Does the client need a guardian's signature to have an abortion?
Does the client need a guardian's signature to have an abortion? Generally, it is not necessary, but if it is a minor, it needs the signature of the guardian, which means giving the patient's rights to the guardian. Termination of pregnancy by manual or medical methods within 3 months of pregnancy is called termination of early pregnancy, which can also be called induced abortion. It is used to remedy unplanned pregnancy caused by contraceptive failure, and also to terminate pregnancy due to illness, and to prevent congenital malformation or hereditary diseases. Induced abortion can be divided into two methods: surgical abortion and drug abortion. Commonly used methods include negative pressure induced abortion, curettage induced abortion and drug abortion. The advantage of medical abortion is that the method is simple, does not need intrauterine operation and is non-invasive. Since the 1990s, the drugs for drug abortion have been improved day by day. The methods of mifepristone and prostaglandin are mature and commonly used, and the complete abortion rate is above 90%. The mechanism of action of 1. mifepristone was first developed by French company Rousel-Rclaf in the early 1980s, and it was called Ru486, which has been produced and applied in China. Mifepristone has anti-progesterone effect, and its affinity for endometrial progesterone receptor is obviously higher than that of progesterone, so it can compete to bind to decidual progesterone receptor, block endogenous progesterone activity and interfere with pregnancy. Because the decidua of pregnancy is necrotic, endogenous prostaglandin is released, which promotes uterine contraction, cervical softening and opening, and fetal sac is discharged. Prostaglandins used in China include misoprostol and carboprost methyl ester suppository; There are Ji Mei prostenol and thioprostone abroad. In Beijing, for example, people who are less than 49 days pregnant can have medical abortion in the outpatient department, while those who are pregnant at 10 ~ 16 weeks have a higher risk of uterine curettage bleeding, and they also start to use mifepristone combined with prostaglandin to induce labor, but they need to be hospitalized. 2. Healthy women who have indications (1) and are diagnosed as normal intrauterine pregnancy (the last menstrual period is less than or equal to 49 days) and voluntarily request to use drugs to terminate pregnancy, aged 18 ~ 40 years old; (2) The objects of high-risk abortion, such as deformity (except the uterus with residual horn), severe pelvic deformity, extremely crooked uterus, cervical hypoplasia or tough uterus, scarred uterus, repeated induced abortion, etc. (Note: Even if such patients choose medical abortion, there are high-risk factors of medical abortion, and the failure rate of medical abortion and the probability of postpartum hemorrhage are higher than those without high-risk factors); (3) People who have concerns or fears about surgical abortion. Abortion has a certain impact on the health of the parties, so you should actively seek the help of your family and doctors for specific problems and fully understand the side effects of abortion, so that you will not be afraid of abortion, so a reasonable solution is the most critical for specific problems.