Late Abortions (after 12 weeks)

流产

流产方法

晚期流产(后一个12周)
用于晚期流产的方法有数种(妊娠第13-24周的终止妊娠方法,也叫中期妊娠引产或简称引产——译者注)。由于各种各样的原因,所有的方法现在很少再使用:它们让孕妇冒相当大的健康风险;它们以更引人注目的方式引起伦理质疑;在许多国家,它们受到法律限制,甚至完全违法。可是,为了掌握知识,在此简介晚期流产中最知名的一些方法。

子宫切开术
子宫切开术可以说是一个小型剖腹产术。手术中,胎儿和胎盘从腹部的切口取出,为需要住院数日的大手术。行子宫切开术(请勿与子宫切除术相混淆)的妇女能够再次怀孕,但是如果想再生育的话,通常需要行剖腹产。

前列腺素注射
将前列腺素注射进羊膜液。该激素导致子宫收缩,以排出已死的胎儿。

盐水注射
这种方法也叫盐析法,为用盐水替换羊水的引产法。具体的做法是由腹部穿刺一根长针头进入子宫内的羊膜囊注射盐水。盐水会导致胎儿死亡。子宫会在两天内开始收缩,其结果会将死胎娩出。

 

盐水注射:通过腹壁向子宫穿入针头。一些羊水会被排出和由浓盐水替换,尔后盐水会导致胎儿死亡。 
Saline Injection: A needle is inserted into the uterus through the abdominal wall. Some of the amniotic fluid is removed and replaced with concentrated salt water which then kills the fetus.

Abortion

Abortion Methods

Late Abortions (after 12 weeks)
There are several methods that can be employed in later abortions. All of them are rarely used today for various reasons: They carry considerable risks for the health of the mother, they pose the ethical questions related to abortion in a much more dramatic form, and in many countries they are subject to legal restrictions or even completely illegal. Still, for the sake of information, the best known of these methods are mentioned here.

Hysterotomy
Hysterotomy can be described as a miniature Caesarean section. Fetus and placenta are removed through an incision in the abdomen. This is major surgery requiring hospitalization for several days. A woman who has had a hysterotomy (not to be confused with a hysterectomy, or removal of the uterus) can become pregnant again, but usually needs a Caesarean section every time she wants to give birth.

Prostaglandin Injection
The hormone prostaglandin is injected into the amniotic fluid. The hormone causes uterine contractions, and the dead fetus is expelled.

Saline Injection
This method, also known as "salting out," consists of replacing some of the amniotic fluid with salt water. This is done by inserting a long, hollow needle through the abdomen into the amniotic sac inside the uterus. The salt water kills the fetus. The uterus starts contracting usually within the next two days, resulting in the delivery of the dead fetus.

[Course 2] [Description] [How to use it] [Introduction] [Conception] [Pregnancy] [Birth] [Infertility] [Contraception] [Abortion] [Unwanted Pregnancies] [A Moral Dilemma] [Differing Views] [A Medical Issue] [A Legal Issue] [World-wide Statistics] [Historical Notes] [Abortion Methods] [Additional Reading] [Examination]