INFORMATION ON INDUCED ABORTION (INTERRUPTION)

Basic terms for abortion

Early interruption of pregnancy is called abortion or miscarriage, if a living embryo is not born. By origin it can be either spontaneous abortion (in case abortion is a result of some kind of illness, disorder), or induced abortion, what is called interruption. At our clinic induced abortion is carried out till the 12th week of pregnancy, after obtaining the datasheet from Family protecting Service, based on social induction (conflict state of patent) or doctoral induction (proved illness of the embryo), in one day surgery.

Law control for induced abortion

Circumstances of abortion are controlled by the law 1992. LXXIX. on protection of the embryo life.

5.§ A pregnancy may be aborted only in the case of being at risk due to the law hereunder.

6.§
The performance of an abortion is subject to several conditions.
1. Pregnancy may be aborted by the 12th week of pregnancy, if
a) abortion is justified by a reason seriously endangering the health of the pregnant woman,
b) from a professional viewpoint the foetus is likely to suffer from a serious deficiency or injury,
c) the pregnancy is a result of a crime, and
d) the pregnant woman is in a serious crisis situation.
2. The pregnancy may be aborted by the 18th week of pregnancy if not only the above conditions are
met but the pregnant woman
a) has a limited legal capacity or is an incapacitated person;
b) does not recognize her pregnancy earlier for health reasons not imputable to her or due to a
physician's misjudgement, or her pregnancy went beyond the period of time indicated in par (1)
due to a fault of a health institute or an authority.
3. Pregnancy may be aborted by the 20th week (in the case of a delay of the diagnostic procedures:
by the 24th week) if the probability of the harm of the foetus from the viewpoint of genetics or
teratology is at least 50%.
4. The pregnancy may be aborted regardless of its degree of progress if
a) if a health factor endangers the life of the pregnant woman,
b) or if the foetus has an abnormality that is incompatible with life after birth.

7.§
1. If an abortion is not justified on grounds of a health-related cause, it may be carried out on the
basis of the pregnant woman's written application for it.
2. Parties entitled to apply for an abortion beside of persons defined in 3. § paragraph (1)are persons
who are not a Hungarian citizen but is in possession of an immigration permit or an establishment
permit valid for Hungary.

8.§
1. The pregnant woman must submit her application for abortion personally to the associate of the
Family Protection Service (called associate), and must attach to her application a certificate
provided by the gynaecologist determining the pregnancy.
2. The application of a person of diminished capacity is not valid without her lawful representative's
statement of acknowledgement of the application for abortion.
3. An application of an incapacitated person must be submitted by her lawful representative.It is
not required that both the lawful representative.

9.§

1. After submission of the application by the associate - one - possibly at presence of the father-will
inform the pregnant woman about
a. the legal conditions of abortion;
b. in case of taking the child birth, possibilities on subvention and independent subsidies, aids
and allowances in kind;
c. existence and activities of associations and institutes providing moral and financial support
in case of having baby;
d. opportunities and circumstances on adaptation;
e. the circumstances, method, risks and effects on later pregnancy of abortion;
f. the health institutions performing abortion, and
g. personally relevant methods of contraception in the interest of proper family planning;
2. After the second briefing the associate will record the application for abortion in writing. The
application will be signed by the applicant, and also by the father of the foetus if possible, and the
applicant (together with the father of the foetus if possible) will specify the health institute chosen
for carrying out the abortion.
3. Then the application will be countersigned by the associate and will be handed over to the
applicant.
4. Persons acting as associates will be subject to confidentiality obligation.

10.§
1. The pregnant woman must visit, and take the application form to, the chosen health institution at
latest within 8 days of the countersignature of the application form by the associate.
2. The health institution will notify following 3 days from the date of application.
3. The pregnant woman must confirm her application by signing also on the day of performing the
abortion.
4. If the pregnant woman fails to appear at the chosen health institution, the institution will notify
the associate by returning the application form.
5. If the specialist of the health institution performing the abortion determines that the time of
pregnancy has gone beyond what is specified in the law, or the performance of the abortion may
seriously endanger the health of the woman, the performance of abortion will be rejected. In this
case the pregnant woman should be notified of her right to request medical supervision.
6. The pregnant woman should be notified of the organisations carrying out such medical supervision -
it is controlled by the statute of welfare ministry.
7. If it is concluded during the supervision that the abortion may be performed, then the abortion
should be performed at the institution carrying out the medical supervision.

11.§
1. If the pregnant woman fails to appear at the medical supervision within 10 days of the rejection of
performing the abortion, or if the performance of the abortion is rejected with final effect as a result
of the supervision, then the party carrying out the supervision must return the copy of the
application to the associate. The associate will notify the health visitor competent at the domicile
of the applicant without delay.
2. A pregnant woman should be cared for as having a pregnancy at risk if:
a. the health institute rejected the performance of the abortion with final effect,
b. the woman fails to appear at the medical supervision.

