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About Abortion

Abortion, in the simplest term, is the medical procedure to end an unwanted pregnancy mid-gestation. It is a legally sanctioned option in India for both married and unmarried adult women (18+ years), and you do not need your parent’s/ partner’s permission for it. However, it is permissible only under 4 conditions:

  • Physical and mental health danger to the mother 
  • Chromosomal abnormalities in the fetus 
  • Failure of Contraception 
  • When the pregnancy is the result of sexual assault such as rape or incest

Aborting a pregnancy is a very personal decision. This is why our doctors advise counseling first. However, if the woman still decides to terminate her pregnancy, our gynecologists are medically trained and legally licensed to perform the abortion procedure.  

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Overview

Abortion
Options for abortions in India
  • Medical Termination of Pregnancy
  • Surgical Termination of Pregnancy
Legal limit for Abortion In India
  • According to MTP Amendment Act 2021, abortion can be performed until 24 weeks of pregnancy.
Legal clauses for abortion in India
  • 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 (allowed until 24 weeks)
Documents required for abortion
  • Age proof (18+)
  • Written consent of the patient
Why Pristyn Care
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Treatment

Diagnosis

There are types of abortion procedures that the gynecologist will recommend according to the duration of the pregnancy. If the pregnancy is between 0-7 weeks, medical abortion is recommended, wherein pregnancy is terminated through medicine. If the pregnancy is between 7-12 weeks, a surgical procedure is done to end the pregnancy. There are two types of abortion surgeries, Vacuum or suction aspiration and Dilatation and evacuation (D&E).

Vacuum or suction aspiration –

During the procedure, a tube is inserted into the womb through the cervix and the pregnancy is removed using suction. The doctor may also use specialized instruments to help remove the pregnancy, depending on the gestation period. The procedure takes 5 to 10 minutes, and most women can go home after a few hours.

Dilation and evacuation (D&E)

An ultrasound is done before a D&E to examine the size of the uterus and how far along the mother is in her pregnancy. It involves inserting specialized instruments called forceps through the cervix. Dilating the cervix reduces the risk of an injury to the cervix during the procedure.

D&E is usually performed under sedation or general anesthetic. It usually takes 10 to 20 minutes to finish the surgery, and the patient can go home the same day.

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There are types of abortion procedures that the gynecologist will recommend according to the duration of the pregnancy. If the pregnancy is between 0-7 weeks, medical abortion is recommended, wherein pregnancy is terminated through medicine. If the pregnancy is between 7-12 weeks, a surgical procedure is done to end the pregnancy. There are two types of abortion surgeries, Vacuum or suction aspiration and Dilatation and evacuation (D&E).

Vacuum or suction aspiration –

During the procedure, a tube is inserted into the womb through the cervix and the pregnancy is removed using suction. The doctor may also use specialized instruments to help remove the pregnancy, depending on the gestation period. The procedure takes 5 to 10 minutes, and most women can go home after a few hours.

Dilation and evacuation (D&E)

An ultrasound is done before a D&E to examine the size of the uterus and how far along the mother is in her pregnancy. It involves inserting specialized instruments called forceps through the cervix. Dilating the cervix reduces the risk of an injury to the cervix during the procedure.

D&E is usually performed under sedation or general anesthetic. It usually takes 10 to 20 minutes to finish the surgery, and the patient can go home the same day.

In Our Doctor's Word

Dr. Amrita Singh

MBBS

15 Years Experience

"Please remember it is your legal right to abort. Do not struggle alone or try aborting at home. It is completely unsafe and the third leading cause of maternal deaths in India. In Fact, traditional methods or home remedies most often result in incomplete abortion and cause serious infections and risk to both- your health and eventual pregnancies. This is also why WHO reports that at least 13 women die everyday in India because of unsafe abortions. So please understand the risks and complications of unsafe abortion and approach a good doctor on time. It is both- your medical and legal right.”

Frequently Asked Questions

Is abortion legal in Kolkata?

Medical Termination of Pregnancy (MTP) Act of 1971, Abortion has been legal in India under various circumstances. The Act was amended in 2020 and enable women’s access to safe and legal abortion services as a part of reproductive rights.

