The Medical Abortion: 10 Typical Lies You’ve Probably Heard Of

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Myths and misunderstandings exist about the procedure — If you read the news, watch TV, go to the movies, or basically digest any kind of media, then you’ve probably been exposed to some misinformation about abortion. Those ‘horror stories’ run the gamut and are perpetuated by many groups who are against abortion, to scare you away from abortion.

Today we start an open conversation to spread awareness about the safe abortion and, in true myth-busting style, we’re going to debunk all of their lies until the very last one.

Lie #1: “Abortion kills an innocent soul”
There’s a lot of controversy out there about this argument, and it’s obviously the most commonly used statement. Whether it’s in politics, religion or moral debates, most people have heard this at one point or another. But let’s focus on the SCIENTIFIC FACT:

In the 1st trimester, an embryo develops into fetus after the end of the second month of gestation. In these early stages of pregnancy (when safe abortions are performed), the fetus is not yet a baby. It’s only a growing tissue with no organs.

Lie #2: “Abortion is dangerous” 
Here’s the truth backed by research: abortion is safe. In fact, particularly the 1st-trimester abortion (up to 12th week), medical abortion is one of the safest procedure you can have. According to the clinical research by Guttmacher Institute, 1st-trimester abortions carry less than 0.05% risk of a major complication that would lead to a hospital visit.

And here’s something that will really blow your mind: abortion is significantly safer than childbirth. Researchers have found that the risk of death during childbirth is 14 times higher than from complications during an abortion.

Lie #3: “Abortion will risk the fertility of your future pregnancy”
This myth has no grounds in reality. Safe abortions, whether surgical or with medication, have nothing to do with infertility. You do not have to give up your hopes of having a family when you want to have one. In fact, a Government-funded research in Denmark has found that abortion does not increase the chances of infertility, ectopic pregnancies, miscarriages, or birth defects in future pregnancies.

Lie #4: “Abortion is irresponsible” 
Many women who’ve had an abortion understand the basic need of a child: a quality life. They’ve made a courageous decision in order to focus on building a stronger relationship, steady income and career to support a family life. For them, they would rather not having a child than neglecting their children’s basic needs. Does it sound irresponsible to you?

Lie #5: “Too many abortions can cause social problems”
Without getting too subjective on this one, let’s get straight down to the facts. Abortion is one of a preventive solution to solve the increasing number of suicides, child abuses & abandoning cases. The question should then be about prevention, not about how these women chose to handle their situation. In fact, criminalizing abortion does not prevent the women from looking for other alternative (including dangerous ways) to terminate their unplanned pregnancies.

Lie #6: “Abortion medication causes a woman to suffer deadly pain”
That sounds like the plot from the bedtime horror story, doesn’t it? There’s a lot of graphic imagery associated with this story, but this is largely dramatized & manipulated by anti-abortion group to scare most women from having an abortion. Medical abortion only requires a woman to take a series of 2 medications (Mifepristone & Misoprostol) that induce a natural miscarriage.

Medical abortion has a similar effect as natural miscarriage. Since it has been approved by the FDA in 2000, nearly 2.4 million women in United States have opted for non-surgical abortion to terminate their pregnancy safely & naturally.

Lie #7: “People who have abortions regret it or experience a traumatic life”
Getting an abortion means different things to different people. Feeling grief or sadness are normal emotions after getting an abortion. The truth is, 95% of abortion patients felt relieved that they made the right decision, knowing that they can’t be a good mother at some point of their life.

Lie #8: “Only selfish immoral women have abortions”
The decision of every woman to determine her life path is based on her circumstances. This does not mean selfishness, it means maturity and courage to make a decision, even when obstacles stand in her way. A woman, her life, her body, her goals and her dreams are important too. A woman’s decision when she is ready to have children is in her own hands.

Lie #9: “Abortion causes breast cancer”
That’s only a rumor. Here’s the truth: In 1997, New England Journal of Medicine had published a research on 1.5 million women to prove such claim. The result found there’s no independent link between abortion and breast cancer. Since then, the American Medical Association and the American Cancer Society have equally agreed that there is no connection between abortion and breast cancer.

