Within the first 90 days of gestation, any woman can request voluntary termination of pregnancy for health, economic, social or family reasons.
It can be induced by drugs or through a surgical procedure. In the second case, the uterus is scraped by aspiration for termination of pregnancy.
This is a procedure that can only be performed in the first trimester of pregnancy, and in particular between the fourth and sixth week of gestation. The surgical procedure is performed in two stages: dilation of the cervical canal and hysterosuction (scraping of the uterus by aspiration) which is carried out using a special cannula connected to an aspirator that is inserted into the uterus through the dilated cervix. Hysterosuction can only be done by the eighth week of pregnancy. It is an operation that is performed in Day Surgery and, as a rule, involves local anesthesia; in particular cases, general anesthesia is used.
The choice of the Day Surgery regime cannot be of an urgent nature and therefore can only take place in a programmed manner. It is established by the physician on the basis of the pathology, the proposed intervention and the clinical status of the patient and guarantees a qualified surgical performance, in conditions of absolute safety, for patients for whom a hospital stay is neither essential nor necessary.
The number of operations for uterus scrap for voluntary termination of pregnancy and the percentage of procedures performed in Day Surgery were processed by accessing the data of the SDO flow (i.e. flow of Hospital Discharge Reports, source Ministry of Health) with regard to public and accredited private healthcare centres.
The “Find a healthcare centre” tool (TrovaStrutture) has been designed to provide you with as much information and services – available in public and private affiliated hospitals – as possible. In the “Healthcare centre details” section you can check, for each centre, the presence of the “Transfusion Centre” services and the “Resuscitation Service”. These services increase the timeliness of care in the event that the patient needs blood and/or intensive care, thus avoiding the possible increase in criticalities related to the surgical interventions the patient has undergone.
Your doctor can assist you in making the most informed and responsible choice. Contact him/her for all the information you need for your health needs.