What is Medical Termination Of Pregnancy?

Medical termination of pregnancy (MTP) is a procedure carried out to terminate unwanted gestation (pregnancy) or poor growing pregnancy using medications. MTPs are more commonly carried out in most parts of the world as it is safer than the more invasive operative procedures like dilation and curettage or vacuum aspiration. If you or someone you know needs to get this procedure done, you can contact our very experienced gynecologist Dr. Namrata Shah & Dr. Namrata Shah & Dr. Dhaval Shah of Saavi Women's Hospital, Ahmedabad, to learn more about medical/surgical termination of pregnancy.

When is Medical Termination Of Pregnancy needed?

There are several reasons to undergo medical termination of pregnancy, and it requires the consent of the adult patient or an adult accompanying in case of minors. MTPs are done in the case of:

• In order to save the life of the pregnant women.
• In order to prevent grave injury to the physical & mental health of the pregnant women.
• In view of the substantial risk that if the child was born it would suffer from such physical or mental abnormalities as to be seriously handicapped.
• As the pregnancy is alleged by pregnant women to have been caused by rape.
• As the pregnancy has occurred as result of failure of any contraceptive device or methods used by married women or her husband for the purpose of limiting the number of children.

Dr. Namrata Shah & Dr. Namrata Shah & Dr. Dhaval Shah wants you to understand that it can be a sensitive process for some patients, and it is always better to have a specialist doctor, like a gynecologist, who can answer your queries and manage any complications.

What to expect at the consultation for Medical Termination Of Pregnancy at Saavi Women's Hospital, Ahmedabad?

As with any medical procedure, there can be risks that can develop while doing a medical termination of pregnancy. It is always advisable to seek medical consultation and help to undergo medical procedures like an MTP. At Saavi Women's Hospital, Ahmedabad, Dr. Namrata Shah & Dr. Namrata Shah & Dr. Dhaval Shah can be your guide every step of the way. Your consultation will include a complete physical examination, a urine pregnancy test to confirm pregnancy, a blood test to confirm pregnancy if the urine test is not straightforward, complete medical history including anemia, sexually transmitted diseases, details of your last menstrual cycle, and that of contraceptives used if any. In addition, a pelvis ultrasound will be done to be sure about any risks involved (ectopic pregnancy or molar pregnancy) and to know the exact gestational age of the fetus.

It is better to convey to Dr. Namrata Shah & Dr. Namrata Shah & Dr. Dhaval Shah your reasons for undergoing this procedure as it will help the doctor help you better.

Procedures involved in Medical Termination Of Pregnancy at Saavi Women's Hospital, Ahmedabad

Dr. Namrata Shah & Dr. Namrata Shah & Dr. Dhaval Shah states that medications like Mifepristone and Misoprostol are used for pregnancies between 7 weeks. It is non-surgical; therefore, it can be started immediately by taking medicine at the doctor’s clinic or at home, just as prescribed by Dr. Namrata Shah & Dr. Namrata Shah & Dr. Dhaval Shah.

• Mifepristone: It blocks the activity of progesterone and results in thinning of the uterine wall, which in turn causes problems with embryo implantation and growth.

• Misoprostol: It causes the uterus to contract and expel the contents, causing termination. As a rule, the 1st pill is taken at the doctor’s clinic. You can then take the Misoprostol at home as prescribed by Dr. Namrata Shah & Dr. Dhaval Shah .

• Oral Mifepristone + vaginal/buccal/lingual Misoprostol: The Mifepristone is taken orally with water, and a slow-dissolving pill of Misoprostol is inserted vaginally and kept sublingually or orally. This procedure is done to increase the efficacy of Misoprostol. It should be carried out within seven weeks of gestation, calculated from the 1st day of the last menstrual cycle.

Usually, a painkiller and antibiotic are also prescribed to manage pain and infection risks associated with medical procedures.

How is the recovery after the Medical Termination Of Pregnancy?

Recovery may take 1-2 weeks and is usually uneventful. You may experience vaginal bleeding depending on how many weeks pregnant you are. Though bed rest may not be essential, it is best to keep physical exercises and tasks to a minimum. It is crucial to eat well and have a good state of mind. Make sure to have ample sanitary pads and keep them handy when outside. Dr. Namrata Shah & Dr. Namrata Shah & Dr. Dhaval Shah advises you to keep follow up after 10-15days of the medical termination of pregnancy to evaluate your health and access complete expulsion of products of conceptoion. You and Dr. Dhaval need to be sure you’re recovering well, the bleeding is tapering and is controlled, there are no signs of infections, and your uterine size is back to normal.

There are chances of developing complications like:

• Foul-smelling vaginal discharge
• Uncontrolled bleeding
• Severe stomach pain
• Fever that lasts for more than 24-48 hours
• Excess tiredness and sweating

In case of this, you should immediately contact the doctor.

In case of doubts about the procedure, you may need to repeat the ultrasound to ensure the complete termination of pregnancy. Dr. Namrata Shah & Dr. Namrata Shah & Dr. Dhaval Shah Shah also recommends that an ultrasound be done two weeks after taking the medication to be sure the procedure has worked well.

On the whole, an MTP would be done for whatever reason. Still, it is physically, emotionally, and mentally draining on a woman. If you feel too overwhelmed with these feelings, it is better to convey them to the doctor or a counselor.

What are the risks of Medical Termination Of Pregnancy?

Dr. Namrata Shah & Dr. Namrata Shah & Dr. Dhaval Shah explains that, as with any medical procedure, an MTP carries risks that the patient should understand well:

• Incomplete termination of pregnancy: This may require dilation & curettage (surgical intervention)
• Sustained pregnancy: The procedure might not work, and the pregnancy may continue as it is or with fetal abnormalities
• Prolonged, heavy bleeding
• Infections
• Fever
• Discomfort in the stomach or nausea

Medical termination of pregnancy should always be done under the guidance of an experienced doctor. All medications should be taken as prescribed. It would help if you kept up with the doctor regarding your health status. For further queries, you can contact our expert gynecologist, Dr. Namrata Shah & Dr. Namrata Shah & Dr. Dhaval Shah, at Saavi Women's Hospital, Ahmedabad.

Other procedures for termination of pregnancy at Saavi Women's Hospital, Ahmedabad

1. Dilation and Evacuation (D & E):

Dilation and Evacuation is a surgical procedure done to remove products of conception from the uterus. It is advised for abortion cases of pregnancies between 12-13 weeks.

• Pre-op preparation: Hormone-based cervix dilating pills are inserted.

• Anesthesia: Anesthesia is given after consideration of your specific case. It can be general, spinal, or local. Before 18 weeks of pregnancy, any of the three options can be

• Dilation & Evacuation: The cervix is gently opened with instruments, and the products of conception are evacuated. A curette scrapes off the uterine wall to avoid leaving behind any remnants.

• Later, the involved area is cleaned with antiseptics to avoid infections, and antibiotics are prescribed to prevent infection. This process usually takes 15-20 minutes.

Like any medical procedure, a surgical abortion may carry the risk of complications like damage to the cervix or a perforated uterus or bladder or blood vessels or scar tissue formation in the uterus (Asherman’s syndrome) though this is a very rare occurrence. Dr. Namrata Shah & Dr. Namrata Shah & Dr. Dhaval Shah emphasizes that you should urgently contact the gynecologist if you experience any of the symptoms listed below after a surgical abortion:

• Heavy/ prolonged bleeding
• Presence of blood clots
• Fever
• Pain
• Abdominal pain on touch
• Foul-smelling discharge from the vagina

Dr. Namrata Shah & Dr. