Obstetrics and Gynaecology

Termination of Pregnancy Treatment

Abortion

Abortion is the removal of pregnancy tissue, products of conception or the fetus and placenta (afterbirth) from the uterus of the pregnant woman/patient. Pregnancy tissue and products of conception refer to the tissue produced as a result of the union of an egg and sperm before eight weeks. Other terms for abortion include induced abortion, elective abortion, therapeutic abortion and termination of pregnancy.

What Is Abortion?

Abortion is the removal of pregnancy tissue, products of conception or the fetus and placenta (afterbirth) from the uterus of the pregnant woman/patient. Pregnancy tissue and products of conception refer to the tissue produced as a result of the union of an egg and sperm before eight weeks. Other terms for abortion include induced abortion, elective abortion, therapeutic abortion and termination of pregnancy.

For lots of reasons, many women/teens might have an unplanned/unwanted pregnancy. Depending on a young woman’s beliefs and resources, she may choose to keep her child, place her child up for adoption, or have an abortion (which must be before 20 weeks). Having an abortion is often an emotional and complex decision for any woman of any age.

What are the choices for a woman who has an unwanted or unplanned pregnancy?

There are many things to think about before having an abortion, if a woman decides that an abortion is a right decision for her, the next things she’ll need to think about are her choices;

Whether she wants to have a:

  • Medical abortion (“abortion pill”)Page Image
  • Surgical abortion

Evacuation of Pregnancy

Evacuation of Pregnancy or Surgical abortion also known as dilation and evacuation (D&E) is a process to terminate a pregnancy. It is usually done in the second trimester of pregnancy. This procedure is harmless and has benefits when done by qualified practitioners.
Indications for Evacuation of Pregnancy

Medical Reasons:

  • Skeletal malformations or genetic disorders of the fetus.
  • Medical conditions and treatments or procedures that may endanger the pregnant woman’s life.

Elective Reasons:

  • Women’s decision to abort the pregnancy.

Missed or Incomplete Abortion:

  • When pregnancy tissue stays in the uterus after miscarriage or failed medical abortion also known as post- miscarriage pregnancy.

What is medical abortion?

A medical abortion involves taking a prescribed medicine called Mifepristone which is also called the abortion pill. This pill is used to end an early pregnancy. It works by blocking progesterone, the hormone that builds up the lining of a woman’s uterus during the pregnancy. Without progesterone, the lining of the uterus is not able to hold a pregnancy.

As the lining of the uterus breaks, this results in the bleeding. The abortion pill is very effective; its success rate is about 96-98% of the time when a woman is 8 weeks pregnant or less. If taken between 8-10 weeks of pregnancy, the success rate decreases to about 93% effective. If the abortion pill doesn’t work a surgical abortion may be recommended.

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Is medical abortion safe?

A medical abortion is considered safe; however, when taking any medication there’s always the possibility of having a complication. In a very small percentage of the time, the abortion pill is ineffective. If the pill doesn’t work, the pregnancy will need to be terminated by surgical abortion. It is very rare that someone has an allergic reaction to the pills, heavy bleeding, or infection. There is a possibility but it is very rare to have an incomplete abortion (some of the tissue is left behind in the womb) or an undetected pregnancy outside of the womb (ectopic pregnancy). Very rarely, a complication can be deadly. There are some reasons why the abortion pill may not be the right choice for the woman.

The woman should not take the abortion pill if:

  • She is not sure that she wants to terminate the pregnancy.
  • When the woman is pregnant for more than 9 weeks.
  • The woman shouldn’t plan on taking the 2nd dose.
  • If the woman can’t keep her follow-up appointment with her doctor.
  • If the woman doesn’t have someone who can be with her when she takes the pills.
  • If the woman has a blood-clotting disorder or if she takes any anti-blood clotting medicine.
  • If she has an IUD (intrauterine birth control device) in place. This need to be removed before having a medical abortion.

What is a surgical termination or First Trimester Abortion Treatment?

A surgical termination also known as the first trimester abortion treatment is a method that ends the pregnancy, which is typically performed up to 14 weeks after the pregnant woman’s last period. A doctor or advanced practice nurse generally performs the procedure in an outpatient office or clinic, or in the hospital. Surgical Termination is also done for miscarriage and is known as miscarriage treatment abortion.

