Docteur Kadoch

Gynécologue Accoucheur à Paris.

Chirurgien, Obstétricien.

RDV Mondocteur.fr RDV Doctolib.fr

Voluntary Interruption of Pregnancy (VIP)

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The legal term LIMIT to qualify for an abortion in France is currently 14 weeks gestation (ie 14 weeks after the last menstrual period LMP).

-The LEGAL PROCEDURE is as follows:

-a first medical consultation,to :

-Confirm and date the pregnancy with a pelvic examination Beta HCG assay (pregnancy hormones) and an ultrasound.

-Informing the patient about the benefits and possible social care benefits in case of maintenance of pregnancy.

-Inform the patient about the techniques, risks, complications and side effects of an abortion.

-Give the patient an information booklet published by Social welfare, concerning the rights, subsidies and benefits guaranteed by law for mothers and children, the possibilities of adoption. .

-Writing a certificate attesting that the patient requests an abortion and is within the legal limits.

-A meeting with a professional carer: it must be offered to any patient and it is obligatory for minors where they are given a consultation certificate

-a reflection period of 7 days can be reduced to 2 days in case of an emergency procedure.

-a second medical consultation: : It allows you to:

-Confirm in writing the request for abortion.

-Provide contraception for later.

-Check the blood group and Rh of the patient (if it is negative, prevention of rhesus immunization by injection of γ-globulin anti-D).

Note that non-emancipated minors must obtain permission from a parent or guardian. In the absence of consent or if the minor wants to keep it secret, she has the opportunity to be accompanied a by a person of her choice.

-Possible TECHNIQUES are: :

-

The medical drugs (usually for pregnancies under 7 weeks of amenorrhea): First 3 pills of Mifegyn to be taken orally during the second consultation. They can cause bleeding and abdominal pain. Then 36-48 hours later, a tablet of Cytotec is taken under medical supervision. There will be a check-up 8 to 12 days later to ensure the success of the abortion.

-Surgery (usually for pregnancies of more than 7 weeks of amenorrhea): usually under general anesthesia, endo-uterine aspiration is performed in the operating room + / - associated with a gentle curettage. .

COMPLICATIONS: they are different according to the technique used. The most immediate are bleeding, the failure of the abortion, infectious complications (endometritis), uterine retentions of residue trophoblast. This may affect future fertility mainly due to endo-uterine adhesions. You should know that the cost of abortions are reimbursed by Social security: normally 80% of expenses are covered, the patient pays the co-payment. Patients who are minors or receiving the CMU are reimbursed at 100%.