to assess the pregnancy, your general health and
your suitability to have the operation performed in a clinic setting.
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You will be asked to complete an admission form, which contains your personal
details and some statistical data. All information is kept private and confidential
as required by the Privacy Protection Acts. Please give the Receptionist the
referral letter from your
doctor and all blood test results, ultrasound reports and other
documents relevant to your treatment.
You will see a staff Gynaecologist for a consultation to review your medical
history and assess your general health and wellbeing. A gynaecological
examination will confirm how far pregnant you are. If the pregnancy’s age
cannot be determined, you will be referred to a local radiology centre for a pelvic
ultrasound. Your blood group is checked by a finger prick, unless you have
official written proof, such as a Blood Bank or Pathology card. A pregnancy test
is not repeated routinely unless requested by you.
A staff doctor will assess your fitness and suitability for the anaesthetic. In
addition to the local anaesthetic, you will be offered a sedative tablet and
gas. Gas sedation anaesthesia uses Entonox gas which is a mixture of
Nitrous Oxide and Oxygen. It relieves pain and make you feel sedated, but
awake and in control. You need to be escorted home
and you should not drive a car. Take the rest of the day off. You will be fully
recovered by the next morning.
A Registered Nurse will give you a detailed explanation of the procedure,
its risks and possible complications. Your partner may attend with you.
Certain legal requirements need to be met to constitute a lawful abortion.
Your options, reasons, and
alternatives will be discussed in a relaxed non-judgemental atmosphere. General
information will be offered on available contraception for future use. You will be asked to sign a Consent Form and a summary
the Interview. If you are unsure about the abortion, you will be advised
see your doctor or a counsellor for Decision Counselling.
A Registered Nurse will take you into the Operating Room and stay with you
during the operation. Your blood pressure, pulse and oxygen levels will be
monitored during the 10 to 15 minutes operation time. A local anaesthetic is given to reduce the discomfort and
you will breath Entonox gas. During the procedure you will feel some
discomfort similar to period cramps. After the operation you will walk, assisted, into the Recovery Room.
You will rest on a
comfortable recliner in a private cubicle for one hour. Light
refreshments will be offered. Your partner may join you to keep you company.
During recovery you may feel slight nausea
and some cramping. Pain relief will be given as necessary. The Recovery Nurse
will check your blood pressure and instruct you on the post-operative care and
the use of your chosen contraception. On discharge, you will be given a letter
to take back to your doctor and a Post-Operative Information Sheet with detailed
instructions for the next two weeks.
The check-up is carried out
approximately two weeks after the operation, usually by the referring doctor
or by a local GP. It’s purpose is to ensure that you have fully recovered
from the operation and that you did not develop any complications. If your
doctor has any concerns about your recovery, he may arrange additional tests
and refer you back to Mediguide for evaluation and treatment. Please call us
if you have concerns not addressed in the written instructions.