Despite
the use of local anesthesia, a full 97% of women having abortions reported
experiencing pain during the procedure, which more than a third described as
"intense," "severe" or "very severe." Compared to
other pains, researchers have rated the pain from abortion as more painful than
a bone fracture, about the same as cancer pain, though not as painful as an
amputation.
Studies
also reveal that younger women tend to find abortion more painful than do older
adults, and that patients typically found abortion more painful than their
doctors or counsellors expected. The use of more powerful general anesthetics
can reduce the pain, but significantly increases the risk of cervical injury or
uterine perforation.
Complications
such as these are common, as are bleeding, haemorrhage laceration of the
cervix, menstrual disturbance, inflammation of the reproductive organs, bladder
or bowel perforation, and serious infection.
Even more
harmful long term physical complications from abortion may surface later. For
example, overzealous currettage can damage the lining of the uterus and lead to
permanent infertility. Overall, women who have abortions face an increased risk
of ectopic (tubal) pregnancy and a more
than doubled risk of future sterility. Perhaps most important of all, the risk
of these sorts of complications, along with risks of future miscarriage,
increase with each subsequent abortion.
The
particular type and severity of complications depend a great deal on the
experience of the abortionist and the particular abortion method used. Given
that most abortions are performed at abortion clinics rather than by a woman’s
regular ob-gyn, the doctor performing the abortion is likely to be a stranger
of whose skill and experience a woman knows very little. Such things as an
inadequate gynecologic examination prior to the operation, the carelessness of
the abortionist, or the retention of fetal and placental tissue can all bring
on complications. These kinds of complications can usually be treated and
generally subside (though not always), but few women ever return to the clinics
for crucial post-operative examinations.
Of course, death of the mother is the most
serious of all complications. The risk of death increases according to the
duration of pregnancy and the complexity of the abortion technique employed.
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