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Abortion

What is Abortion?

Abortion, as the name suggests, is the procedure to abort or end an unwanted pregnancy. In India, it is a legally sanctioned option for both married and unmarried women and can be performed until the first 20 weeks* under the following 4 grounds:

 

  • Grave risk to mother’s physical or mental health

 

  • Genetic  abnormalities in the fetus

 

  • Failure of contraception (birth control)

 

  • If the pregnancy is a result of sexual assault, such as rape (termination limit extended until 24 weeks)

 

As a procedure, it is one of the safest, most common, and minimal risks procedures. It bears no risks on future pregnancies and marks no scar. However, it must be performed only by a trained and licensed OB-GYN and only at a registered clinic (under MTP act, 1971).  

Abortion at any other facility, such as home or an unsafe place, or by an unauthorized doctor is extremely risky and can lead to severe complications such as incomplete abortion, infection, and at times, death. According to WHO, unsafe abortions are the third leading cause of maternal deaths in India. 

Types of Abortion

Importance of Early Decision

If you have conceived an unwanted pregnancy, and decide to terminate it, we suggest you do not delay the abortion procedure. The earlier the abortion, the better, safer, and economical.  

Also, a delayed decision may also bring you in conflict with the law. The Indian State allows termination of unwanted pregnancy only until 20 weeks in regular cases, and 24 weeks in special cases such as- when the woman is a victim of sexual assault, example- rape or incest, or, the woman is differently-abled or of a minor age (under 18 years). 

 

You can read more about the legal limitations and rights on abortion in India here.

Types of Abortion Procedure

Abortion by medicine

Abortion by medicine

Abortion by surgery

Abortion by surgery

Diagnosis

Ultrasound: Ultrasound is a sound-based imaging test. That is, it uses high-frequency sound waves to paint the internal image of the abdominal organs based on echo. 

 

Based on the number of weeks in pregnancy, either of the following may be suggested to determine the best course of terminating the pregnancy: 

  1. Before 2 months (6-8 weeks ): Transvaginal Ultrasound 
  • Here the sound device is inserted through the birth canal. This helps give a better view of the internal organs because of its proximity to the uterus. 
  1. After 2 months (8 weeks or more): Abdominal Ultrasound
  • Here the sound device is moved over the pelvis and abdomen. Before starting with the sound waves, the doctor or the technician used a water-based gel on the abdominal site to prevent any air bubbles that may hinder the results.
Ultrasound

Risks and Complications

Unsafe abortion is any abortion performed outside of a medically verified vicinity or by an untrained or unqualified person. 

More than 64 lakh pregnancies are terminated in India every year while only a portion is performed legally and under proper medical guidance. While quite common, unsafe abortions are extremely risky. It could lead to:

  • Infection, 
  • Incomplete abortion, 
  • Risk to fertility, and in worst cases, 
  • Death. 

In fact, India reports an average of 10 deaths every day because of unsafe abortions, thus marking it the third most common reason for maternal deaths. Therefore we suggest, you trust only a well-qualified, trained, and experienced OB-Gynecologist for the pregnancy termination and seek only MTP registered clinics. 

  • Abortion best method

    Best Method for Abortion

    Abortion best method

    The best method for abortion depends on mainly 2 factors- 

    • The type of pregnancy- Normal pregnancy/ ectopic pregnancy/ molar pregnancy 
    • Weeks in pregnancy- Early weeks/ later

     

    The other decision-making factors include- the need for abortion, the patient’s general health, limitations, and personal preferences. Depending on the same, either of the following may be suggested-

     

    • Early weeks of normal pregnancy: Abortion Pills

     

    • Later weeks of normal pregnancy: Dilation and Curettage

     

    • Ectopic Pregnancy: Laparoscopic Excision

     

    • Molar Pregnancy:Dilation and Curettage
  • Abortion and Mental Health

    Abortion and Mental Health

    Abortion and Mental Health

    Whatever be the reason for abortion, it almost always invokes multiple emotions. However, what you experience and when is entirely personal and varies from woman to woman and couple to couple. While some struggle through them immediately, in others, the feeling is recorded much later and suddenly. 

