Abortion methods, costs, risks

Not every woman is pleased with a positive pregnancy test. Some are forced to terminate the pregnancy. PARENTS online answer all important questions about abortion.

Unwanted pregnant! What now?

Portrait of a WomanThinkstock, Mariadubova

Of the pregnancy test is positive. Not every woman is pleased about it, maybe because a baby does not fit into the scheme of life, the relationship with the father of the child is not strong enough or speak medical reasons against pregnancy. But what to do if you have an unwanted pregnancy? Often a conversation helps with a familiar person, a good friend or family member. Perhaps, you will get unimaginably more support than you would have thought. If you prefer to talk about your situation anonymously, you can take one of the many pregnancy counseling centers to complete. You are advised decision open by qualified personnel and supported. And do not worry, the advice is for free. Nobody but you must know that you seek advice. Under www.familienplanung.de This tab provides information about counseling services in your area.

I am pregnant unintentionally. I can not take the "morning after pill"?

The "morning after pill" is a non-prescription drug that you receive at the pharmacy if you had unprotected sex around the dates of your ovulation. Male sperm can survive for up to 5 days in a woman's uterus. This means that even when sexual intercourse a few days before the actual ovulation it is possible to get pregnant. The active ingredients "morning after pill" contained in the delay ovulation of the woman until no fertilization can take place. So the drug works safely, it should be taken if possible within the first 12 hours after intercourse. The longer you wait, the higher the probability that ovulation occurs and sperm find their way to the egg. Does ovulation already taken place, the "morning after pill" can not work unfortunately. If you have found through a pregnancy test that you are pregnant, it is for the "morning after pill" is already too late, because the drug can not bring about abortion, so it is not the abortion pill.

I am pregnant unintentionally. Who can I now turn to? Where can I get advice?

Wide network of counseling centers in Germany

They are an unwanted pregnancy? They are faced with a difficult decision and need help? Or you need a counseling certificate to have an abortion? Among the topics of pregnancy and family planning, you can seek advice from many different places, depending on where you feel the best place for your belief or religion. In addition to public counseling centers, for example, by the Youth Office, there are also a number of free offers (for example, pro familia). These include charities or church organizations. Not all of the carriers also provide a counseling certificate in accordance with § 5 and 6 of pregnancy conflict Act (DCBA) from, for example, because a possible abortion does not coincide with their self-image. This may be the case especially in religious sources, such as Caritas or the Social Service of Catholic Women (SkF). Therefore, it is important to inform in advance well over the individual counseling centers and their services.

The website Familienplanung.de is an information service of the Federal Center for Health Education (BZgA) on which you can search in your area for a suitable for you counseling center.

Weitre information about each Beratungsangeboren available here:

pro familia
Workers (AWO)
German Red Cross

Abortion: This says the law in Germany

SectionsThinkstock, FikMik

According to § 218 of the German Penal Code (SPC) is an abortion illegal. Women who were pregnant unintentionally, may nevertheless decide, for the following conditions remains an abortion unpunished:

  •  The pregnant woman herself must want the abortion.
  • The pregnant woman must be advised in advance in a state-approved counseling center, at least three days before the planned surgery.
  • Abortion must be from a doctor or a doctor who has not participated in the consultation until the end of the 12th week be carried out after conception.

 An abortion can however also be lawful in certain circumstances. There are two indications that must be determined by a physician:

  1.  medical indication: Where a doctor that the continuation of the pregnancy represents a threat to the physical or mental health of the mother, there is no time limit as to when the abortion must be performed. However, must be three full days between the statement of diagnosis and the written indication, unless there is immediate danger to life for the pregnant woman. A medical indication may also be present when doctors detect significant health damage to the child and this diagnosis can affect the health of the mother. Since 2010, doctors who certify a medical indication, obliged to inform their patients about the physical and psychological aspects of abortion and possibly establish contacts with counseling centers. Abortion must not be carried out by the doctor who has found the medical indication.
  2. Criminological indication: For women who became pregnant by a crime (for example, by a rape), there is no obligation for consultation. but you can have of course voluntary advice. Abortion must be carried out until the end of the 12th week after conception, not from the doctor who has found the indication.