What is the cost of getting an abortion in Kolkata?

The cost of an abortion can vary from 22,000 to 40,000 depending upon the gynecologist, medical clinic, and the type of procedure. Pristyn Care ensures privacy and safety and is associated with only licensed and trained gynecologists and legalized hospitals and clinics.

How safe is an abortion procedure?

All abortion procedures, including medicine, are very safe, and serious health concerns after an abortion are rare. However, it is important to check with your doctor as every medicine or medical procedure has certain risks.

How confidential is an abortion process?

The patient’s medical history is always confidential unless serious health concerns arise, in which case the patient’s guardians are informed with their consent.

Will I need my parents’ consent for getting an abortion?
  • No, if you are an adult, you do not need your parent’s consent for abortion
  • also, doctors have a duty of confidentiality to their patients. By law, if you are under 18, parental consent or a guardian’s consent is required for any medical treatment, including an abortion.
Can an abortion affect my periods?

Yes, If you had a medical abortion, you might experience heavier flow and small blood clots as the body has to remove the excess tissue from the uterus. However, after a surgical abortion, periods tend to be lighter at first and gradually normalize within a few months.

What are common problems I can face after an abortion?

After having an abortion, It is normal for you to experience stomach cramps, much like menstrual cramps and vaginal bleeding. However, the condition will improve gradually between 1 to 2 weeks.

Will abortion affect my health?

No, Having an abortion does not affect your general health or mental health. However, there is a minor risk of fertility and future pregnancies if you develop a uterus infection and are not treated quickly. The condition could spread to other reproductive organs like fallopian tubes and ovaries. This is known as a pelvic inflammatory disease (PID).

Will I be able to get pregnant again after getting an abortion?

Yes, abortion does not generally affect your ability to get pregnant in the future. Likewise, if you choose to get pregnant later, It does not increase any risks for pregnancy complications.

Are there any risks of getting an abortion?

Though most abortions are extremely safe procedures, in rare circumstances, the risks of abortion can include pelvic Infection, incomplete abortion, blood clots in the uterus, heavy bleeding, cut or torn cervix, perforation of the uterus wall, anesthesia-related complications, and Rh Immune Globulin Therapy.

Are there any complications of incomplete abortion?

Incomplete abortion can lead to several complications, including organ failure, pelvic infection, uterine rupture, uterine perforation, and damage to the cervix.

Is it legal for an unmarried woman to undergo an abortion?

Yes, according to the MTP act, an adult unmarried woman can undergo an abortion without any legal hassles in India. You do not need your parent’s or partner’s consent for it.

Will I bleed a lot after undergoing surgical abortion?

No, you will not bleed a lot after undergoing a surgical abortion. Surgical abortion doesn’t cause heavy bleeding. The bleeding is usually very light and ends within next 7-10 days.

Is it safe to undergo surgical abortion after an incomplete miscarriage?

Yes, it’s safe to undergo surgical abortion after an incomplete abortion.

Can molar pregnancy be removed with surgical abortion?

Yes, surgical abortion can be used to terminate a molar pregnancy.

Do I need bed rest after undergoing surgical abortion?

Yes. Bed rest is advised for at least 1-2 days after surgical abortion, and then, you will be able to resume your basic routine. However, you must avoid strenuous activities and sexual intercourse for the first week or as advised by your doctor.

How can I ensure the safety of my abortion?

To ensure the safety of your abortion, you should keep the following points in mind:-

  • Choose an experienced and trustworthy OB-GYN.
  • Check the reliability of the MTP clinic where you will undergo the abortion.
  • Check if the OB-GYN has the license to perform abortion or not.
  • Check if the clinic is registered under the MTP act or not.
  • Know about the possible risks and complications of the procedure.
  • If you have any queries, talk to your doctor openly and get all the information.
  • Follow the guidelines advised by your doctor.
  • If you experience any complications or unexpected symptoms during the recovery period, visit your doctor immediately.