     

    What is important here, is to know that, you are not alone. Whatever you may be  experiencing, is almost always a shared feeling with many others. The best is to give it time,  spend some time with the people you love, and do things that make you happy.

     

     However, in case the strange feeling refuses to leave, we strongly recommend you see a counselor. Sometimes, it is best to seek professional help instead of struggling personally. 

  • Myths and Facts about Abortion

    Myths and Facts

    Myths and Facts about Abortion

    Myths-Abortion is illegal in India.

    Facts- No, abortion is legal in India since more than 4 decades and was first sanctioned under MTP Act, 1971. 

     

    Myths-Abortion is legal for only married women in India.

    Facts-No, under the new MTP Amendment Act, 2021, abortion is a legally sanctioned option for both married and unmarried women in India and the law does not differ on consent. 

     

    Myths-You need your husband’s consent before an abortion.

    Facts-No. The Indian laws recognize only the woman’s consent as primary and last. This is why the decision to continue or terminate a pregnancy is entirely yours until the first 20 weeks.* Your husband/ partner’s consent is neither needed nor matters. 

     

    Myths-Abortion can only be performed until 20 weeks in India.

    Facts-Technically yes. But, the law extends this timeline for special cases, that is when the pregnancy is a result of sexual assault such as rape. In such cases, the extended timeline is 24 weeks. 

     

    Myths-Abortion is unsafe.

    Facts-No. when performed by a trained and specialized OB-gynecologist, it is a very safe, one of the most common, and minimum risk procedures. It is unsafe only when performed at home/ unsafe places or by quacks using unverified home remedies. 

     

    Myths-Abortion is a very long process.

    Facts-No, abortion is quick and typically, a less than 60-minute procedure. You can in fact go home the same day after a little rest. 

     

    Myths-Abortion can leave a scar.

    Facts-No. Abortion does not leave scars. It is performed through a gentle suction-like effect across the vaginal route. Since no cut or incision is marked, it leaves no scar. 

     

    Myths-Abortion affects future pregnancies.

    Facts-No. When performed by a trained OB-Gynecologist, it is absolutely safe and does not affect future pregnancies. You will become fertile right next month and be able to conceive again.  

     

    Myths-Any gynecologist can perform an abortion.

    Facts-No, only an OB- Gynecologist licensed under the MTP act can perform an abortion. 

  • Birth control methods after Abortion

    Further Prevention

    Birth control methods after Abortion

    There are a number of birth control methods to avoid unwanted pregnancy. Varying on your frequency of sexual intercourse, desire for further childbirth, and personal comfort or choices, you may choose among any of the following:

     

    • Immediate Contraceptive: These include barrier methods such as male or female condoms. They are economical and almost 80-95% effective. They have no hormonal side effects, also help prevent STIs, and are one of the most commonly used forms of birth control. 

     

    • Regular Contraceptive: These include regular hormonal pills. While some are a combination of both estrogen and progesterone, some are only estrogen-based. When taken regularly at the same time, they prevent ovulation. With no eggs, the risk of unwanted pregnancy is reduced to less than 1%. However, what is important is, you must take this every single day, at the same time. A single miss could lower and compromise the effectiveness. 

     

    • Emergency Contraceptive: Emergency contraceptives, as the name suggests, is taken as emergency birth control post unprotected sex. It is a hormone-based pill that can be taken the latest until the first 72 hours of intercourse and are around 85-90% effective. However, as obvious to the name, they must be taken only in cases of emergencies and not more than twice in a month. Else, they run a risk of dis-balancing your hormones and causing irregular cycles. 

     

    • Reversible Contraceptive: These include artificial insemination such as intrauterine devices (for example copper IUD, implant, or hormonal IUD). They are reversible in nature, that is, they can be removed when wanted. However, unless voluntarily removed, they work for roughly 3-5 years and prevent pregnancy with over 99% efficacy. Today, they are one of the second most common methods of birth control for women immediately after first childbirth.  