Lie #10: “The fetus is suffering pain during abortion”
Pain reception develops in the neocortex (brain part) of the baby, which is not formed until the 3rd trimester (27 weeks). This takes place long after most miscarriages have already occurred, and after safe abortions are performed within 14 weeks.

Discuss Your Options With Us

Pregnancy, Abortion & Adoption Counseling
A crisis of unplanned pregnancy can cause a range of depression and anxiety. During the session, a women specialist will listen to you and help you explore and work through these issues. They will also give you accurate, honest and clear information about your options.

In this session, you will be given the opportunity to have:
pointsConfidential and non-judgmental pregnancy counseling
pointsInformation on abortion (surgical and non-surgical)
pointsInformation on adoption and parenting services
pointsInformation on pre-natal results and options
pointsOngoing support including post-abortion

Our location:
Lot. 12-1, Lorong Sinsuran 2B, Sinsuran Kompleks,
Jalan Datuk Chong Thian Vun, 88000,
Kota Kinabalu, Sabah, Malaysia.

For appointment, call (011)-3385-7071 (Dr. Reena)

Pregnancy Symptoms & Stages

Understand the Symptoms
Do you think you might be pregnant? You may be experiencing some of the following:
pointsLate or Missed Period
pointsNausea and Sickness
pointsSwelling/Tender Breasts
pointsMood Swings

If you are experiencing any of these symptoms and you are concerned you may be pregnant; you should take a pregnancy test.

Pregnancy Stages
Women go through many changes during each stage of pregnancy. Many of the pregnancy symptoms they have and the changes they deal with are common to a healthy pregnancy. The stages of embryonic and fetal development also follow a common pattern:
pointsA wide range of physical & emotional symptoms during pregnancy
pointsPregnancy begins when a fertilized egg implants in the uterus
pointsFetuses grow and change dramatically throughout a pregnancy
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Here is a description of the stages of pregnancy and the changes that women go through during a healthy pregnancy. There are 3 stages of pregnancy a woman goes through before finally giving birth. The total time a woman is pregnant is about 40 weeks. Obviously the exact number of days will vary from one woman to the next because of all the variables:
pregnancystages

Stage 1: First Trimester (Weeks 1-12)
The changes to her hormones affect almost every organ. She may experience symptoms early on, or they may come later and this varies from person to person. Symptoms that may occur include: mood swings, nausea, vomiting, cravings for some foods and dislikes for other foods, constipation, urinating more frequently, fatigue, swollen, tender breasts, heartburn, headaches and a gain in weight. Her routine will certainly change. She will most likely go to bed earlier and even take naps during the day. She will want to eat smaller meals more often. Symptoms won’t all hit at once and they can come and go. No two pregnancies are alike, even if we are talking about the same mother.

Stage 2: Second Trimester (Weeks 13-28)
Most mothers discover that the second trimester is easier to handle than the first one. There is usually less fatigue and nausea. However, her body will change more radically. The baby will move a little during this time. She will likely get swelling in her fingers, ankles and face. If there’s a lot of swelling, she must contact her doctor urgently, as this can be an indicator of preeclampsia. The mother will have pain and aches in her back, legs, feet, abdomen, thigh and groin at times. Stretch marks may start to appear as the abdomen expands. Parts of her skin can go darker; this is usually on the cheeks, nose, upper lip or forehead. Both sides of the face may match in shade. Doctors often refer to this as the “mask of pregnancy.”

Stage 3: Third Trimester (Weeks 29-40)
Many of the issues she faced during the second trimester will carry on. She may find it hard to breathe and will probably go to the toilet more often, because the baby is putting more and more pressure on her organs. Additional symptoms can include: shortness of breath, trouble sleeping, tender breasts, contractions (which may be false or real labor), her belly button will stick out and the baby will drop lower in her abdomen. The doctor will do regular checks as the due date approaches and she feels the excitement getting more intense. It’s important for the mother to do everything in her power to maintain her health, as well as the health of the baby.

