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hrschk66

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Surgical abortion pain relief
Posted: 04-10-08 17:35pm

I'm scheduled for a surgical abortion on 4/15 - I will be exactly 12 weeks at that time. I have taken 4 weeks wrestling with this decision and have decided that I cannot physically or emotionally have this child. I am petrified of sedation and general. I had a slight/moderate reaction to sed/gen when I had a D&C when I hemmoraged after the birth of my second child. (Retained placental parts) I was wondering if a local combined with 800 mg ibuprophen will be acceptable for pain relief? I know it won't take care of all of the pain - but will it make it reasonable and reduce it to uncomfortable as oppossed to painful? The clinic personnel say it should be fine and that the procedure will take about 3 to 8 minutes. They say with the local that I should experience moderate cramping while they insert dilators to dilate my cervix and then feel pulling and tugging and more cramping during the suction procedure. They say it will be uncomfortable, but bearable and is only a few minutes. I'm really nervous. They say because I have given birth vaginally (I have 4 children - 24, 19, 16 and 10 - and my baby days are over - hence the abortion) that my cervix should be easier to manipulate/dilate and the procedure will be easier on me than a person who has never given birth vaginally. I'm so scared. Also, is anyone familiar with complications? I'm scared something will happen to me. Sorry for the long, rambling post - I'm just beside myself. Thanks in advance for reading!
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Reptar

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Posted: 04-10-08 19:25pm

First trimester complication rates are LOW. You probably have nothing to worry about. It will most certainly be uncomfortable, and it might even be a bit emotional depending on how you're feeling. You'll probably be fully recovered in a day or so. It's a simple procedure and pretty quick. I really wouldn't worry, you'll be fine. Unless there is something specific you're worrying about, the chances of anything going wrong are so SO low. Good luck!
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amber♥

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Posted: 04-10-08 20:53pm

The pain was nothing for me. I actually went HIKING the next day and went back to work. I think you will be fine. Don't let people get to you, this is a PRO CHOICE forum and people with ugly opinions don't need to post here!
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Carifairy

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Posted: 04-10-08 20:57pm

The pain will be VERY VERY intense. I work in an abortion clinic. It is going to be painful with local only, but it only lasts a few minutes.

IV sedation is NOT general anesthesia, and does NOT carry the same risks!!

IV sedation is a STRONG narcotic which makes the procedure more comfortable. They also will use valium or Versed to make your memory fuzzy.

You could use IV sedation even if you had a slight reaction to general, because they are TOTALLY different drugs.

I have never seen a complication in my YEARS as a nurse in an abortion clinic.
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lucy315

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Posted: 04-11-08 01:09am

I really wish people would learn to put their opinions in the debate forum. This woman needs advice and support, not criticism.

hrschk66-

I had a surgical abortion last year, and am also terrified of sedation, so I chose to be awake during the procedure. It was VERY painful (not gonna lie) but also very quick. I was literally walking out the door 10 minutes after the procedure. I drove myself there and back, and went straight to a diner for breakfast afterward. I had light cramping for about 2 days, and very light bleeding for about a week. The cramping and bleeding I get with my usual monthly period are MUCH worse then this was!

Good luck with everything!
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hrschk66

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thanks
Posted: 04-11-08 06:50am

First of all, thanks to those of you who replied in a non-judgmental manner. Part of my aversion to sedation/general (in addition to the reaction I had to it before) is that I have very frequent irregular heartbeats - several thousand a day - and find that lots of things make my heart race and beat irregularly - lots of meds.....so, I like to avoid that. What types of sedation (my clinic can give it by injection) would be unlikely to cause a change in heart rate/rhythm? Would Ativan help at all? I had a cardiac workup 2 months ago (24 hour holter and echo) and the cardiologist doesn't need to see me again - says my irregulars are "normal" for me unless they increase or won't stop. You say it will be very very painful without sedation/general - that is scary. I was hoping it would be uncomfortable, but bearable. The nurse at the clinic I am going to said that most people with a local only say that it is more painful than a backache or headache - but less painful than an earache or toothache. At 12 weeks - how long will the procedure take from start to finish? Thanks again!
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lucy315

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Posted: 04-11-08 22:21pm

The pain is intense, but bearable. I wasn't screaming out in pain or anything like that. It's a difficult pain to describe to someone who has never been through it. It's kinda like a "sharp pressure" kind of feeling. A nurse will usually stand with you during the procedure, and you can hold her hand as tight as you need to. The shots actually hurt me more then the procedure itself. The whole thing for me (including the shots) was about 7 minutes. The "actual" abortion took about 2 minutes. They had a clock on the wall, and told me to count down. It helped a lot. The second it was over, the pain stopped immediately. Except for very minor cramps. Much lighter then normal period cramping. I was dressed and out the door minutes later. I was glad I chose no sedation because I didn't have to stay in recovery and I hate that groggy feeling. I'll put it this way. If I ever had to abort again, I wouldn't chose no sedation again. So it can't be that bad, right? Smile

As for the Ativan, it won't really help with the pain (I have been on Ativan before for anxiety) but it will relax you a bit.

Please don't worry too much. It's over very quickly.
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Carifairy

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Posted: 04-13-08 18:06pm

Hrsch-

Sedation is actually BETTER for women with issues relating to anxiety, stress, high blood pressure, and even heart issues.

Sedation would not increase your heart rate, but actually keep you calmer, which is why it is good for people with high blood pressure.

AT 12 weeks it will take about 5 minutes.

Honestly, yes, it will be very painful. But you can get through it if you decide that you do not want sedation.

You can actually discuss your sedation concerns with the doctor at the abortion clinic/office. They have full knowledge of the sedation that they use, and the effects of it on the heart.
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