     

    • Permanent Vasectomy and tubal litigation: These methods are permanent in nature and over 99% effective. In women, it is called tubal litigation. Here, her fallopian tubes are twisted and litigated to prevent the transfer of sperm and eventual pregnancy. 

     

    In men, it is called vasectomy. Here, minor surgery is performed to cut the vas deferens tube. This blocks the sperm to meet with semen and hence terminates any chances of pregnancy. Both methods are one of the safest and permanent solutions with little to no risk of side effects/ complications. 

When To Consult a Doctor

If you fear or feel an unwanted pregnancy, we suggest you consult your doctor at the first sign of pregnancy, that is,

  • Missed period
  • Tenderness of breast
  • Nausea
  • Positive on the HCG strip test

 

Questions To Ask Your Doctor

What is the best abortion method for me?
How would the recovery period be after abortion?
How can I reduce bleeding and pain after abortion?
How soon will I be able to resume my work?
How long does it take for hormones to balance out after abortion?
When can I resume my sex life after surgical abortion?
What is the best birth control option for me?
How should I plan my next pregnancy?

Treatment options & cost

Normal pregnancy until 8-9 weeks can be aborted through a combination of 2 medicines (commonly known as RU486). However, medical abortion persues heavy & prolonged bleeding and cramping and must be followed by an ultrasound to endure complete expulsion. Therefore, doctors often suggest surgical abortion post 5 weeks to ease the patient’s pain and discomfort.

 

Medications: Medical abortion involves using a combination of two different medicines-  mifepristone and misoprostol. The first pill is given by the doctor in the clinic, whereas the second one is taken at home by the patient herself. While ‘mifepristone’ blocks the necessary hormone for pregnancy and detaches the embryo from the uterine wall, ‘misoprostol’ causes the uterus to contract and open the cervix slightly to expel the pregnancy.

 

Typically, expulsion is very painful, prolonged, and causes discomforting cramps. Therefore, it may take you a little over 7-10 days to expel the pregnancy completely. After the expulsion, a necessary ultrasound exam must be taken within 15 days to ensure complete abortion.

Insurance coverage for abortion

Insurance coverage

Insurance coverage of abortion depends on the reason for undertaking the treatment. That is, the cost claim is covered when done under medical reasons and advised by the doctor, however, refused when taken because of voluntary choice. 

 

Medical reasons mostly include- 

  • danger to the health of the mother (example- rapid increase in BP, sugar, palpitations, etc.)
  • mental or physical anomalies in the fetus (example- heart conditions, severe disabilities)
  • Non-viable pregnancies such as ectopic pregnancy or molar pregnancy. 
  • Unintended miscarriage 

 

If your particular policy includes the coverage for reproductive and maternal health and the reason for abortion is either of the above, it is mostly covered under insurance by all major health care and insurance providers in India. 

However, when not advised by the doctor and rather taken as a voluntary choice because of a personal reason, the procedure is not covered under insurance. 

 

For more information or specific clarities, please call us directly. 

 

Insurance coverage for abortion
Recovery after Abortion

Recovery Rate

  • Abortion by medicine is usually more time-consuming and painful because of excessive cramps and bleeding. The expulsion itself may take 7-10 days and recovery could take a few more. A follow-up ultrasound is mandated within 15 days after the pill. It is done to ensure that the abortion is complete and there are no remnants. 

 

  • Surgical abortion is comparatively a faster and painless method. Here, the doctor aborts the fetus and cleans the uterine wall through a vacuum-like suction through the procedure itself. The bleeding typically ends within 3-4 days and you can resume work within the first week. 

 

  • However, since every person is different, and so is the body’s reaction to pain/ recovery,  it also depends on case to case and the kind of work you do. (Desk job/ sedentary work may be rejoined within 1-2 weeks, however, physically strenuous work may take longer).

