Is it too late to have an abortion after 60 days?

If you get pregnant unexpectedly, you can actually choose to have an abortion. However, there are time requirements for abortion. After all, if the fetus takes a long time to develop, it will easily affect the health of women if an abortion is performed. So, is it too late to have an abortion after 60 days? In fact, it is not too late at this time and you can have an abortion. If it is more than 4 months, it is not recommended.

Curettage

Anyone who is between 10 and 13 weeks pregnant and wishes to terminate the pregnancy, or who is not suitable for pregnancy due to special circumstances such as illness or has failed other abortion methods. Generally, a combination of clamping and negative pressure aspiration is used to terminate pregnancy. The scope of clamping is generally recommended to be within 14 weeks. In recent years, due to the clinical application of mifepristone, prostaglandins, etc., clamping and curettage have gradually been replaced by medical induction of labor.

(1) Indications: ① Those who are between 10 and 13 weeks pregnant and wish to terminate their pregnancy or are not suitable for pregnancy due to special circumstances such as illness; ② Those who have failed other abortion methods.

(2) Contraindications: ① Acute stage of various diseases; ② Inflammation of reproductive organs, such as vaginitis, acute suppurative cervicitis or subacute cervicitis, acute and chronic pelvic inflammatory disease, sexually transmitted diseases, etc., surgery can be performed after treatment; ③ Those who are in poor general condition and cannot undergo surgery can consider hospitalization for surgery after improvement after treatment; ④ Those whose body temperature is above 37.5℃ twice before surgery.

Medical abortion

The advantages of medical abortion are that the method is simple, does not require intrauterine operation, and is non-traumatic. Since the 1990s, drugs for medical abortion have become increasingly sophisticated. The more mature and commonly used methods are mifepristone and prostaglandin, with a complete abortion rate of over 90%.

(1) Healthy women aged 18 to 40 years who are diagnosed with normal intrauterine pregnancy (last menstrual period ≤ 49 days) and voluntarily request to use medication to terminate pregnancy;

(2) High-risk candidates for abortion, such as those with reproductive organ malformations (except rudimentary uterine horn), severe pelvic deformity, extremely tilted uterus, cervical dysplasia or tough uterus, uterine scar, or multiple abortions. (Note: Even if these patients choose medical abortion, they still have high-risk factors for medical abortion. The failure rate of medical abortion and the chance of post-abortion bleeding are higher than those of patients without high-risk factors);

(3) Those who have concerns or fears about surgical abortion.