Marie Stopes Society Pakistan

Safe Motherhood

Treatment of Septic and Incomplete Abortion (TSIA) & Post Abortion Care
MSS provides services to pregnant women experiencing incomplete or septic abortion through a brief, simple surgical procedure. Gentle suction is used to remove the contents of the uterus that takes no longer than five minutes.

Contraception of client’s choice can be used immediately after the procedure if there is no clinical contraindication. The client can leave the clinic as soon as she feels better.

Post Procedure Instructions
Period like pains may be experienced in some cases which are best relieved by Paracetamol or Ibuprofen (Brufen). The woman may return to work the next day. The MSS clinic provides counseling in case of any problem or concern; there is no need for a follow up visit unless the woman experiences any of the following symptoms.

Heavy vaginal bleeding
High grade fever
Acute pain in lower abdomen
Abdominal distension
If menstrual period does not return after 15 days of the procedure.
Foul smelling vaginal discharge

Alternate method for TSIA is to use medication instead of suction for evacuation of the uterus contents; it is a non invasive procedure. This method requires at least two visits and may take longer than the surgical evacuation. This method is offered only to those whose gestation period is less then seven weeks.

Post procedure Instructions

Anti vomiting drugs such as Maxalon /Clebon may be prescribed for nausea, and Ibuprofen and/or Paracetamol for abdominal cramping
Do not take any folic acid (as in most vitamins supplements) until the process is complete.
Abstain from having intercourse for one week
Adopt a preferred family planning method. An IUCD (provide link to IUCD) can be inserted after one normal period.

Follow up visit to the clinic after one week of the procedure is required.

Consult the Centre doctor in case of experiencing:

Prolonged heavy bleeding or severe cramping
Fever, chills or malaise lasting six hours or more
Severe cramping which is not relieved by pain relief medication
Severe abdominal pain or nausea

TOLL FREE NUMBER - 0800-22333

Immunizations

Ultra Sound