Table Of Index

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. 

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 for abortionInsurance 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. 

 

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

 

 

 

Long Term Outlook

Abortion, in a long-term outlook, is a very safe procedure. The results are immediate, complete, and mark no side effects when performed by a trained and specialized OB-gynecologist. 

You can abort an unwanted pregnancy without fear of eventual conception as you will start ovulating again the same month and be ready for pregnancy within 30 days*. However, to avoid any unwanted conception, we suggest you shift to birth control of your choice and move towards planned parenthood as and when you like. 

 

*This information is only limited to the termination of normal pregnancy. The same may change in the case of ectopic or molar pregnancy. For more information on either, please redirect to our respective pages:

Ectopic Pregnancy: here

Molar Pregnancy: here

 

 

Pristyn Care for the treament

Experts on Termination of Pregnancy

Case Study

Ms R (aged 23, Gurgaon) called us enquiring about abortion in late November 2021. 

Ms R had conceived accidentally despite the use of birth controls and was concerned for the same after 2 months of missed periods. For the same, we connected her with Dr. Roopali Agnihotri (MBBS, MS- Gynecology, and Obstetrics, licensed under MTP Act) through direct consultation. The doctor guided that the patient took an ultrasound test to precisely understand the duration and type of pregnancy. The reports marked Ms. R was pregnant with 9 weeks of normal pregnancy. 

Understanding the same, Dr. Agnihotri guided her through her option of surgical abortion, that is- D&C treatment. 

Ms. R was anxious as a single woman and worried about her confidentiality. She also worried if the procedure was safe or could affect her future pregnancies. Understanding the patient’s reservation, Dr Agnihorti guided her on both- safety and legality of treatment. Dr. Agnihotri made sure that Ms. R felt comfortable, informed about her rights against unwanted pregnancy, and safe about her medically certified options. Assuring her full confidentiality and same-day discharge, the D&C treatment was scheduled the next morning. 

The procedure went smooth and painless under general anesthesia and was completed within 30 minutes. We soon shifted her to the general ward for a little rest and after 1-2 hours of brief nap, Ms. R felt better and ready to consult her doctor again. This time, Dr. Agnihorti guided Ms. R through her recovery medications including antibiotics and vitamins. The doctor also guided her through some precautions and recovery guidelines along with her future birth control options best suited to her. 

Ms. R was soon discharged the same day and follow-ups after 7 and 15 days showed no side effects or weakness.  

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.  

 

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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