What You Should Know About Abortion

  • Be aware of abortion laws, as knowing what is available to you is critical information. These laws will help you exercise your right to safe abortion.
  • Research about trusted medical abortion providers. Pristyn Care ensures that you choose a gynecologist who is experienced, reliable, and works within the best sanitary clinical space.
  • Do fully understand the procedure. It is important to know what will happen during the procedure as it helps prepare you mentally, and knowing this information will reduce the risks of possible complications.
  • Refrain from using herbs or home remedies, as these are often ineffective and extremely unsafe abortion options and can pose serious health complications.
  • Do not attempt to abort the pregnancy by inserting foreign objects into the vagina or by applying force
  • these can be dangerous and impact women’s health. Also, be aware of anyone who’s performing MTP in dirty or unsanitary conditions.
  • Pregnancy tests do not come back negative immediately. Pregnancy tests measure pregnancy hormones in your urine. These hormones take at least 2 weeks to return to normal, non-pregnancy levels after an MTP. An early test is most likely to give a false positive.

Types of Abortion Procedures.

There are types of abortion procedures that the gynecologist will recommend according to the duration of the pregnancy.

For 0-7 weeks Pristyn care provides Medical MTP, and abortion can be done by oral medication. Women can join work from the next day of the procedure.

For 7 to 12 weeks Surgical MTP or surgical abortion becomes the only safe way to terminate a pregnancy. This procedure is performed by experienced gynecologists at Pristyn Care.

For 12 to 20 weeks, an abortion procedure is known as “Mini Delivery” is performed if the gestation period is between 12 to 20 weeks. One day’s stay at the hospital is necessary for this procedure.

Abortion Provision in India

In January 2020, the Union Cabinet amended the 1971 Medical Termination of Pregnancy (MTP) Act wherein women can seek abortion as a part of reproductive rights. The upper limit of an MTP is now from 20-24 weeks, and Failure of contraception is also acknowledged. In India, abortion is legal only under the following circumstances:

  • If the continuation of the pregnancy poses major risks to the life of the mother
  • If the pregnancy is a result of rape or sexual assault.
  • If the fetus has severe abnormalities.
  • If the pregnancy is a result of contraception failure. However, this condition does not include married women.

The decision to undergo an abortion lies solely at the discretion of the doctor. An adult woman does not require the consent of her husband or family member to have an abortion. Pristyn Care offers legalized and trusted clinics with the most experienced gynecologists to perform abortions.

How to book an appointment?

You can easily book an appointment with Pristyn Care in Kolkata-

  • Click on the “book appointment” tab on the website’s top right corner and fill the form.
  • You can also directly call us on the phone number to book your appointment at the nearest Pristyn Care clinic.

Preparation Before Surgical Abortion

Before a surgical abortion, your OB-GYN evaluates your past health, including the medicines you are taking. Apart from that, the OB-GYN may do the following:-

  • Physical exam, including a pelvic exam to evaluate your health, how long you have been pregnant, the location as well as the health of the embryo or fetus.
  • An ultrasound to confirm how far along and where the pregnancy is. Your OB-GYN will explain the procedure, possible complications, and when to call your doctor.
  • You may also discuss your decision to have an abortion and your feelings about it. You could also discuss your plans for future pregnancies and birth control use.

Follow-up exam after a surgical abortion

A follow-up exam is done usually about 2 weeks after the surgical abortion. The exam may include the following:-

  • A blood test to check for anemia
  • A physical exam to check the condition of the cervix and the uterus
  • A test to check for human chorionic gonadotropin (hCG) levels

Apart from all the above, you may discuss the use of birth control. If birth control measures were started just after the abortion, the proper use of the method can be discussed again.

Also, you can ask all the questions that you have to your OB-GYN if you had an intrauterine device (IUD) inserted at the time of the surgical abortion.