How often abortions are carried out in Germany?

According to Federal Statistical Office figures for abortions in Germany are declining. In 2000 134.609 abortions were performed. 2014 there were only 99,715.

Recent data on the third quarter 2015, that 73% of women who had to perform an abortion were between 18 and 34 years old, 17% between 35 and 39 years. Approximately 7% of the women were 40 years and older. The under-18s accounted for 3%.

How is an abortion performed?

Waiting roomThinkstock, KatarzynaBialasiewicz

Which method is right for the intervention depends primarily on your age, the indication and any pre-existing conditions. Your doctor or health care professional will discuss the options with you and just consider what is best for you.

There are basically two methods of abortion, surgical and medication. The surgical procedure is carried out under local anesthesia or general anesthesia, depending on whether you want to consciously experience the demolition or rather not. For some women, the conscious experience of the intervention is helpful to better handle the demolition later. For others, this is too onerous and general anesthesia, the better way.

The most common method is the extraction, also known as suction curettage. Here embryo and endometrium are sucked through a tube. Overall, the process takes only about ten to fifteen minutes. Most surgical abortions are performed on an outpatient basis. This means that you can go back home, accompanied by a rest period.

By the end of ninth week of pregnancy a termination can be carried out with drugs. This method is for the mother's body much more gentle, mentally but all the more burdensome, because it is a fairly lengthy process that the woman consciously experienced in all phases. Discontinuation of medication the drug mifepristone is used, you only get at the pharmacy and are allowed to take only under strict medical supervision. The active ingredient contained therein mifepristone inhibits the action of progesterone, which is necessary for the maintenance of pregnancy and leads to an opening of your cervix. After the first dose of the medicine you are allowed to leave the doctor's office once again. In some women, menstruation-like bleeding already begins a day later, which can last up to 14 days. After 36 to 48 hours, contact your gynecologist another drug in the form of tablets or suppositories, called prostaglandins. These hormones ensure that the uterus to contract and mucous membranes and embryo are ejected. In most cases this is done within three hours, so you should stay for observation better in practice. Tut, despite the medication initially nothing can give the doctor again administered prostaglandins. In about 98% of all cases this drug method leads to a complete abortion. For the remaining 2%, unfortunately, the demolition must then still be done surgically.

What are the risks?

As with any surgery, there are risks even with a surgical abortion. In practice, however, this occurs very rarely. The substance may cause infections and bleeding that can be treated but usually if they are detected early. There is also the risk that tissues such as the uterus, is injured or anesthetics intolerance occurs.

In the medical method of abortion as abdominal pain, nausea, gastrointestinal discomfort and bleeding are possible by prostaglandins side effects.

When can I get an abortion?

These deadlines must be observed

For an abortion is not penalized, certain time limits must be adhered to in Germany. After consulting model week, no more than twelve have passed since the fertilization of the egg. This corresponds to the 14th week of pregnancy. This rule also applies if an offense cause of pregnancy (kriminologische indication). Please note: the medical abortion is performed by physicians in Germany only until the end of the ninth week of pregnancy.
Is a medical indication for abortion, so if health, psyche and life of the mother is endangered by the pregnancy, there are no time limits which must be respected. An abortion is still possible even after the 14th week of pregnancy.

Where can I get an abortion?

An abortion can be carried out wherever the appropriate follow-up is guaranteed for you. This can be in a well-equipped doctor's office, in a day hospital or in a hospital. It is important that you are of or performing the demolition, feel comfortable and trust him or her with the doctor or health care professional. If you are still unsure of where you want to perform the demolition, advises any officially recognized pregnancy conflict counseling center on practices and hospitals in your area.

What is the cost of an abortion and who does?

Abortion: Abortion: methods, costs, risksMaxal Tamor

Before an abortion can be performed, you must first in a state-approved counseling center, such as let pro familia or the Workers' Welfare Association (AWO), to advise. This advice is free for all pregnant women and their companions.

If a physician has determined a medical or criminological indication for an abortion on you, the health insurance covers all costs of treatment.