Preventing Your Future Pregnancy

About 8/10 sexually active women would become pregnant over the course of a year if they didn’t use any contraception or preventive measures. So, if you don’t want to have a baby, it’s important to take precautions. There are many different types of contraception available ranging from emergency, hormonal and barrier methods to long-acting or permanent contraception.

What are the contraceptive methods available?
There are different methods of contraception, including:
pointsLong-acting reversible contraception, such as an implant, or an intra uterine device
pointsHormonal contraception such as contraceptive pills – injection and vaginal rings
pointsPermanent contraception (vasectomy or tubal ligation)
pointsBarriers methods, such as condoms and diaphragms
pointsEmergency contraception
pointsFertility awareness

Long-lasting reversible contraception
They are “fit and forget” contraception. These types of contraception last longer so are more effective at preventing pregnancy because you don’t have to worry about forgetting pills or a condom breaking or coming off. Long-acting reversible contraception (LARC) is a contraceptive that lasts for a long time. You don’t need to remember it every day or even every month. There are two types:
pointsAn intrauterine device (IUD) that lasts five or more years
pointsAn implant under the skin that lasts either three or five years

Hormonal contraceptives
Hormonal contraception works very well at preventing pregnancy. Hormonal contraceptives include the combined oral contraceptive pill and the progestogen-only pill (also known as the ‘mini-pill’). Other hormonal methods include contraceptive patches, injections, implants, the vaginal ring and the intrauterine system (IUS). It’s important to remember that they don’t protect against sexually transmitted infections (STIs) though. Non hormonal methods of contraception include condoms, diaphragms and the intrauterine device (IUD).

Barrier methods
Barrier methods stop sperm from entering the vagina. The most common methods are:
pointsCondom to prevent pregnancy and sexually transmissible infections (STIs)
pointsDiaphragm inserted into the vagina before intercourse

Fertility awareness
Fertility awareness is recognising the signs of fertility in a woman’s menstrual cycle. It can be used to understand your own menstrual cycle, plan a pregnancy or avoid a pregnancy.

Emergency contraception
There are two options for emergency contraception – the emergency contraceptive pill (ECP) or a copper IUD. Emergency contraception can be used to prevent pregnancy after you have had sexual intercourse when:
pointsyou haven’t used any protection
pointsyour normal contraception fails e.g. condom splits
pointsyou have missed more than one contraceptive pill
pointsyou have been vomiting or had diarrhoea while on the pill
pointsyou have been forced to have sex without contraception
pointsyou have missed your injection

Permanent contraception
The procedure for men is called vasectomy and for women it is tubal ligation. Permanent contraception is sterilisation that permanently prevents pregnancy.

About Us


SafeParenthood provides a new approach to parenthood planning.

In collaboration with women-rights activists & international feminist organizations around the world, SafeParenthood is founded with like-minded private healthcare institutions in Malaysia to reach out every women with the need of of professional reproductive healthcare providers without compromising their dignity and privacy of accessing reproductive rights. Our panel line of private institutions possess 12 years experience in parenthood planning, birth control & contraceptives, including the non-surgical alternatives for early stage abortion. SafeParenthood provides you with the access to skilled doctors and women specialists with the expertise in reproductive and sexual health services throughout Malaysia.

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Our specialists are dedicated on each individual specific needs, minimum budget, time, privacy and confidentiality. Our service is dedicated to all social stages regardless of age, marital status or citizenships. We also provide referral to other women’s health screening, advice or counseling providers. Our services include:
pointsFamily planning and birth control advise
pointsEarly stage pregnancy termination by surgical or non-surgical
pointsMedical abortion (Mifepristone, Misoprostol, Arthrotec, Cyprostol)
pointsDedicated after abortion follow-up by patients
pointsPre-natal care

Do you provide delivery service for medical abortion?
Yes. We can deliver the medication in 1-3 working days within Malaysia, provided if you have a normal pregnancy below 9 weeks and have a mobile/phone access for us to follow-up in case of emergency.