 

The recovery, followup and complications slightly vary in the case of ectopic and molar pregnancy.  For information on either, please redirect to our respective pages:

Ectopic Pregnancy: here

Molar Pregnancy: here

 

 

 

Recovery after Abortion

Experts on Termination of Pregnancy

Latest Research

FAQ

Can my child feel the pain during abortion?

No. Though the pain itself is very subjective in nature, medical science says that a fetus cannot feel any pain or sensation up until at least 20 weeks after conception because the nervous system doesn’t develop fully.  

Is abortion legal in India?

Yes, abortion is legal in India up until the first 20 weeks of gestation. You can seek the same on the following grounds- 

  1. When your doctor marks that the continuation of your pregnancy marks a risk/ threat to your life and may cause a grave injury to your mental or physical health. 
  2. When your doctors record a substantial risk that- the child, if born, would be seriously handicapped and may have physical or mental abnormalities
  3. When you claim that your pregnancy is caused due to the failure of birth contraceptives 
  4. When your pregnancy is a result of rape/incest. (Here, the abortion period may be extended until 24 weeks when approved by two registered doctors.)
I am under 18. Can I get an abortion? Do I need my parent’s consent for it?

Yes, if your gestation period is under 20 weeks and your doctor finds you medically fit for an abortion, you can undergo an abortion at any registered clinic by a licensed practitioner in India. However, you require your parents or guardian’s consent for the same. We understand that the same may be difficult for many women as they may fear absolute unacceptance or extreme reactions to it. However, in real-time, most of these fears never really actualise. What we fear doesn’t always happen. This is why we suggest you try telling your parents or at least one of them. They, too, have gone through the same age, and there is a high probability that they would understand, accept and help you. If you want, maybe you first take the help from someone you trust in the family or seek help from a women’s NGO/ council. But, abortion is a highly critical decision and under no circumstance should you rely only on home- remedies or unsafe/ unrecognised methods or shady clinics. The complications can be extremely severe and may pose a life risk. 

Is my husband’s consent necessary for abortion?

No, under the Medical Termination of Pregnancy Act,1971,  the Indian law views conception, continuation and abortion as an extremely private and sacrosanct right of the woman herself. This is why, if you are above 18, fall within the gestation limit for the pregnancy and are medically fit for an abortion, no doctor can legally ask you for your husband’s consent.  

 

Can eating papaya seeds/ doing heavy exercises help me abort my pregnancy?

No. If you fear an unwanted pregnancy, we suggest you seek medical help at the earliest. Home remedies/ unsafe abortion practices have multiple complications such as-.  

  1. Incomplete abortion
  2. Unwanted pregnancy if abortion is unsuccessful
  3. Infection
  4. Prolonged bleeding
  5. Health complications
I had unprotected intercourse a week back. I fear I might be pregnant. When is the earliest I can diagnose?

Early diagnosis is the key to make the right and informed choice on an unwanted pregnancy. The earliest you can diagnose a pregnancy is a week after your missed period. Some of the early signs of pregnancy include nausea, vomiting, tenderness of the breast, mild pelvic cramping, bloating, raised basal body temperature and constant fatigue or tiredness. If you sense some of these symptoms after a week/ two of your intercourse and record a missed period, we suggest you take an at-home- pregnancy test. These are readily available over the counter and are quick and private. If the strip suggests a pregnancy, we recommend immediate medical help for both, confirmation and further decision to continue/ terminate the pregnancy.

My pregnancy test strip says I am not pregnant. But I feel the symptoms. Should I see a doctor?

Yes, typically, the at-home pregnancy test kits are 99% accurate, but in rare cases, they can also show a false positive/ negative. Therefore, once the strip suggests a pregnancy, we recommend you also seek medical help for confirmation. Your doctor can confirm the exact status of your pregnancy through more advanced tests like- blood tests and pelvic ultrasound. 

I have been suggested STP (surgical termination of pregnancy). Does it hurt?

