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The document ceased to be valid since October 27, 2020 according to Item 2 of the Order of the Minister of Health of the Republic of Kazakhstan of October 9, 2020 No. KR DSM-122/2020

I.O'S ORDER. MINISTER OF HEALTH OF THE REPUBLIC OF KAZAKHSTAN

of October 30, 2009 No. 626

About approval of Rules of performing abortion

According to article 104 of the Code of the Republic of Kazakhstan "About health of the people and health care system" of September 18, 2009, PRIKAZYVAYU:

1. Approve the enclosed Rules of performing abortion.

2. To department of strategy and development of health care of the Ministry of Health of the Republic of Kazakhstan (Aydarkhanov A. T.) direct this order to state registration in the Ministry of Justice of the Republic of Kazakhstan in accordance with the established procedure.

3. To department of administrative and legal work of the Ministry of Health of the Republic of Kazakhstan (Bismildin F. B.) provide official publication of this order after its state registration in the Ministry of Justice of the Republic of Kazakhstan.

4. To heads of managements of health care of areas and cities of Astana and Almaty (in coordination) to take measures for implementation of this order.

5. Declare invalid the order of the Minister of Health of the Republic of Kazakhstan of December 29, 2008 No. 696 "About the organization of performing abortion in the Republic of Kazakhstan" (registered in the Register of state registration of regulatory legal acts for No. 5487, published in the Yuridicheskaya Gazeta newspaper of April 3, 2009, No. 49).

6. To impose control of execution of this order on the vice-Minister of Health of the Republic of Kazakhstan Voshchenkova T. A.

7. This order becomes effective after ten calendar days after day of its first official publication.

 

Acting Minister B. Sadykov

Approved by the order of the Minister of Health of the Republic of Kazakhstan of October 30, 2009 No. 626

Rules of performing abortion

1. General provisions

1. These rules determine procedure and conditions of performing abortion in all medical organizations providing medical care of obstetric and gynecologic profile irrespective of pattern of ownership.

2. Abortion or abortion - termination of pregnancy and exile of products of conception from uterus to terms of viability of fruit with use of medicamentous or surgical methods and the written informed consent of the woman (legal representative).

3. Abortion is made:

1) at the request of the woman in case of pregnancy terms up to 20 days of delay of periods and up to 12 weeks of pregnancy;

2) on medical indications as from mother, and fruit irrespective of pregnancy term according to appendix 1 to these rules;

3) according to social indications from 13 weeks to 22 weeks according to appendix 2 to these rules.

4. The method and method of termination of pregnancy are determined by the medical organization in which this manipulation will be carried out.

5. Methods of abortion:

1) medicamentous (oral, vaginal, intraamnialny introduction of medicines);

2) surgical (vakuumekskokhleation, tool curettage and (or) small Cesarean section).

6. In case of periods delay up to 49 days medicamentous abortion is carried out in the medical organizations of out-patient and polyclinic level.

In case of term over 49 days up to 22 weeks of pregnancy medicamentous interruption is made in the medical organizations of obstetric and gynecologic profile incorporating the operational block, the round-the-clock intensive care unit and intensive therapy and chamber of day stay for ensuring post-abortion observation.

7. Abortion in the surgical way in case of periods delay up to 20 days (vakuumekskokhleation) is carried out in the medical organizations of out-patient and polyclinic level.

In case of term over 20 days up to 12 weeks of pregnancy it is made in the medical organizations of obstetric and gynecologic profile incorporating the operational block, the round-the-clock intensive care unit and intensive therapy and chamber of day stay for ensuring post-abortion observation.

8. Abortion is made over 12 weeks in the hospitals of obstetric and gynecologic profile incorporating the operational block, the round-the-clock intensive care unit and intensive therapy.

9. Abortion in case of term over 20 days of delay of periods up to 12 weeks of pregnancy in case of myomas of uterus of the big sizes, transactions on uterus in the anamnesis, anomalies of development of genitals, in the presence of serious ekstragenitalny illness, allergic diseases (conditions) is made in the conditions of the round-the-clock hospital.

10. The medical organizations provide consultation of women before abortion, including individual matching of methods and contraceptives.

11. Medical contraindications to transaction of abortion are:

1) sharp inflammatory processes of female genitals;

2) sharp inflammatory processes of any localization and infectious diseases.

12. Absolute contraindications to medicamentous abortion:

1) suspicion on extra-uterine pregnancy;

2) chronic nadpochechnikovy insufficiency;

3) long therapy by kortikosteroidny medicines;

4) individual intolerance of medicines for termination of pregnancy;

5) hemorrhagic violations, use of anticoagulants;

6) the pregnancy which arose against the background of application of intrauterine means (in case when pregnancy occurred in the presence in cavity of uterus of intrauterine means, the last shall be taken before administration of drugs for termination of pregnancy);

7) renal or liver failure;

8) dekompensirovanny form of diabetes;

9) myoma of uterus of the big sizes.

13. Relative contraindications to medicamentous abortion:

1) hem availability on uterus;

2) myoma of uterus of the small sizes;

3) approach of pregnancy against the background of cancellation of hormonal contraception.

2. Performing abortion

14. To the woman wishing to interrupt pregnancy in the place of the address the medical record of the outpatient (the accounting form 025/at) is filled in.

15. The doctor the obstetrician-gynecologist of antenatal clinic or polyclinic determines the term of pregnancy and appoints necessary inspection:

1) in case of abortion up to 20 days of delay of periods - inspection on syphilis (depending on equipment of the medical organization - microreaction or express methods, or the immunofermental analysis), human immunodeficiency virus (further - HIV) after dotestovy consultation, microscopic research of dab from vagina (the tservikalny channel and urethra) on degree of purity and flora;

2) in case of abortion over 20 days of delay of periods and up to 12 weeks of pregnancy - hemoglobin, erythrocytes, leukocytes, SOE, time of coagulability of blood, blood test for Wasserman's (RW) reaction, HIV (after dotestovy consultation), microscopic research of dab from vagina (the tservikalny channel and urethra) on degree of purity and flora;

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