Do I need to meet a specialist?
It depends on situation. For some women, there’re many conflicting and strong feelings around a crisis pregnancy – taking the time you need to look at your issues and thoughts calmly can help you to make the best decision you can, at the time of the crisis. If you’re indecisive about your pregnancy, meeting a specialist will:
pointsExpand your choices – Parenting, abortion or adoption
pointsHelp in telling your partner, friends and family whenever you need it
pointsPractical information on your rights and entitlements and supports
pointsReferral to healthcare providers such as GPs and women specialist

What is the procedure of meeting a specialist?
An appointment is required before meeting a women specialist. Upon your arrival at the clinic, you will have an ultrasound scan to confirm your pregnancy. Then, a doctor will complete some medical forms and ask you some questions for further information. This will be explained to you by your doctor and you will have the opportunity to ask questions about your treatment as well as after-care and future contraception.

How much does a women specialist cost?
Our specialist consultation fee starts from RM90/hour, depending on where you live and other clinical requirements. Different private specialists expect considerably less or more – not more than RM5,000. Follow-up charges is lower than the initial consultation.

What is the benefit of having a private specialist?
There’re several advantages that justify the cost of a private specialist:
pointsNo waiting lists – you can meet your specialist as soon as you need help
pointsMore options – you can pick any specialist that you’re most comfortable with
pointsNo junior doctors – experience in the related field is our standard priority
pointsNon-judgmental – no double standards on marital or religious background

Have questions? Call (011)-2889-5075 for further information.

How to Order

What does the abortion-kit contain:
 Mifepristone 200mg, Misoprostol 200mcg including pain-reliever tablets
 Dedicated 24/7 specialist support by phone & WhatsApp
 Dosage instruction, nutritional guide & recovery plan
 Doorstep delivery by courier in 1-3 working days

Terms & Conditions

1. Price: The quoted price is for pregnancy below 9 weeks, all inclusive of Mifepristone, Misoprostol, pain-relievers, dedicated 24/7 specialist support by phone & WhatsApp, dosage instruction, nutritional guide, recovery plan & courier delivery. Additional charges may apply for pregnancy above 9 weeks. 

2. Payment Terms: You agree to pay the quoted amount within 24 hours before postage.

3. Delivery: Doorstep delivery takes 1-3 working days in Malaysia and will be assigned to our selected courier provider to local destinations only. No international shipment.

4. Your Privacy: All information submitted online will be deleted from our database after 24 hours. To protect your privacy, any details related to “SafeParenthood”, “abortion”, or “pregnancy” will not be written on the packing slip. The medical-kit will be discretely packed for private individual recipient and shall not be disclosed to irrelevant parties.

5. Cancellation & Refund: All confirmed orders are non-transferable, non-refundable and non-returnable. Sold medicines cannot be restocked.

Abortion Cost in Malaysia

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Comparison
Medical Abortion 
Surgical Abortion
How much is the cost?
RM500 – RM900
RM950 – RM4500
At which pregnancy stage is suitable for this procedure?
The safest medical procedure is recommended for the first 9 weeks.(Mifepristone & Misoprostol). 
1st & 2nd trimester. Pregnancy below 6 weeks is not suitable for surgical abortion.
How long does abortion occur?
In a few hours or up to 3 days.
In 15 minutes or up to 1 hour.
What are the side effects?
Normal side effects such as nausea, bleeding and abdominal cramps (like period pain). 
From mild to very strong cramping during the abortion. Antibiotics are provided during the procedure.
How often will I bleed?
Heavy bleeding and passing clots in the first 3 days. Then followed by lighter bleeding which may continue for a few weeks.
Heavy bleeding and passing clots. Usually light to moderate bleeding and may continue to occur for 6 – 8 weeks during recovery.
Can the abortion fail?
99.9% medical abortions are successful within 9 weeks pregnancy.
Surgical abortion within the first 12 weeks have the lowest risk of failure. 
Will there be any complications?
The safety has been formally studied and approved by the FDA. Complications are rare unless taken under restricted health conditions.
Surgical abortion has been studied for over 25 years. Usually the 1st trimester abortion has less than 1% complication.
Does it risk my fertility for future pregnancy?
No
No
What are other features in comparison?
Safely causes natural-miscarriage with no injection, no anesthesia, no instruments or no vacuum involved.
Highly effective within 9 weeks.
Abortion at home is more comforting & private.
The embryo is removed by emptying the uterus either by injection, anesthesia, sharp instruments & vacuum.
Mostly carried-out during 6 – 14th week pregnancy.