No. Surgical abortion is always performed under the influence of local/ general/ spinal anesthesia. This is why it is painless. However, as you pass your pregnancy over the next few days, you are likely to experience moderate-intense cramping and blood flow. But, please do not worry. This is completely normal, and you should feel better within the next 3-7 days. 

Is abortion dangerous? Can I die during the procedure?

No, when done under safe conditions, by trained doctors and in legalised clinics, abortion is one of the safest ways to terminate a pregnancy.  But, the same can not be guaranteed for at-home remedies/ shady- unregistered clinics.  In fact, the reports say that one in ten women dies almost every day in India because of unsafe abortion practices. This is why we suggest you trust only licensed practitioners and legalised clinics for your abortion decision. 

How much time does it take to terminate a pregnancy surgically?

Surgical abortions are usually a very swift procedure. Depending on the procedure and technique you opt for, it may take anywhere between 30- 40 minutes. 

Can I go home the same day after STP?

Yes, STP is a minor surgery and minimally invasive in nature. It is usually performed on an outpatient basis, and you can go home the same day.  However, since passing a pregnancy is moderate- intensely discomforting with heavy cramping and blood flow, we suggest you take good rest at home and indulge in self-care. 

Does STP leave a scar?

No, STP as a procedure is done through a suction effect on your vagina. Since no incisions are made, it leaves no scars. 

 

Will I be able to get pregnant after an abortion?

Yes, absolutely. Right after you pass your pregnancy, you would ovulate again and become fertile in the same month. Abortion, when performed safely, has no negative effect on a woman’s fertility. In fact, you shall re-enter your regular menstrual cycle by the eighth-week post expulsion.

When can I resume my normal activities post-surgical 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. Here, it is important 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 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. 

Why choose Pristyn Care for abortion services in India?

We understand the need for abortion and are focussed at providing you a safe space. Therefore, when you choose Pristyn Care, rest assured you are choosing a safe, risk-free, and seamless abortion service free of moral judgments. 

 

Some of our USPs are:

 

  • A Safe Space to open up about your fear, needs, and hesitations:
    While abortion may not always be the first choice, in many a cases it is the best possible choice. So if your pregnancy is unwanted, it is best terminated at the earliest.Our doctors and staff understand this fully and provide you a safe and comfortable environment to open up, know the correct information and make an informed choice from a place of confidence.

 

  • Experienced and registered female OBGYNs: Our doctors are licensed under the MTP act and specialized in both- gynecology and obstetrics. Therefore, the risk of complications is minimum to zero.

 

  • Complete Privacy and Confidentiality: Not one person except you/ your authorized attendant/ friend will know of your/ your treatment details. We ensure privacy through and through and the information is never compromised.

 

  • Economical Cost and No-Cost EMI payment: An unwanted pregnancy is not something you chose. So a sudden financial burden can be too much at times. Therefore, we offer you the best of services at the most economical rate. However, if you still fall short of finances, please avail our no-cost EMI option. Do not delay the procedure. Get operated now and pay later in smaller installments.

 

  • Free Transportation: Wherever you are inIndia, do not worry. We offer you a free pick and drop facility across town and nearby. Just book your appointment and go tension-free.

 

  • Free Follow-up: Our association with you does not end at the treatment. We also offer you free follow-up services to ensure you are okay and healing quick.

 

  • Option for Online Consultation: Can’t come to the clinic? No issue. Seek our online consultation service and get a safe and trustable medical opinion right from the convenience of your home.

 

How to contact Pristyn Care in India?

Booking an appointment with Pristyn Care is extremely simple. 

 

  • Just call us directly through the number mentioned on our website or 

 

  • Fill our ‘Book my Appointment’ form by clicking the ‘Book Appointment’ tab right next to our number. Once you fill in the four basic information such as ‘Your name’, ‘Contact’, ‘Disease name’, and ‘City’, just sit back and relax. Our medical coordinators will reach you shortly and help you guide you through the complete process step by step. 
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