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About Medical Termination of Pregnancy (MTP)

Medical abortion (MTP), as the name suggests, is to abort an unwanted pregnancy by a set of medicines. These medicines are commonly known as ‘RU486’ or ‘abortion pills’, and are typically considered a safe option to abort early pregnancies.

However, they must be taken only under strict medical supervision and followed with an ultrasound to ensure complete expulsion.

Abortion at home/ by your self / shady unregistered clinic could result in serious complications and result in unwanted side effects such as- incomplete abortion, extensive bleeding, tearing of the cervix, pelvic and urinary infection, nausea, fever, and chills. Statistically, more than 10 women die everyday because of unsafe abortion in India.

Therefore, if you are considering abortion, please consult a registered and experienced OBGYN at the earliest and let your doctor guide you through your best suited abortion method.

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Treatment

Diagnosis/ Eligibility

Medical Abortion is a safe and effective method to terminate early pregnancy. However, to ensure it’s the right method for you, the doctor must walk you through a few diagnostic imaging tests. This typically includes a pelvic ultrasound. This test is important to confirm both- the age and type of your pregnancy.

You are eligible for medical abortion only if:

  • Your weeks in pregnancy are lesser than 7-9 weeks.
  • Your pregnancy is not ectopic pregnancy. That is, pregnancy outside the uterus.

The doctor also checks for if you are anemic or have any other comorbidities, such as- diabetes, low/ high blood pressure. The cumulative results help decide the method best abortion method for you.

Procedure:

Medical abortion involves using a combination of two different medicines- mifepristone and misoprostol. These are commonly called “RU 486”.

The first medicine, ‘mifepristone’ blocks the necessary hormone for pregnancy and detaches the embryo from the uterine wall. It is given in the clinic. Then, you are asked to take the second set called- ‘misoprostol’. It causes the uterus to contract and opens the cervix slightly to expel the pregnancy. It is taken within 48 hours of your first medicine and can be taken at both- home/ clinic.

Typically, this initiates the expulsion within 24 hours. You might also experience a slight fever, abdominal cramps and nausea during this time. However, as you start passing the pregnancy, your fever would come down to normal and nausea would ease.

Note that passing of the pregnancy is usually very painful, prolonged, and marks extensive bleeding, cramping, and discomfort. It may take you a little over 7-10 days to expel the pregnancy completely.

Right after you pass the pregnancy, please arrange for a follow up. An ultrasound exam must be taken within 15 days to ensure complete abortion. In case the abortion fails, or turns uncomplete, surgical intervention is employed.

Frequently Asked Questions

Is abortion by medicine safe?

Yes, abortion by medicine is safe and marks no major side effects. However, it must be performed only under strict medical supervision and in consultation with a registered OBGYN. Also, a follow up ultrasound is essential after medical abortion. In case the abortion fails, surgical process is needed.

Can I get abortion pills at chemist shop?

Yes, but limitedly. Abortion pills are prescription drugs, that is- they are available only at the prescription of a registerrerd OBGYN at selective pharmacies. Also, even if you get a free access to abortion medicine, you should not try to abort by yourself or at home unless recommended by your OB-gynecologist. It could have serious risks and complications.

Do I need my husband’s consent for abortion?

No. Indian laws state that aborting or continuing a pregnancy is entirely a woman’s decision. You do not need your husband/ partner’s approval for it.

Can I abort 7 weeks pregnancy with abortion pills?

Yes, typically, a 7 week pregnancy can be aborted through medicine. However, what method is best for you depends entirely on your individual case, the type of pregnancy, general health and personal choices.

We suggest you discuss throughly about benefits and risk factors of both- medical and surgical methods of abortion before you undergo one.

Do abortion pills have any side effect?

Yes, but not long term. Mild-moderate abdominal pain, a slight fever and nausea are common after misoprostol. However, these symptoms typically slide away within 24 hours and the pain fades through after complete abortion.

Please note that, if these symptoms do not end within 24 hours, it is a sign of infection and you must contact your OBGYN immediately.

What are the risks of medical abortion?

Some common risks of medical abortion include:

This is why, medical abortion must be processed only under strict medical supervision and followed with a pelvic ultrasound to ensure complete expulsion.

  • Incomplete abortion
  • Pelvic infections
  • Tearing of the cervix
  • Extensive bleeding
  • Fever, chills, and nausea
Is medical abortion painful?

Yes, medical abortion is generally more painful than surgical abortion. This is simply because abortion by medicine makes your uterus contract and expel the pregnancy tissue more naturally. Based on your weeks in your pregnancy, and general health, you might have moderate to extensive cramping and bleeding for upto 5-7 days.

In contrast, surgical abortion expels the complete pregnancy under anesthesia, and the pain felt is only mild and recovery- quickest.

What is best for you depends entirely on your individual case, weeks in pregnancy and personal needs or comfort.

When will I resume my periods after medical abortion?

You are likely to resume your periods within 1-1.5 months after medical abortion. However, it may take some time for your periods to stabilize and fall back to their regular cycle.

Can abortion pill affect my fertility?

No, unless complications are raised, the abortion pill does not affect your fertility. It is a highly safe and trusted method of aborting early pregnancies throughout the world.

What is the average cost of medical abortion in Delhi?

