|228, boul. St-Joseph, local 201, Gatineau Qc. J8Y 3X4 (819) 778-2055|
Termination of Pregnancy
EXPLICATIONS ON THE INTERVENTION
You have decided not to go on with this pregnancy. You have the right to make that choice, abortion being legal in Canada since 1988. For certain women the decision was relatively easy, for others it was more difficult.
Your decision will be respected by all the staff here at the "Clinique des femmes", and you will be treated with care, understanding and competence. Our role is to provide you with an abortion in the very best of conditions, both humanely and medically. All our services are strickly confidential.
We demand that all our clients come to visit us, prior to the intervention, for a preparation meeting. On this first visit, you will meet with a nurse to complete your medical file. She will also take a blood sample to determine your blood type and do an ultrasound which will be read later by the doctor. (It is NOT necessary to drink water and have a full bladder).
The nurse will see you in private, so you will have the opportunity to discuss contraception and to talk about your decision, if you need to. For some women, it’s a chance to exchange with a neutral and understanding person… If you wish, the person accompanying you can be present to part of this meeting.
This first visit will last approximately 45 minutes. Do not hesitate to discuss anything that worries you : abortion is quite often an unknown for a lot of women and any question is a good one!
You will then be familiarized with us and our clinic, and this should help you to be more relaxed on the day of the intervention.
The day of the intervention, you must be accompanied. But the person accompanying you will have to stay in the waiting room until you are ready to leave (nobody is allowed in the operating or recovery room).
Before the intervention, you will be seen by the nurse. Then, you will meet the doctor and discuss contraception. Et this time, the doctor will answer any questions or concerns you might still have.
Then, the nurse will make sure that you are comfortably positioned on the gynecological table and will be there throughout the procedure to take care of you, help you relax, explain the intervention or simply to chat with you.
You will receive two intravenous medications, Fentanyl and Versed. They are very effective pain-killers and relaxants.
Considering the different types of anesthesia administered, you are not to drive a car or sign important document within the next 12 hours after the procedure.
The intervention takes approximately 10 minutes. To begin, the doctor will very gently do a gynecological examination. This is done to evaluate the position and size of the uterus. Then a speculum will be inserted to open the vagina and permit visual inspection of the cervix.
Note: All our instruments are sterilized or disposable. There is no risk of contamination from one patient to another.
If this has not been done before, the doctor will take a culture for detection of a type of sexually transmitted disease (chlamydia, gonorrhoea), and a pap smear (we do not test for other sexually transmitted diseases such as Aids, hepatitis…).
The doctor will proceed to administer the local anesthesia
and dilate your cervix.
Then the uterus is emptied.
A light curettage will be done followed by a second suction, very short.
The abortion is now over, you are no longer pregnant.If your blood type is negative, a medication will be given in order to avoid problems in subsequent pregnancies.You will be able to get up and walk to the recovery room. You may sit or lie down. A nurse will see to your comfort.
The average length of time for recovery is 30 minutes.The nurse will answer your questions and will give you required medication or prescriptions.
You can now leave the clinic.
This is when the person accompanying you will take over and see to your needs.Our fears come from the time when abortions were performed by charlatans. People against abortion also spread false information in order to scare women.
An abortion by suction, done by a competent doctor, assisted by kind and competent staff, with the appropriate equipment, is a very safe procedure. However, as for all medical interventions, there are possible complications. Complications regarding abortions are very rare and generally easy to treat.
By order of frequency:
Infection: Despite all precautions, women sometimes spontaneously develop an infection of the internal organs (uterus or tubes). If you develop one or several signs of infection (fever, pains, odorous discharge), consult immediately with your doctor. An infection treated by antibiotics at the first signs will usually be of no consequence.
Hemorrhage: During the intervention, done with the suction method, this is not probable. Furthermore, we have medication to quickly stop any abnormal bleeding. In the following days, if you have any signs of hemorrhaging (need for a sanitary napkin every hour for 6 hours), consult immediately with a hospital center. There is no need for panic because, despite appearances, very little blood is lost, but it must be stopped (either by medication or another D&C).
Incomplete abortion: Can the abortion "fail"? In the last 15 years, rare cases of continued pregnancies have been observed in the province. In every case, it had to do with pregnancies which were not very advanced (around 6 weeks).However, incomplete abortions do exist - it consists of residual tissue or membranes remaining in the uterus despite the quality of the medical act (it’s called "rention"). We must therefore act, either by medication or another D&C (or by a simple suction).
Damage to the uterus: This is rare and generally without consequences. This complication may necessitate a stay in the hospital for observation. Healing is often spontaneous without any surgical intervention.
Allergic reaction to medication: You have to tell us of any allergy or intolerance to medication. We will also question you as to any existing allergies. Risks pertaining to the pharmaceutical products we use do exist, but not any more or less than for medication distributed through pharmacies. We have everything necessary to intervene if need be.
Danger of infertility: A non-treated complication could cause an infertility problem (this was frequent when abortion was illicit). But today, the risks are nearly non-existant.
Contraindication for abortion in our clinic: At the Clinique des femmes, we will not take any risks with your health or security. This is why certain women with particular problems will have to be referred to a hospital for their abortion.
Note: You are informed of these risks for legal reasons in order for you to give a full and conscious consent as for any medical intervention.
Clinique des femmes de l'Outaouais
228, boul. St-Joseph, local 201, Gatineau Qc. J8Y 3X4
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