 

Recovery After Abortion

What should I do after abortion?

Most women could recover quickly within a few days, while some women take several weeks to recover. Although you might be able return to work as normal after a few days, you need to be aware of the physical warning signs, how to take care of yourself afterwards as you recover and how soon could you possibly get pregnant again. Here are the basic things you can do on taking care of yourself:
v  Drink plenty of water to keep you hydrated
v  Stay off work for a few days if you can
v  Take vitamins, eat healthy food, and rest well
v  Take the antibiotics prescribed by your doctor
v  No swimming or tub baths for 2 weeks
v  Don’t lift anything over 5kg for 2 weeks
v  Avoid sexual intercourse for 2-4 weeks


How soon can I get pregnant again?
You can ovulate as soon as two weeks after an abortion, which means you could get pregnant again within two weeks after another unprotected intercourse. After the 2-4 weeks is over, you should avoid any sexual intercourse unless you’re feeling physically recovered, and don’t let yourself be pressured into having sex again before you are physically and emotionally ready. You should have a serious discussion about the course of action for future pregnancies. 

How important is that 2 weeks check-up after surgery?
It’s important to see that your cervix has ‘closed’ completely to prevent infection in your uterus. This usually takes 2 weeks or longer after a surgical abortion. Once your cervix has returned to its normal condition, then it is safe for you to swim, take a bath, have intercourse, etc. But when your cervix is still open, there is a chance that bacteria can get up into your uterus, and cause painful and possibly damaging infections.

Managing your emotions in the weeks that follow:

The pregnancy hormones that your body generates to keep you pregnant start to dissipate after the pregnancy has been terminated. Depending on how far along in the pregnancy you were, and how sensitive you are to hormones, you may have pregnancy hormones still in your body for up to a year after an abortion. For the first 2-4 weeks following the abortion, your hormones are unstable and you might experience emotional rollercoaster.

