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.
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.
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
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.