What is surgical termination like?

First, relaxation and pain medicine are given to a pregnant woman. Next, the cervix is numbed, once the cervix is numbed, a thin tube is inserted into the vagina, via the cervix, and into the uterus. This thin tube is attached to a special vacuum. When the suction is turned on, the pregnancy tissues are removed. Sometimes tissues are also removed with the help of another medical instrument called a “curette”. Afterward, the doctor will generally prescribe an antibiotic and advice the patient to rest. If the patients have pain, heavy vaginal bleeding or tenderness in the abdomen, vaginal discharge that has an odor or looks like pus, or a temperature of 101° or more or maybe not feeling well, the patient must call her doctor or nurse at once.

Is it safe to have a surgical termination?

An abortion done by a medical doctor or clinical nurse specialist today is typically a safe and routine procedure. Illegal abortions are expensive, painful and there is a high risk of infection because of unclean conditions and lack of follow-up care. Now abortions are performed in safe, clean offices with a staff of medical professionals who also provide counselling and after-care.

Although complications with a routine abortion are rare it is important to be aware of the possible risks involved:

  • Too much bleeding
  • Infection of the uterus and/or in the fallopian tubes
  • Damage to the womb and/or in the cervix

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Need for Termination of Pregnancy Treatment

Abortion, or termination of pregnancy, may be necessary for medical, social, and or personal purposes. The process of deciding to bring to an end a pregnancy is one of the most challenging decisions that a woman will be able to make.

Here are some common reasons why termination may be needed:

  • Health Risks to the Mother
  • Fetal Abnormalities
  • Unplanned or Unwanted Pregnancies
  • Pregnancies Resulting from Sexual Assault
  • Social and Economic Factors
  • Mental Health Reasons

What are the risks involved?

The risks of a medical abortion include infection, bleeding and incomplete abortion, (some of the pregnancy tissue remains in the womb). These problems are very rare and can be treated. An incomplete abortion is handled by repeating the dose of medication to end the pregnancy or performing a suction D and C. An infection can also be treated with the help of antibiotics. Excessive bleeding is treated with the help of medications and possibly with the dilation and curettage. In a very rare condition, a blood transfusion may be necessary if bleeding is unusually heavy. The risks of surgical abortion are very low.

Does an abortion means not getting pregnant and having children in the future?

Since abortion became legal and regulated, there is very little risk in this procedure, so the woman’s future fertility should not be affected. Other factors such as a history of sexually transmitted infections can damage the fallopian tubes, making it difficult to become pregnant in the future.

Causes Leading to Abortion

Abortion is known to be caused by a number of medical, social as well as economic factors. At times, these causes can depend with the situation an individual finds himself or herself in, health issues and other several factors. Below are some common causes that can lead to the decision to terminate a pregnancy:

  • Health-Related Causes: Maternal health complications, Ectopic pregnancy, Infections and medical conditions and mental health conditions.
  • Fetal Health Concerns: Genetic or Chromosomal Abnormalities and Fetal viability issues.
  • Unintended Pregnancy: Contraceptive Failure and lack of access to contraception.
  • Pregnancy from Sexual Assault.

Facilities and Services offered for International Patients for Abortion

India provides numerous amenities and services to help the patients coming from other nations seeking an abortion, offered legally, safely, and privately. Some of the services that hospitals and clinics targeted at foreign patients can include additional services to try and make it easy for patients to seek health care in another country.

Here are some common facilities and services offered:

  • Legal and Counselling Support
  • Comprehensive Medical Services
  • Confidentiality and Privacy
  • Travel and Accommodation Assistance
  • Language and Cultural Support
  • 24/7 Patient Support and Follow-up Care
  • Cost Transparency

Pre-Treatment Process for Abortion

Pre-abortion preparations are numerous since the abortion process must be safe, acceptable, and in compliance with the patient’s requirement and the law.