Procedure & Risks

Aspiration & Suction
Aspiration is a surgical abortion procedure performed during the first 6 to 14 weeks gestation. It is also referred to as suction aspiration, suction curettage or vacuum aspiration. Your doctor will give you medication for pain relief and possibly sedation. It is the most commonly preferred procedure compared to other methods.
suctionrA tenaculum (surgical instrument with long handles and a clamp at the end) is used to hold the cervix in place for the cervix to be dilated by absorbant rods that vary in size. The rods may also be put in a few days prior to the procedure. When the cervix is wide enough, a cannula, which is a long plastic tube connected to a suction device, is inserted into the uterus to suction out the fetus and placenta. The procedure usually lasts 10-15 minutes, but recovery can require staying at the clinic for a few hours. Your doctor will also give you antibiotics to help prevent infection.Risks
Common side effects of the procedure include cramping, nausea, sweating, and feeling faint. Less frequent side effects include possible heavy or prolong bleeding, blood clots, damage to the cervix and perforation of the uterus. Infection due to retained products of conception or infection caused by an STD or bacteria being introduced to the uterus can cause fever, pain, abdominal tenderness and possibly scar tissue.
Dilation & Curettage (D&C)
Dilation and curettage (D&C) is a procedure to remove tissue from inside your uterus. Doctors perform dilation and curettage to diagnose and treat certain uterine conditions — such as heavy bleeding — or to clear the uterine lining after a miscarriage or abortion. The doctor uses small instruments or a medication to open (dilate) your cervix — the lower, narrow part of your uterus.
Risks
Dilation and curettage is usually very safe, and complications are rare. The risks are:
pointsInfection after a D&C procedure, but rare.
pointsPerforation of the uterus. Most perforations heal on their own.
pointsIf the cervix is torn during the D&C, your doctor can close the wound with stitches.
pointsBleeding that’s heavy enough that you need to change pads every hour
pointsLight bleeding that lasts longer than two weeks
pointsCramps lasting more than 48 hours
pointsPain that gets worse instead of better
pointsFoul-smelling discharge from the vagina
pointsFever
Dilation & Evacuation (D&E)
Dilation and evacuation is an emergency surgical procedure performed after 14 weeks gestation to save a woman’s life (if the pregnancy would endanger the mother). In most cases, 24 hours prior to the actual procedure, your abortion provider will insert laminaria or a synthetic dilator inside your cervix. When the procedure begins the next day, your abortion provider will use a tenaculum to keep the cervix and uterus in place and cone-shaped rods of increasing size are used to continue the dilation process. A numbing medication will be used on the cervix.dilationevacuationRisks
Common side effects include nausea, bleeding and cramping which may last for two weeks following the procedure. Although rare, the following are additional risks related to dilation and evacuation: damage to uterine lining or cervix, perforation of the uterus, infection, and blood clots. Contact your healthcare provider immediately if your symptoms persist or worsen.Other Risks of Surgical Abortion
risks_of_surgical_abortion

Frequently Asked Questions (F.A.Q)

aspirationsuctionprocedure

What does surgical abortion involve?
Surgical abortion is the most common type of abortion and it is a quick procedure where a suction instrument is used to empty the uterus.

Does surgical abortion hurt?
As everyone experiences pain differently, it is impossible to generalize on how women feel. It is likely that women may experience some discomfort which is often likened to a period pain. Most women describe this as strong cramps that subside after about an hour.

Will a female doctor perform my abortion?
Both female and male doctors can carry out this procedure. If you particularly would prefer to see a woman doctor, please mention your preference when making an appointment.

How long does surgical abortion take?
Surgical abortion takes approximately 1 hour or less. The length of stay at the hospital or clinic varies but is usually just a maximum of a few hours. If an abortion is being carried out at a later stage, the person may need to stay for the day.

Does the abortion has any risk or effect on my future fertility?
There is no direct evidence that an abortion has any effect on future fertility or any other aspect of general health. However, any surgical procedure or medical treatment carries some risks and it is important that are aware of your health condition before deciding to carry-out the procedure.

How much does a surgical abortion cost?
Usually it costs around RM800-RM4500 depending on a specific surgical requirements. The fees charged for your abortion includes the pre-operative medical history, personal counseling, as well as the surgical procedure or the additional medication for the treatment. However, your specific cost will be determined according to following:
pointsOther treatment if your blood Rh factor is negative
pointsHealth conditions (including costs for lab work)
pointsDifferent type of abortion procedure
pointsLength of your pregnancy

Which procedure is suitable for me?
Each woman who plans to terminate a pregnancy needs to choose the kind of abortion that is right for her. Both surgical and non-surgical options are safe, effective, and highly acceptable to women. Medical abortion (Mifepristone & Misoprostol) is recommended for up to 9 weeks pregnancy. Surgical abortion procedures are typically performed beginning around 6 weeks – 14 weeks.

Why most women prefer non-surgical abortion?
Surgery involves external & physical methods to remove the unwanted pregnancy. Medical abortion is preferred because it’s regarded as a natural way of terminating the pregnancy:
pointsThe medication causes natural miscarriage that she may feel more comfortable
pointsThe woman wants to have more control over the abortion with privacy
pointsThe woman prefers not to have surgery that involve intrusive of sharp instrument
pointsThe woman may be more familiar with a medical abortion