Schwangerschaftsabbruch: Eine einführende Anleitung

Abortion: An introductory guide

July 2, 2024

Abortion: An introductory guide

When it comes to the topic of abortion, it is important that women are fully informed. This introductory guide provides an overview of abortion, including its definition and reasons why women might choose to have an abortion.

What is an abortion?

An abortion is a medical procedure to end an unwanted pregnancy. This procedure can be performed in different ways and depends on the individual situation of the woman. An abortion should always be performed in close consultation with medical professionals to ensure the safety and well-being of the woman.

Reasons for an abortion

Women may choose to have an abortion for a variety of reasons. These reasons are personal and individual. Some of the most common reasons are:

Unplanned pregnancy: Women may choose to have an abortion if the pregnancy is unwanted and they are not ready to have a child.
Health concerns: If the pregnancy endangers the life or health of the woman, abortion may be considered.
Financial or social circumstances: Abortions may also be considered due to financial difficulties, lack of support or other social circumstances.

It is important to stress that the decision to have an abortion is a personal choice and that women should be respected in their decision. It is advisable to seek comprehensive counselling before the procedure in order to understand all the options available and to be able to make the best decision for one's situation.

Legal provisions

The legal aspects surrounding abortion vary from country to country. The legal aspects in Germany as well as the associated counseling obligations and deadlines are explained below.

Legal aspects in Germany

In Germany, abortion is not punishable under certain circumstances. Section 218a of the Criminal Code regulates the legal framework. An abortion is therefore permitted if the pregnant woman finds herself in a conflict situation within the first 12 weeks of pregnancy and seeks advice from a recognized pregnancy conflict counseling center.

It is important to note that in certain cases, such as when the pregnant woman's life is in danger or if she is suffering from serious physical or mental impairment, an abortion can be performed even after the 12-week period has expired. In such cases, a medical indication and medical confirmation are required.

Obligation to consult and deadlines

In Germany, there is a legal obligation to seek advice before an abortion. The pregnant woman is obliged to attend pregnancy conflict counseling before the procedure. This counseling can be carried out at state-approved counseling centers or by registered doctors. The aim of the counseling is to help the pregnant woman make her decision and to provide her with all the relevant information.

There are different time limits to be observed. An abortion can be carried out within the first 12 weeks of pregnancy, provided the pregnant woman has fulfilled the counseling obligation. After this time limit has expired, an abortion is only permitted in Germany in exceptional cases, as already mentioned.

The exact deadlines and conditions may vary from state to state. It is advisable to find out about the specific regulations in your region before having an abortion.

The legal provisions and the obligation to provide counselling are designed to ensure that women who decide to have an abortion are well informed and receive support. It is important to be aware of the laws and timelines in place to make an informed decision.

Different methods

When it comes to abortion, there are different methods that can be used depending on the length of the pregnancy and other individual factors. The two most common methods are medical abortion and surgical abortion.

Medical abortion

Medical abortion, also known as medication abortion or medical abortion, involves taking specific medications to end the pregnancy. This procedure is usually performed in the first nine weeks of pregnancy. Medical abortion can be done in two steps:

Mifepristone: First, mifepristone is taken, which blocks the effect of the hormone progesterone. Progesterone is important for maintaining pregnancy. By blocking this hormone, the uterine lining is broken down and the pregnancy is terminated.
Misoprostol: Misoprostol is taken approximately 24 to 48 hours after taking mifepristone. This medication induces labor and helps expel the embryo or fetus.

It is important to note that in Germany, medical abortion can only be performed under medical supervision and in a clinic or practice. In addition, close medical supervision is required throughout the entire process.

Surgical abortion

Surgical abortion, also known as surgical termination, is performed in later stages of pregnancy. There are different methods of surgical termination that can be used depending on the length of pregnancy:

Suction (vacuum aspiration): This is the most common method of surgical abortion in the first to twelve weeks of pregnancy. Under local or general anesthesia, a thin tube is inserted into the uterus to suction out the tissue.
Curettage: Curettage is usually performed between the ninth and twelfth weeks of pregnancy. It involves removing tissue from the uterus using a special set of instruments called a curette.
Dilation and evacuation (D&E): This method is usually used after the twelfth week of pregnancy. It involves dilating the cervix and then removing the tissue using special instruments.

