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In United States, we have free abortion. This means that a pregnant woman, up to and including the 18th week of pregnancy, can decide for herself whether or not to continue her pregnancy.

After the 18th week, you can get an abortion if you have special reasons, after applying to the Social Board. Such an application is not granted if the fetus is believed to be viable, in practice not after the 22nd week unless the fetus has life-threatening injuries, or if the woman's health is threatened by pregnancy. Pregnancy weeks are counted from the first day of the last period, i.e. not the day you become pregnant, but about two weeks earlier.


How do you do if you are considering abortion?

You should call directly to the nearest abortion or gynecological clinic as soon as you are considering doing an abortion. Then you are offered conversations with the curator and a time is given to doctors and midwives for counseling and examination.

What happens at the first visit?

At the doctor's visit, the doctor makes sure that she really wants to have an abortion, and that it is the woman's own desire. There is a gynecological examination and an ultrasound examination to determine how far the pregnancy has gone. Samples are also taken to check that there are no bacteria in the cervix. If so, you will be given antibiotics so that there will be no complications during the abortion. At this time, we also discuss which contraceptive is suitable to use after the abortion. If you become pregnant without planning it, you may have an easy time with children while having a difficult time finding a contraceptive method that suits you.

Who can I talk to before a miscarriage?

Everyone has the right to a conversation with a trustee before abortion.

The curator is there to give you the opportunity to openly twist and turn over their reasons for and against retaining pregnancy. The job of the curator is to help the woman or couple make the decision that feels most right in the current life situation, not to persuade anyone into one or the other.

You can go to the curator both two or each, the man may come alone and talk about the abortion if he wants. For him, it may feel difficult not to be the one to make the final decision, but still be the one to support his wife even if she decides against his will.

A decision about abortion is always with the woman

However, the decision to have an abortion performed is always the woman's own. She can never be forced, neither to perform an abortion nor to carry out the pregnancy. Even though she is under 18, in Sweden, her parents do not need the approval of her parents.

However, parents or guardians have the right to be told that you have an abortion if you are under 18. Exceptions may only be made if it is seriously detrimental to the young person if the parents are told.

Many times you do not want parents to know because you feel stupid about having become unplanned or because you do not want them to fall asleep in your life. In most cases, however, it feels like a relief to be told. Most parents understand not to criticize but to support in this situation. They themselves have been with children at some time.

Most of the youth centers have counseling for young people who have become unplanned.

How is an abortion going?

Surgical or medical abortion can be performed.

Medical abortion

In early pregnancy, before week seven, it is most effective to do medical abortion. If you choose this method you first get a tablet, which you swallow at reception and then you go home.

After one to two days you get another type of tablets that you usually place in the vagina. These tablets cause the uterus to eject the pregnancy as if in a miscarriage. This treatment can be done either at the reception or at home.

At the same time with the abortion-inducing tablets you also get pain-relieving tablets. If you do the treatment at the reception, you usually stay a few hours to see how it works. A few do not begin to bleed until one or a few days later. Early medical abortion is performed through the ninth week of pregnancy. The treatment always includes a return visit after about two weeks to make sure the pregnancy is aborted.

Surgical abortion

In the case of surgical abortion, the pregnancy is sucked out with a kind of suction tube through the cervix after enlargement of the mouth. Prior to the surgical abortion, one is usually given a tablet a few hours before to soften the cervix and facilitate the more mechanical enlargement done in conjunction with the procedure. Surgical abortion is performed in local anesthesia via the vagina or under anesthesia via syringe in the arm. The operation only takes a few minutes but the whole procedure usually takes half a day, you do not need to sleep in the hospital. Surgical abortion can be done through the twelfth week of pregnancy.

Abortion after week 12

If the pregnancy goes beyond 12 weeks, medical abortion is again performed. Such an abortion can take a little longer and is always performed in hospitals. Sometimes you have to stay in the hospital overnight and in some cases you also do a so-called scraping of the uterus if you suspect that not all pregnancy tissue has come out.

Abortion after week 18

If the pregnancy has gone beyond 18 weeks, you must apply for an abortion from the National Board of Health. The Women's Clinic's abortion clinic helps with such an application. In order to have an abortion after the 18th week you have to have special reasons. Therefore, before the 18th week you do not, if you do not want to, explain to someone why you want an abortion.

After the abortion

In most cases, they have taken the opportunity to obtain an appropriate method of contraception at the doctor's visit before the abortion. P-rods and spiral as well as P-syringe can be inserted simultaneously with the abortion. Birth control pills, birth control patches or birth control pills are usually recommended to start with the day after the abortion.

After medical abortion, you have a bleeding, which is a little richer than a period, for a few weeks. After surgical abortion, bleeding is usually not as long. Sick leave is generally not necessary. You are advised not to bathe, use a tampon or have intercourse as long as the bleeding is ongoing, to reduce the risk of infection. The shower goes well.

If you have had a pregnancy sickness, it usually goes on a few days after the abortion. You can have human-like pain a few days after the abortion and have a richer menstrual bleeding. There is an increased risk of infection after an abortion and to reduce the risk, as long as you bleed, avoid bathing, using a tampon or having vaginal intercourse. Your period will return after four to six weeks.

For those who have undergone early medical abortion, it is important to make a return visit to make sure the pregnancy is aborted.

Most people who have undergone abortion feel mentally relieved and satisfied with their decision. In a few cases, it has been difficult to make the decision and then support may also be needed afterwards. The abortion curator is available for calls as long as you need it and can also mediate contact with other treatment if you wish. The counseling and call support at the abortion clinic is free of charge.

Risks after miscarriage

The risk of having to undergo scraping due to residues in the uterus is about the same whether medical or surgical abortion is performed. It happens in three to four percent of all early abortions and about ten percent of the late ones.

Otherwise, the most common complication of abortion is uterine infection, which affects some one-hundredth of all abortions.

The risk of having a complication that makes it difficult to have children in the future is extremely small, less than one in a thousand. In fact, the risk of consequences affecting the health or ability to have children is greater if one gives birth to a child than to an abortion.


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