Counting the cost for your diagnostic exams, OB-GYN’s consultation fee, and abortion kit, the average cost generally falls between INR 2,500 to INR 6,500.

Who is the best gynecologist for abortion in Delhi?

Pristyn Care works with some of the best female OBGYNs in Delhi. Our doctors are extensively experienced, specialised to handle all types of risks and complications and registered to perform both medical and surgical abortions.

To look through our list of OB GYN or book a direct appointment, please call us directly and our medical coordinators could help you speak to a doctor both online and offline.

Which are the best gyne clinic for abortion in Delhi?

Pristyn Care is associated with some of the most reputed and well trusted gyne clinics and multi speciality hospitals in Delhi. Some of them are:

When can I resume my normal activities after medical abortion? Will I have to take a leave?

Passing an abortion is a very personal experience, and the pain may differ from woman to woman. Typically, you are likely to experience moderate-intense cramping and heavy blood flow for up to the next one-two weeks.

While we suggest you rest for at least 10 days, what is important is, you listen to your body and decide what works best personally for you. If you feel well-rested, and work makes you feel better, you may resume some normal activities the very next day, and if not, we suggest you take a little break, rest well, use heat pads, take a good diet and slowly resume work as you feel better.

How to choose the best doctor for abortion in Delhi?

Choosing the right doctor is always the first and most important step in health care. Some of the things you should search for are-

The qualification of your doctor: Only an obstetric-gynecologist is specialised to perform abortions.

Licensing and registration: Check if your is doctor legally licensed the clinic is a resgistered MTP clinic to perform the abortion. Not all gynecologist/ gyne clinic can perform abortions in India.

Doctor’s medical experience: See if your doctor is well experienced and holds specialised experience in handling all risks and complications.

Patient reviews: See how positive are the patient reviews for the doctor or clinic you are opting for. You could check that either among your friends/ on google reviews.

Personal instinct: Trust your gut. See if your doctor is able to satisfy all your doubts and discomfort and you feel instinctively confident

How to prepare for medical abortion?

As you prepare for your medical abortion, consider the following steps:

Think thoroughly. See if you are definite on your decision. Once you take the abortion medicine, there is no way to stop the expulsion.

Inform your doctor about all your current medications, supplements and allergens. Based on the same, your doctor could decide the best course of action.

Carry your age proof. With your above 18 age proof, you would be legally eligible for terminating pregnancy at your own consent.

Apply for a leave for a few days from the office and see if someone could help you with house chores. Medical abortion comes with heavy cramping and bleeding. It would be better if you have help.

Recovery after medical abortion

Recovery is a crucial time period post-pregnancy. Make sure you:

Complete your full course of medication after abortion. They will help you recover faster, avoid infection and regularise your periods.

The passing of the pregnancy in medical abortion comes with intense cramping. We suggest you use heat pads and gently massage downwards on your abdomen to help ease the pain and discomfort.

Passing of pregnancy may make you feel drowsy, weak, and nauseated. It is important you stay hydrated and eat a well-balanced diet. Therefore, we suggest you include lots of protein, iron, calcium and vitamin B. You can find these in green leafy vegetables, whole grains, fruits, dry fruits and milk.

As your body slowly recovers, we suggest you do light breathwork, yoga and stretching exercises. This should help ease the cramps and balance the emotions.

Abortion marks a period of a lot of hormonal and emotional changes in a woman. This is why you may feel weird, uneasy, anxious, and have multiple undefined feelings. However, please know that this is normal and only temporary. Therefore we suggest you spend some time relaxing, watching your favorite movie or talking to your loved ones- people you trust. Talking about your feelings, fear, goals, and desires with your friends and companion should help you feel positive and relaxed.

Birth control methods to prevent further unwanted pregnancy

Though the abortion ends the present pregnancy, you are likely to ovulate very soon and become fertile again. Therefore, to avoid an unwanted pregnancy in the future, it is important you switch to birth control immediately. You can choose from a variety of birth control methods depending on the regularity of your sexual activities and the desire for future childbirth. Some of the options are:

Barrier methods- These are short-acting methods and include condoms and daily contraceptive pills. You can become pregnant again as soon as you stop using them.

Contraceptive implants- These refer to the use of Intrauterine Devices(IUD). These are long-acting but reversible options. Once you decide to become pregnant again, you can ask your doctor to remove them, and you will be ready for conception again.

Permanent methods- These are ideal for women who have no desire for more childbirth. If so, you can opt between female sterilization or a male vasectomy. These are permanent and mark complete infertility.

Why choose Pristyn Care for the termination of unwanted pregnancy in Delhi?

Choosing Pristyn Care, Delhi for termination of unwanted pregnancy ensures you following USPs:

  • Well experienced and most reputed female OB-gynaecologists
  • Safe and registered MTP clinics
  • 100% privacy and confidentiality
  • Cost effective
  • No moral policing
  • Option for surgical abortion
  • Zero Cost payment option

How to contact Pristyn Care for abortion in Delhi?

Booking an appointment with us is easy. You can either call us directly through our website or fill the contact form with your basic information and contact details. It has just 4 basic columns- ‘Name’, ‘Age’, ‘Disease’, and ‘City’. Rest assured, these details never get out of our system and are never shared with a third party. Just click ‘Submit’, and our medical coordinators will reach you within 4-12 hours and help you plan through the entire process.

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