Is it possible to have an abortion with a negative Rh?
In life, there are situations whenThe coming pregnancy causes not joy, but grief. The reasons for this can be a large number, and a woman often decides to have an abortion. Such interference in the body is a risk, no matter how professional a professional it may be.
And in the event that a woman has a negativerhesus, the interruption of pregnancy can subsequently result in infertility or a tragedy, such as the birth of a dead child. In addition, she after the abortion during subsequent pregnancy increases the likelihood of occurrence of Rh-conflict. So why abortion is dangerous with a negative Rh factor? Let's try to figure this out.
Why develop Rhesus-conflict?
The membrane of blood cells (erythrocytes) containsRhesus antigen. In such people, blood has a positive Rh factor, and the majority of them worldwide - 70-85%. In the rest of the case, there is no Rhesus antigen in the blood, so it is considered negative.
Starting from 7-8 weeks, the fetusformation of hematopoiesis. If a woman has a negative Rh and an embryo is positive, then the body of a pregnant woman can perceive it as an alien body and start producing specific antiresusive antibodies. If the pregnancy is first, then the number of them is quite small and the likelihood that the fetal blood will get into the bloodstream of the mother is minimal. The woman in this case safely nurtures and gives birth to a healthy child.
But with the abortion there is an occurrencemarked sensitization of the body. During the next pregnancy and repeated contact with foreign antigens, an active release of specific antiresusive antibodies almost always occurs. This happens because of the fact that in the cells of the immune memory, information about the primary contact of fetal and mother blood is preserved.
Signs of Rh-conflict
A pregnant woman may not notice the developmentrhesus-conflict. It is diagnosed by finding specific antibodies in the blood. The higher their concentration, the more severe the pathological process will be. The fetus itself also suffers very much. Infringements at the future child are easily found out at US. It can be:
- increased heart size;
- acute fetal hypoxia;
- fluid in the brain, abdominal cavity;
- thickening of the placenta;
- a large mass of the fetus.
If no measures are taken to prevent the development of Rh-conflict, the expressed fetal disorders lead to its death.
Conducting an abortion with a negative Rhesus
If a woman is Rh negative, you can have an abortiondo or not? Of course, this is undesirable, but if a decision was made to terminate the pregnancy, then you need to know that it must be done before the term of 7-9 weeks. After this, the formation of the hematopoietic system takes place, and the risk of the sensitization of the maternal organism increases.
It happens that abortion with Rh negativeconduct and for medical reasons. The main thing in this case is not to allow developing sensitization. Medical abortion is usually performed early in pregnancy. Immediately after this, the patient is administered an antiresusive immunoglobulin, but the probability that there will be a rhesus-conflict during subsequent pregnancy is still there.
Any abortion is associated with a risk ofinfertility, and if it is conducted to a woman with negative rhesus, then in the future, miscarriages may occur, the probability of having a child with hemolytic disease, and with various abnormalities is high. It is very dangerous to have an abortion in a late period, which is performed surgically. Scraping from the uterine cavity of the fetal egg damages the endometrium and promotes the appearance of inflammation. In the future, this may become an obstacle to the attachment of the embryo and the normal course of pregnancy.
Types of abortion
If a woman has a negative Rh factor, the following types of abortions can be made to her:
- Medication - is carried out with the help ofspecial pills, because of which the embryo begins to spontaneously tear away. Bleeding in this case lasts a long time, but this option is considered the most safe for a woman's health.
- Mini-abortion is a non-surgical way of aborting a pregnancy, carried out by a special device, and the principle of its action resembles a vacuum cleaner.
- Surgical - is considered the most dangerous method, since the uterine cavity is scraped blindly. This can lead to a large number of complications.
If an abortion is performed with a Rh negative, thenthere is an immunization of the pregnant woman with red blood cells of the fetus. This leads to an increase in the number of antiresusive antibodies that penetrate the bloodstream of the unborn child, which leads to severe impairment and inhibition of the hematopoiesis of the embryo.
The consequences of abortion with negative Rhesus can be as follows:
- severe degree of anemia;
- intrauterine fetal death;
- disruption of internal organs;
- hemolytic disease;
- fetal hypoxia;
- miscarriage, stillbirth;
Thus, abortion with Rh negativedoing very dangerous. Above all, during abortion often there is a trauma to the cervix, the upper layer of the endometrium is thinned, and perforation may form. Echoes of such intervention are hormonal disorders, inflammatory processes, as well as the inability to become a mother.
Also after an abortion with a negative rhesusthere is such a complication as insufficiency of the cervix, which affects its blocking function. This can lead to a late miscarriage, because the cervix begins to open prematurely, unable to withstand the growing weight of the baby.
The risk of infertility
Abortion with a negative rhesus several timesincreases the risk of infertility and does not matter, in what way it was made: surgical or medicamentous. The danger in this case is that antigens are being developed, resulting in the subsequent pregnancy they are ready to "rush into battle."
Becoming more mobile and smaller, they causemore powerful attacks on the erythrocytes of the fetus. This leads to the development of pathologies in the fetus or miscarriage. In addition, the abortion increases the probability of infertility.
What do the doctor's say?
Abortion with Rh negative is alwaysa sufficiently risky procedure, regardless of the way in which it was conducted. Even artificial births are considered dangerous if the developing fetus has a positive rhesus. Without consequences for a woman, this usually does not work. Doctors believe that negative Rhesus should be considered a contraindication for any type of abortion and carried out only for medical reasons.
Thus, there are no safe abortions, butit is especially dangerous to terminate pregnancy if a woman has a negative Rh factor. In this case, a serious blow is delivered to health, and even if everything went well, after a while the consequences of this will be felt.