Here’s a general outline of what the pre-treatment process for abortion typically includes:

  • Initial Consultation
  • Physical Examination
  • Counselling and Informed Consent
  • Preparations and Instructions
  • Scheduling and Logistics
  • Emergency Contact and Follow-up Planning

Diagnostic Tests for Abortion as Treatment

  • Pelvic Examination
  • Ultrasound
  • Blood Tests
  • STD Testing

Abortion Treatment Process

  • Medical Abortion: It works by blocking progesterone, the hormone that builds up the lining of a woman’s uterus during the pregnancy. Without progesterone, the lining of the uterus is not able to hold a pregnancy. As the lining of the uterus breaks, this results in the bleeding.
  • Surgical Abortion: First, relaxation and pain medicine are given to a pregnant woman. Next, the cervix is numbed, once the cervix is numbed, a thin tube is inserted into the vagina, via the cervix, and into the uterus. This thin tube is attached to a special vacuum. When the suction is turned on, the pregnancy tissues are removed. Sometimes tissues are also removed with the help of another medical instrument called a “curette”. Afterward, the doctor will generally prescribe an antibiotic and advice the patient to rest.

Post-Treatment Process for Abortion

The four steps in post-abortion care involve; physical care treatment, emotional care treatment and treatment after abortion as well as the follow up examination for the patient.

Here is a detailed overview of the steps involved in the post-treatment process:

  • Immediate Recovery and Observation
  • Physical Recovery at Home
  • Follow-up Appointment
  • Emotional and Psychological Support
  • Contraception Counselling and Planning
  • Lifestyle Adjustments and Self-Care
  • Long-Term Health Monitoring

Home Remedies to Terminate Pregnancy

Home Remedies to terminate pregnancy may be dangerous so abortion should therefore be done in a safe manner and preferably done in a legal way. Some of the complications associated with the use of home remedies to terminate pregnancy can be haemorrhage, infection and therefore a subsequent incomplete abortion and reproductive organ damage may also be pointed out. 

India’s Best Hospitals for Abortion

India’s Best Doctors for Abortion

  • Dr. Mamta Pattnayak
  • Dr. Preeti Rastogi
  • Dr. Renu Raina Sehgal
  • Dr. Anuradha Kapur
  • Dr. Madhu Roy

Why Choose GetWellGo for Abortion?

Selecting a healthcare provider for abortion is never easy, and that is why GetWellGo has been outstanding in Providence to ensure safety, compassionate, and quality care.

Here are some reasons why many may consider GetWellGo for abortion services:

  • Experienced Medical Professionals
  • Confidential and Private Care
  • Comprehensive Abortion Options
  • Advanced Facilities and Safety Protocols
  • Follow-up and After-Care Services
  • Transparency and Affordability
  • Medical Visa Assistance
  • Travel and Accommodation
  • Multilingual Support

Conclusion

Abortion is one of the very few, probably the most personal and sensitive decisions that a woman has the right to make with her physician. Legal and effective medical and surgical abortions should be provided by qualified professional who respect the health status of the woman. It therefore covers pre-procedure counselling, safe abortion procedures and post abortion care to ensure full healing. Also there are counselling services to support patients with other issues that they may have and contraceptive advice that will ensure that the patient may get pregnant in future.

FAQs

1. Is abortion safe?

  • Abortion is usually safe when done by well experienced practitioners in appropriate facilities. But like any surgery, though in the Riley manner it is not really regarded as a surgical operation, it it entails certain dangers such as infection, severe haemorrhage or failure of the anticipated abortion. Mentioned risks are negligible however it is emphasized that the procedure should be performed in a licensed establishment to lower such risks.

2. What should a patient expect when undergoing the procedure?

  • Medical Abortion: At home you will be taking medications; this process is usually characterized by cramping, and bleeding. A next appointment is typically made to confirm that the abortion is successful.
  • Surgical Abortion: You might also be given some medicine to relax you or put you to sleep during the procedure which usually takes 10-20 minutes depending on the location then you are taken through a short recovery time while the physician looks out for any complications.

3. How quickly can one get pregnant right after an abortion?

  • Fertility can get back very soon, sometimes after two weeks of an abortion. Patients should avoid having an unintended pregnancy and thus, they should consult their physician on contraception methods.

4. What if I change my mind about the abortion?

  • If you make decision for abortion, then you have to think many times before doing it. When it comes to changing your mind, it is important, or rather necessary to talk to your healthcare provider to know the consequences of discontinuing the process.

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TREATMENT-RELATED QUESTIONS

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You have to check with your health insurance provider for the details.

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