Some people book for the operation but change their minds at the last moment, causing us to lose patients who are not able to get the bookings of their choice. The deposit of $200.00 is instituted so that patients are more serious when they book. If you cancel the operation with more than 48 hours grace, the deposit will not be forfeited as a cancellation charge. This deposit will go towards paying for the anesthetic fee which has risen due to increased cost of the drugs.
My normal charges for consultation and ultrasound are $150.00 plus $100.00 - totaling $250.00. However, if the consultation is longer than 15 minutes, the consultation fee will increase accordingly (from $120.00 and upwards).
If you decide to carry on with the pregnancy, any deposit made can be used for the next consultation which you will need for any continuing pregnancy.
The final amount which you need to pay will be informed to you and it depends on the size of the pregnancy. It is inclusive of the operation procedure, ward charges, anesthesia and standard pain-killers.I normally also perform a Pap smear which is charged separately. If any injectable pain killer is needed, or if antibiotics are required after the operation due to pre-existing vaginal infection - then these are NOT included, and will be charged separately.
I hope that you are now clear about the charges. Please do not hesitate to ask if you have any further queries.
What Are The Common Risks Of Abortion
What complications may arise from a termination?
Fewer complications arise if the pregnancy is terminated early. There is no such thing as an operation or procedure that is completely risk-free. Termination of pregnancy is a safe procedure but complications are possible.
The use of flexible soft instruments instead of sharp steel instrutments would lessen any trauma to the womb and endometrium.
The use of ultrasound in the Operation Theatre like what I normally have and use will lessen any risk of incomplete evacuation.
The most common complications are described below:
After the abortion it is normal to bleed for a couple of days. After that, the bleeding will decrease for a couple of weeks. This is not the menses, but post pregnancy recovery bleeding. A normal period or menstruation will, in most cases, occur after five to six weeks. If the woman bleeds more heavily than she would normally, it could be because her uterus has not been emptied completely. If this is the case she should ask a doctor to examine her. This complication applies to both medical and surgical terminations. More commonly, this excessive bleeding is due to a persistence of the hormones of pregnancy which causes the womb to be filled with or engorged with blood.
- Incomplete Evacuation of the Womb
The vacuum aspiration of the womb is much less traumatic to the womb and it’s lining than the scrapping of the womb by a sharp metal instrument, which is traditionally used to ensure that all the parts of the pregnancy are removed. However, this gentler procedure also means that the bleeding after the abortion is longer than usual. Also, in some cases, the usual shape of the womb or its usual position may make it impossible to aspirate all parts of the womb. The use of ultrasound during the procedure and in the Operation Theatre reduces this risk.
- Pelvic inflammatory disease
This can happen when there is already pre-existing infection in the womb before the abortion procedure, or if the patient engages in sexual activity before the full healing of the womb aftrer the abortion. If a woman has an unpleasant vaginal discharge, a temperature and abdominal pains, she should contact her doctor. Inflammation can occur if the uterus has not been emptied properly, or if bacteria have got into the uterus during the operation. The inflammation is treated with antibiotics. If some tissue still remains in the uterus, it may be necessary to remove it with a new evacuation of the womb. Baths, swimming pools and unprotected sexual intercourse should all be avoided until any bleeding has stopped.
It is normal to have mild pain across the lower abdomen for the first couple of days after a termination. If the pain is not reduced by normal pain killers the woman should contact her doctor. Sometimes the pain can be more severe due to the spasm of expelling a large blood clot.
- Puncture of the uterus
During a surgical termination, inserting the suction device may risk puncturing a hole in the uterus. If the doctor suspects this, the operation will be stopped and the patient will be kept in hospital for observation. This complication is rare.
- Thinning of the Endometrium
If the doctor was too enthusiastic in scrapping the lining of the womb, then it would result in excessive thinning of the endometrium and her period may not return causing a condition known as Asherman’s Syndrome. This needs to be treated with an Intra-Uterine Device to help regenerate the endometrium.
Can abortion lead to infertility?
This is possible but rare, and is usually caused when the woman is already harboring a Chlamydia infection prior to the abortion procedure. Inflammation of the Fallopian tubes and ovaries caused by the Chlamydia organism is the most common cause of infertility following an abortion. Examination for Chlamydia is now routine in most hospitals and clinics and, if necessary, the patient will be treated before the abortion is carried out.