Benefits of Surgical Termination of Pregnancy(STP)

Surgical abortion is considered the best method to terminate an unwanted pregnancy when MTP fails or pregnancy exceeds 9 weeks. Following are the best USPs if choosing surgical abortion:-

  • Effective method 99% of surgical abortions are successful
  • only about 1% of the women need a repeat procedure or other medical intervention for complete abortion.
  • No risk of complications The risk of complications during or after a surgical abortion is almost zero. However, you must ensure that you choose an experienced and skilled ob-gynecologist for this procedure.
  • Daycare procedure A surgical abortion is a daycare procedure where the patient doesn’t need to stay in the hospital. Usually, the doctor discharges the patient just after a few hours of the procedure.
  • Precise procedure Surgical termination of pregnancy is a precise procedure. The surgical abortion hardly takes around 15-20 minutes to complete. This way to terminate the pregnancy is the best method for those who want to get rid of their unwanted pregnancies in just one day.
  • Minimal bleeding As compared to Medical Termination of Pregnancy (MTP), surgical abortion involves minimal bleeding. If you are suffering from blood-related complications or are scared of bleeding, surgical abortion can be the best option for you.
  • Quick recovery Most women return to their daily routine just after 1-2 days of their surgical abortion. After the surgical abortion, you may have cramps and light bleeding for a few days.

Also, to recover quickly, you should avoid sexual intercourse for at least 1 week, or longer as advised by your doctor. When you start having sexual intercourse again, make sure you use birth control and condom to prevent infection.

Care After Undergoing Surgical Abortion

After the surgical abortion, the OB-GYN will check your vital signs such as heart rate, breathing, and blood pressure to make sure that everything is normal.

After that, the OB-GYN checks the bleeding is not excessive and uterine contractions are normal. The OB-GYN also checks that the side effects from anesthesia are not causing problems.

The OB-GYN may also prescribe you certain medicines. This may include the following:-

  • Antibiotics to prevent infection
  • Medicines that cause uterine contractions to empty the uterus and reduce bleeding.
  • The OB-GYN gives Rh immunoglobulin to all the women who have Rh-negative blood type as it prevents Rh sensitization after abortion.
  • Pain medicines for pain and cramping caused by uterine contractions.

Apart from all that, the OB-GYN may also prescribe certain medicines to treat nausea and vomiting.

Care At Home After Surgical Abortion

After undergoing a surgical abortion, you should follow all the instructions given by your OB-GYN.

Also, you should talk to your doctor about what to expect at home after undergoing a surgical abortion.

You can follow these instructions:-

  • You can return to your daily routine within 1-2 days of the surgical abortion.
  • Avoid all strenuous physical activities for the first week of your abortion.
  • Don’t have sexual intercourse for at least one week or longer as advised by your doctor.
  • When you start your sexual intercourse, use birth control and condoms to prevent the risk of infection and unwanted pregnancy.
  • Don’t rinse the vagina with fluids (douche) as it increases the risk of infections that can lead to pelvic inflammatory disease.

You may experience certain symptoms after undergoing a surgical abortion, including irregular bleeding, spotting, and/or cramping for the first 1-2 weeks. Some women may have cramping such as menstrual cramping for as long as 6 weeks.

When to visit your doctor after surgical abortion

If you experience any of the following symptoms or complications after undergoing a surgical abortion, you should immediately contact your OB-GYN and discuss your problems:-

  • If heavy bleeding continues for more than 12 hours.
  • If your bleeding is soaking more than two large pads in an hour, for 2 hours in a row.
  • Passing clots that last for two or more hours.
  • Signs of infections in your whole body include headache, muscle aches, dizziness, or a general feeling of illness.
  • Excruciating pain in the belly is not relieved by pain medicine, rest, or heat.
  • Hot flushes or fever of 100.4°F (38°C) or higher lasts more than 4 hours.
  • Vomiting lasting more than 4-6 hours.
  • Sudden belly swelling or increased heart rate.
  • Swelling, redness, or pain in the genital region.
  • Vaginal discharge that has increased in volume or smells bad.

Call your OB-GYN immediately if you have any of these symptoms after undergoing a surgical abortion:-

  • Bleeding (not spotting) for longer than two weeks.
  • New or unexplained symptoms may occur due to medicines you use in your treatment
  • . No menstrual period within six weeks after the abortion.
  • Signs and symptoms of depression. Hormonal changes after abortion may cause depression that requires proper treatment.
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