When thinking about abortion care, most women imagine a quick visit. But, the fact is that the experience depends on the type of method that’s used.
For some women, surgical abortion is performed under general anesthesia, which is a highly controlled and comfortable option.
Here’s what you can expect before, during, and after abortion under general anesthesia.
What is a Surgical Abortion?
A surgical abortion (D&C or D&E) removes pregnancy tissue from the uterus using suction and gentle medical instruments. Because it’s performed under anesthesia, you’re fully asleep for the entirety of the procedure.
This means you won’t feel any pain or be aware of what’s happening.
It’s important to note that abortion under general anesthesia is very different from local anesthesia. Local just numbs the cervix and you’re completely awake. Conscious sedation can also be used, which is when you’re relaxed and in a twilight state but not fully asleep.
When Is This Type of Abortion Used?
There are many situations where an abortion under general anesthesia may be recommended. Some of the most common scenarios include:
- Later gestational age – As pregnancy progresses, abortions can take a little longer. It may be more comfortable to perform them under anesthesia.
- Medical considerations – Certain health conditions may make general anesthesia the safest option.
- Patient preference – Some women simply don’t want to be awake during the procedure. Anesthesia makes everything a lot less stressful.
The most commonly used surgical abortion is dilation and evacuation, which is often performed during the second trimester. Vacuum aspiration can also be used for earlier abortions.
How to Prepare for an Abortion Under General Anesthesia
You don’t need to do much to prepare for your appointment. But, there are some things you can do to ensure everything goes as smoothly as possible.
Before going under general anesthesia for an abortion in New Jersey, you’ll likely be asked to not eat or drink for six to eight hours before. This reduces the risk of complications while you’re asleep.
You’ll also want to arrange a ride home from the clinic, as anesthesia affects your alertness and coordination.
Be sure to arrive wearing loose, comfortable clothing. A hoodie, soft pants, and slip on shoes are cozy and make recovery easier.
What Happens During an Abortion Under General Anesthesia?
You aren’t alone if you’re nervous about being put to sleep. But knowing what happens ahead of time can help ease your nerves.
- After you arrive, you’ll check in, fill out paperwork, and have your vitals taken. Your nurse may start an IV, which is how the anesthesia is delivered.
- An anesthesiologist will administer medication through the IV. Within seconds you’ll drift off to sleep. Most women don’t remember anything after this point until they wake up.
- The procedure itself involves opening the cervix and using suction, along with specialized medical instruments, to remove all pregnancy tissue. The process usually takes 20 minutes or less.
Afterwards, you’ll wake up in a recovery area. You may feel a little emotional, as well as groggy, or maybe just sleepy. This is all normal.
What’s Recovery Like After a Surgical Abortion?
Recovery is different for every woman.
Physically you may experience cramping, bleeding, and fatigue. Cramps will feel very similar to strong period cramps and bleeding will be light to moderate.
These symptoms usually last for a few days. The key is to rest and listen to your body.
You can manage discomfort with over-the-counter pain relievers. Heating pads are also very helpful.
Because your cervix may still be slightly open after the procedure, do not use tampons to manage bleeding. Pads and period underwear should be worn until you’re given clearance to insert anything into the vagina.
Emotionally you’re likely to experience a mix of emotions. Hormonal shifts occur after an abortion and greatly affect your mood and feelings.
Though complications are rare, you should know what to look for in the event that you need to seek medical care. Contact your provider if you experience:
- Heavy bleeding
- Severe pain that doesn’t subside with medicine
- Fever or chills
- Unpleasant discharge
Trust your instincts and if something feels off, talk to a medical care professional ASAP.
What to Expect From Your First Period After the Procedure
Your menstrual cycle will eventually return, but it can take four to eight weeks. It’s normal if your first period is different, whether that means heavier or lighter bleeding or more intense cramps.
Cycle irregularity is also completely normal.
Because ovulation can occur before your next period, it’s totally possible to get pregnant soon after the procedure.
If you aren’t planning another pregnancy, talk to your provider about contraception options. These can often be prescribed to you before you leave the clinic.
When Can I Have Sex After an Abortion?
This is one of the most commonly asked questions.
Most providers recommend waiting one to two weeks before having sex. This gives your cervix enough time to fully close.
Having sex earlier greatly increases the risk of infection and other potential complications.
Of course, everyone heals at a different pace. If you’re still bleeding or experiencing discomfort, wait a little longer.
We Offer Surgical and Non-Surgical Abortion Care
Undergoing a surgical abortion under anesthesia is a deeply personal decision. For many women, this option offers a sense of comfort and ease during an emotionally complex time.
If you have questions about your decision or if you want to learn what options are available to you, come to Metropolitan Medical Associates.
Call our office at 201-429-9748 today to speak with a member of our staff or schedule your appointment below: