Physical Risks of Abortion
Infection – this could be local or throughout the body, particularly if there is any tissue left in the uterus from the pregnancy (placenta, uterine lining, baby).
Hemorrhage/shock – excessive bleeding, especially if there is damage to the uterine artery or perforation of the uterus.
Cervical tearing/laceration/overstretching – this may occur from the instruments or equipment used, and may affect the ability of the cervix to remain closed during future pregnancies, resulting in a greater risk of future miscarriage or premature delivery.
Perforation (puncture or tearing) of the uterus – during scraping or suctioning, the wall of the uterus may be perforated by instruments or equipment. This is a complication that requires emergency medical attention and may require major surgery, including hysterectomy.
Scarring of the uterine lining – this may occur in the area where suction occurred or instruments were used, possibly preventing a future pregnancy from implanting in that location. If this scarring occurs at the top of the uterus near the opening on the fallopian tubes, it may partially or fully block this area. This may result in decreased future fertility, or an increased risk of ectopic (tubal) pregnancy, since the egg would have difficulty getting past the scar tissue into the uterus. Ectopic pregnancies become painful, and if not treated and removed, result in major medical complications for the pregnant woman.