Pregnancy termination surgery

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Pregnancy termination surgery at The Gynae Centre

Medical abortion using surgical procedure

If you are considering terminating your pregnancy, it is of paramount importance that you receive the safest care possible from experienced and compassionate experts. The right to choose is yours, and here at The Gynae Centre we aim to provide you with the best available options when it comes to pregnancy termination.

WHY US?

Same day appointments

Where possible we will endeavour to book you in on the same day.

Consultant-led service

You’ll be seen by an experienced consultant gynaecologist, not a nurse.

Fixed fees & no hidden costs

At The Gynae Centre, abortion using MVA is provided as a comprehensive package, from consultation to recovery — ensuring you feel comfortable, informed and supported throughout your journey.

State of the art facilities

Equipped with state of the art facilities, The Gynae Centre is one of the foremost centres for gynaecology care in the UK, and home to renowned gynaecology expert – Dr Alex Eskander.

KNOWLEDGE

Everything you need to know about surgical termination of pregnancy/removal of retained placental tissue

Here we explain everything you need to know about pregnancy termination surgery (surgical abortion).

Manual Vacuum Aspiration (MVA) is a gentle, early abortion option which is available between 6 — 15 weeks of pregnancy. It is one of the least invasive procedures available, done with a mini handheld vacuum, creating gentle suction. With this procedure, you have the option to be under local anaesthesia or general anaesthesia.

MVA differs significantly from Machine Aspiration, which is commonly used in many hospitals — requiring general anaesthesia and creating a very strong vacuum pressure leading to significant pain.

By contrast, MVA creates gentle pressure and can therefore be done under local anaesthesia. However, cramps of the uterus will still be felt for small periods of 10-15 seconds, up to 3-4 times, allowing periods of rest in between.

Alternatively, If you prefer to be asleep during the procedure, we can arrange conscious sedation, which allows you to go home after 30-60 minutes and even return back to work the same day.

If performed under local anaesthesia:

  • Undress from the waist down only
  • No need for fasting the night before
  • You will be placed in Lithotomy position with your legs resting on special poles
  • The vaginal area will be cleaned with antiseptics
  • The lower body parts are covered with sterile drapes
  • A speculum is inserted into the vagina
  • The cervix will be cleaned with antispetics
  • A local anesthestic is injected into the cervix with a very fine needle (<25% of discomfort felt at the dentist)
  • A small cannula is introduced to the uterus, resulting in a small cramp.
  • MVA suction is activated for up to 15 seconds and gentle curettage is carried out. During this step, bad period pain is felt. Rest for 1-2 minutes, then procedure is repeated up to 3-4 times
  • Ultrasound is carried out to ensure that there is no remaining tissue
  • Re-dress, followed by observation for 30-60 minutes, where you will be offered a drink and a snack.
  • Discharge
Manual Vacuum Aspiration (MVA) normally takes between 10 and 30 minutes, and you can usually go home after an hour, whether the procedure is carried out under local anaesthetic or conscious sedation.
The removal of a pregnancy through surgical abortion is a safe procedure with a high success rate close to 100%. The procedure is carried out under abdominal ultrasound control and we routinely check after the procedure to ensure success and exclude any remaining tissue.

Complications are rare. According to Gov.uk statistics, the rate of surgical complications increased from 1.7 in 2019 to 1.9 in 2020, but decreased for medical complications, from 1.6 in 2019 to 1.1 in 2020.
A surgical abortion has common physical side effects including bleeding and cramping. Other side effects that may affect some patients, but not all, include breast tenderness; mucus-like vaginal discharge; gastrointestinal symptoms including nausea, vomiting and diarrhoea; chills; and fatigue.

The time it takes to recover from a surgical abortion differs from patient to patient, but most patients recover and can go back to their normal activities within three days. Your next menstrual period should begin four to six weeks after the procedure has taken place, rarely up to 12 weeks.
Although some patients feel well enough to go back to work on the same day as their surgical abortion, you may wish to rest. This might mean taking some time away from work and other activities.

When caring for yourself after a surgical abortion, the following tips may help:
  • Take pain medication such as ibuprofen.
  • Use a heat pad to ease the pain of cramps.
  • Stay hydrated, especially if experiencing gastrointestinal symptoms.
  • Wear loose clothing and avoid trousers that are tight around your lower abdomen.
  • Ask a trusted friend or family member to support you during this time.

FEES

Please note: For all surgical abortions please book the Consultation + Ultrasound package. We will examine you and assess your needs. The surgery will then be booked as soon as possible, depending on availability. The cost of this will be deducted from the overall cost of your surgery. Please note that surgical abortion above 12 weeks requires 48 hours preparation.

Cost of surgical abortion under local anaesthesia, (awake)

6-10 weeks
£ 1,250
  • Consultation
  • Ultrasound scan
  • Haemoglobin
  • Blood group
  • Chlamydia test (optional)
  • Surgery
  • Theatre fees
  • Ultrasound during surgery
  • Any related follow-ups and scans up to 4 weeks after, if required

Cost of surgical abortion under local anaesthesia (awake)

10-12 weeks
£ 1,450
  • Consultation
  • Ultrasound scan
  • Haemoglobin
  • Blood group
  • Chlamydia test (optional)
  • Surgery
  • Theatre fees
  • Ultrasound during surgery
  • Any related follow-ups and scans up to four weeks after

Cost of surgical abortion (with sedation)

6-12 weeks
£ 1,850
  • Consultation
  • Ultrasound scan
  • Haemoglobin
  • Blood group
  • Chlamydia test (optional)
  • Surgery
  • Theatre fees
  • Ultrasound during surgery
  • Any related follow-ups and scans which may be required up to 4 weeks after surgery

Cost of surgical abortion (with sedation)

12-15 weeks
£ 2,650
  • Consultation
  • Ultrasound scan
  • Haemoglobin
  • Blood group
  • Chlamydia test (optional)
  • Ultrasound during surgery
  • Any related follow-ups and scans up to 4 weeks after

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