12.§
1. A medical condition of the foetus may be determined by the concurrent opinion of two specialists
each of two of the following institutions: office for consulting on issues of genetics, prenatal
diagnostics clinic, and the gynaecology department of the hospital designated by the competent
national institute.
2. In the case of a difference in the opinions, a medical supervision may be carried out by institutes
appointed by the statute of welfare ministry.
3. Health circumstances mentioned in paragraphs (1) and (2) must be defined due to the methodology
guide of national specialist institute or college.
4. If the pregnancy is a result of a crime, the commitment of the crime or a suspected crime is
certified by a document issued by the organisation in charge of the criminal case.
5. The existence of a serious crisis situation will be certified by the pregnant woman herself or in the
case of her incapacity, her lawful representative by signing the application.

Illegal abortion

If the artificial abortion is not carried out due to the law it is considered as illegal interruption. Such operation considered as crime and so must be sanctioned seriously by imprisonment if the pregnant woman suffers health damage or dies due to the interruption. Here we have to mention some facts on the so-called "abortion pills". It is essential to know that although pills with mifepristone (RU486), sulprostone, prostaglandin, F2alfa active agents cause dilatation of cervix and 1-2 days uterine contractions, therefore these are effective in starting abortion, but that does not mean that curettage can be avoided in order to ensure complete abortion. Beside all of these it is also important that no matter by what method the abortion took place, application can only be done none but due to the law of 1992. LXXIX. So there is no pill or way which makes hospital treatment redundant, and for which the commitments of this above-mentioned law is not valid. Those obtaining and taking mifepristonte "not officially", carry out abortion forbidden by the law.

One day surgery

"One day surgery" means, that patients can leave the outpatient center on their own feet, accompanied by a helper, within 24 hours of surgery (usually after few hours of observation), and continue the healing process in the familiar confines of their own home. "One day surgery" requires strict professional, social, and various other preconditions that are discussed at the stage of the consultation when the need for surgery becomes clear. (I.e.: good general health, absence of serious systemic disease, patient must take responsibility for arrangement of transportation, home care, and must have phone to contact the clinic or the surgeon if necessary, etc).

Examination and consultation

Before operation in any and every case a vaginal ultrasound and gynecological examination, containing inner (vaginal) examination, and cancer screening, is performed. Cancer screening means colposcopy - "examination of cervix under microscope" - and cytology of tissues obtained during the examination. After obtaining all the documents required for the operation (lab tests, eventually additional medical evidence) we make an appointment with the patient for the operation.

Charge of examination and consultation: 10.000 HUF > Euro

Process of interruption

Interruption can either be carried out in narcosis or with local anaesthesia, which means injection of 1% Lidocaine solution shot into the neck of cervix. After sound examination of the cervix we make dilatation. We carry out a so-called laminarial cervix pre-dilatation at those women who has not beard child yet. Laminaria is a special dilating tool, placed into cervix on the day before operation. This stick made up of special vegetable fibres absorbing liquid grows slowly continuously and so dilates cervix without pain-, or damage. Afterwards content of uterus is removed by a vacuum aspiration.

Possible complications

No doctor can guarantee that a surgical intervention is free from complication. Even after the most careful medical intervention complications may occur. Possible early complications are: post-bleeding, inflame, perforation and these can be treated. In order to recognise early complications that my eventually occur there is a monitoring time patients have to spend at our clinic after the operation. In case of perforation the operating surgeon takes steps immediately in order to carry patient to the maternity and gynaecological department of our backup hospital contracted with our clinic, ensuring treatment of eventually occurring complications. Most common complication after interruption is intra-uterine -, in more serious cases its transmission pelvis inflammation, ovule part retention. Symptoms of retention and inflammation are: sustained bleeding, foul-smelling bloody vaginal discharge, hypogastric pain, temperature rise maybe fever. In case you may experience any symptoms of these consult immediately your surgeon available 24/7, in order to start targeted treatment as soon as possible. A possible late complication of intra-uterine inflammation is infertility.

Postoperative care

Surgery is commonly followed by 2-4 hours of observation, during which time the vital functions (blood pressure, urine output) stabilize, and patients are able to leave the center on their own feet, with the help of an assistant. With surgery performed in narcosis, the period of observation increases to 5-6 hours. The day following surgery, most of our patients can continue their daily routine, taking days off work is not necessary. The average healing time after this operation is 2-4 days. If no comlications accure. For 3-4 weeks following surgery, tub-baths, tampons and sexual activity are not recommended. If no complications arise, we ask our patients to schedule a follow-up exam 4 weeks after surgery..

Fees

Surgery with local anesthesia: 50.000 HUF > Euro
General anesthesia: 30.000 HUF (option) > Euro
Follow-up exam: 5.000 HUF > Euro

50% of the total cost has to be paid as a deposit before surgery.
These prices are only representative, the final charge will also depend on the severity of the condition.

Appointments: Monday - Friday, 8 am - 8 pm.
Telephone: + (36 1) 266 7766