Once you have decided for other reasons for an abortion, you will probably need to take a few cost private. Statutory health insurance companies cover only part of the costs, namely for medical advice before the crash, for all medical services and drugs before and after the procedure, which serve to protect your health and - if necessary - for the treatment of complications. The cost of the procedure itself, which, depending on the practice and method between 200 € and 600 €, you need to take yourself.

Low incomes, recipients of social assistance, unemployment benefits or education grants such as training assistance can apply for the reimbursement of the cost of your health insurance. The only prerequisite is that you have and no short-term disposable capital less than 1,075 € earn net per month. For every living resident child, the limit is increased to 254 €. Pay more than 315 € rental, you can set up a maximum of 315 € in the salary limit. Incidentally, the content of your partner is not important for a reimbursement. You need specify any reasons for an abortion in your application. This is your private matter and the health insurance is none.

What women need to know that are not yet of age?

young PregnantThinkstock, diego_cervo

For young women under 18 years of an unwanted pregnancy is often particularly burdensome. To the great concern about the possible consequences and the future of the fear of the mother or father of the pregnancy comes to tell need. Whether you decide for or against an abortion, a visit to a counseling center can help in such a difficult situation. The counselors are well trained, you are able to help and support you through all the necessary steps in a conversation with your parents.

Basically, namely where: Minors can detect a pregnancy at first without the consent of their parents. Also a consultation is free of charge and without parental consent. However, for termination of pregnancy even young women need the consent of a guardian. For over 16 years, doctors can dispense with parental consent, unless you have the impression that the pregnant woman is aware of the consequences of their decision and can weigh up the pros and cons responsibly. In girls between 14 and 16 years, the doctor will probably insist on approval of the abortion by the guardian.

What should I look after an abortion?

In the first days after an abortion rest is first important to you, whether you have chosen a surgical or medication method. Your attending gynecologist can you sick leave, so you can save after the procedure only once. And do not worry, the reason for your sick leave does not have to learn your employer.

After a surgical abortion bleeding and abdominal pain are unfortunately normal. If you selected drug method, you must probably expect some prolonged bleeding. Basically: For fever, malodorous discharge, rather seek excessive bleeding or pain a doctor.

To keep the risk of infection as low as possible, it is better to use in the days after the crash rather napkins instead of tampons to refrain from sexual intercourse and not to go swimming.

What will happen to me mentally after an abortion?

Woman goes for a walkThinkstock, Thomas_Zsebok_Images

That there are basically going women once badly after an abortion, many sufferers get to hear during their decision making process. But the fact is: from mourning for the lost child to relief from depression through to a feeling of liberation, everything is possible. Long-term negative psychological effects are very rare and usually occur when women have an abortion under external pressure, for example, were carried out by family members or partners.

How do you cope with an abortion depends on many, very individual factors. Their living conditions, the clarity of your decision and also the course of the procedure have impact on how you can process the experience. For some women, the time of decision-making is much more burdensome than the procedure as such. If the pregnancy terminated, they are relieved. Other women, however, are quite quickly that she would like to get an abortion clear. Is the procedure over, they regret that they had to decide that.

What you have to remember: Due to the pregnancy and your hormonal balance has changed. First, your body was fully programmed to the pregnancy. With the abortion he must first adjust hormonally. This can also have an effect on how are you physically or mentally.

How will you go in your situation after the abortion, no one can say exactly. A study by the Family Planning Center Hamburg e.V. however, has revealed that it has helped many women before and after an abortion to speak with other women in a similar situation. These can be, for example, friends or family members who also have an abortion can be performed. The talks in pregnancy conflict counseling centers were perceived as helpful. Was the relationship with the father of the child intact, the partners was viewed as an important support. For all surveyed in the study, women peace and time for yourself after surgery were particularly important. Therefore: Treat yourself after an abortion plenty of rest and take a break from everyday life. Does your body but also your soul good.

Can I get pregnant again after an abortion?

Yes, you can become pregnant again after an abortion. With the termination of pregnancy you begin cycle again. The next ovulation you have about two to four weeks after the procedure, your next period after about four to six weeks. And do not worry, in a professional durgeführten abortion is their fertility no worse than before surgery.

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