Do we have to pay high cost for medical abortion in India? In Indian Medical Termination of Pregnancy is legal under certain conditions if given by a registered medical practitioner. It is important for us understand the procedure for abortion.
For abortion or also known as Medical Termination of Pregnancy (MTP), the woman needs to fill a consent form called ‘Form C’.
Only the consent of the women is required for performing the medical abortion.
These medicines should be prescribed by a Gynaecologist.
The woman is provided with a medicine kit containing mifepristone and misoprostol. These medicines are best helpful in first 8 weeks (1st Trimester of abortion).
The doctor properly explains how to utilise these medicines as it is important to take these medicines in a proper way and under the doctor’s guidance
Note: The doctor will check the person properly, check the condition of the pregnancy and then decide what is needed and best for the person. In some cases Surgical Abortion would be required (before 12 weeks). The procedure depends on case to case.
Procedure : Steps to take pills
Procedure for Medical Abortion:
- Day 1:One 200 mg tablet of Mifepristone is taken
This medicine stops the pregnancy from growing. Some people feel nauseous or start bleeding after taking mifepristone, but it’s not common. Your doctor may also give you antibiotics to take to prevent infection.
- Day 3 (between 24 to 48 hours):Misoprostol pills of 200 mcg each (total of 800 mcg) are given orally or vaginally.
Cost of an abortion
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You’ll either take the misoprostol right away, or up to 48 hours after you take the first pill — your doctor will let you know how and when to take it. This causes cramping and bleeding to empty your uterus.
For most people, the cramping and bleeding usually starts 1-4 hours after taking the misoprostol. It’s normal to see large blood clots or clumps of tissue when this is happening. It’s kind of like having a really heavy, crampy period, and the process is very similar to an early miscarriage.
NOTE : If you don’t have any bleeding within 24 hours after taking the second medicine, misoprostol, call doctor.
- Day 14 – 15:Person returns for a post-treatment examination to affirm that a complete end of pregnancy has happened.
The doctor would recommend to come back for an ultrasound check up after 15 days. Then get an ultrasound (abdomen) done because it is important to find out if the abortion is completed and women is safe.
These medicines don’t have any side effects but should be always taken under the doctor’s guidance. It is always better to see if the clinic has displayed the certificate for medical termination practice. One needs to be careful from quacks or unregistered doctors.
After your abortion is complete, cramping and bleeding should lighten up as the hours and days go by. You may also have tender breasts, and they may leak a milky discharge. Wearing a snug-fitting bra will help you feel more comfortable.
Any chills, fevers, or nausea you have should go away pretty quickly. Call your doctor or health center right away if you have nausea, vomiting, diarrhea, or a fever for more than 24 hours after taking misoprostol (the second set of pills). It could be a sign of an infection.
It is also very important that after 15 days, one goes for a health check up, to ensure that termination was complete. This helps in checking that there is no unwanted elements inside the body.
Planned Parenthood website.