Surgical abortion usually requires hospitalization and is performed under general or local anesthesia. The choice of method depends on the length of the pregnancy, individual circumstances and doctor's recommendation.

It is important to stress that abortion is a crucial medical procedure that should be performed by trained professionals. Individualized counseling and support from doctors and other professionals is essential to make the best possible decision and receive the necessary support.

Pre- and post-care

For women who decide to have an abortion, appropriate pre- and post-operative care is very important. There is important information to consider, both before and after the procedure.

Before the procedure

Before undergoing an abortion, it is important to seek comprehensive medical advice. This allows the woman to clarify all questions and learn about the different methods and risks. Some aspects that should be considered before the procedure are:

Health examination : Before the procedure, a medical examination is carried out to check the woman's health status and ensure that there are no contraindications.
Blood tests : Blood tests may be done to check hemoglobin levels and other important parameters.
Counselling : Mandatory counselling is required by law to ensure that the woman has all the information she needs to make an informed decision.
Information about the procedure : The woman receives a detailed explanation about the procedure, the different methods and the possible risks and complications.

After the procedure

The period after an abortion also requires appropriate aftercare and attention to certain measures. Here are some important points to consider:

Rest and recovery : After the procedure, it is important to take it easy and get enough rest. The body needs time to recover.
Follow-up examinations : It is advisable to schedule a follow-up appointment with your doctor after the procedure. This is to monitor the healing process and ensure that no complications arise.
Contraception : After an abortion, it is important to discuss suitable contraceptive methods to prevent another unwanted pregnancy. Your doctor can help you find the right method.
Emotional support : An abortion can be emotionally stressful. It is important to get support from trusted people, counseling services or support groups to help you deal with your feelings.

Abortion pre- and post-abortion care plays a critical role in a woman's physical and emotional well-being. By following the recommended measures and taking care of her own health, she can support the healing process and focus on a healthy future.

Emotional support

When it comes to having an abortion, it's important to acknowledge the emotional aspects of the process and find appropriate support. Dealing with emotions during this time can be challenging, and it's important to know that you're not alone. Here are some ways to help you deal with emotions and find support.

Dealing with emotions

An abortion can bring up a variety of emotions, including grief, guilt, fear and uncertainty. It is important to understand that everyone reacts differently and that it is normal to have these feelings. Here are some tips that can help manage the emotions:

Talk to people you trust: Share your feelings with your partner, family members or friends. Talking about your emotions can help you feel understood and supported.
Seek professional help: It may be helpful to see a therapist or counselor who has experience supporting women after an abortion. They can help you process your emotions and develop coping strategies.
Give yourself time: It is important to give yourself time to grieve and heal. Everyone's emotional processing process takes a different amount of time. Allow yourself to feel your own feelings and respect your own timeline.

Support and advice options

There are various support and counseling options available to women after an abortion. These organizations provide a safe environment where women can share their experiences, ask questions, and get support. Here are some resources that can help you find the support you need:

organization	Telephone number	website
Pro Family	0800 77 08 77 0	www.profamilia.de
Donum Vitae	0800 67 80 000	www.donumvitae.org
Gynaecologist	---	---

It is important to note that in many countries there are specific counseling requirements that must be met before an abortion. These counseling sessions can also provide emotional support and help you get all the information you need.

Remember that you are not alone and there is support available if you need it. Take time to process your emotions and seek support to help you through this process.

You can find further articles on this topic here:

https://my-ephelia.de/blogs/news/schwangerschaftsdiaet

https://my-ephelia.de/blogs/news/schwangerschaftswochenentwicklung

https://my-ephelia.de/blogs/news/schwangerschaftsberatung

https://my-ephelia.de/blogs/news/schwangerschaftsabbruch-kosten

https://my-ephelia.de/blogs/news/schwangerschaftsuebelkeit

https://my-ephelia.de/blogs/news/schwangerschaftsrisks

https://my-ephelia.de/blogs/news/schwangerschaftsernaehrung

https://my-ephelia.de/blogs/news/schwangerschaft-tipps

https://my-ephelia.de/blogs/news/schwangerschaftsanzeichen-vor-aushalten-der-periode

https://my-ephelia.de/blogs/news/schwangerschaftskalender

https://my-ephelia.de/blogs/news/schwangerschaft-und-sport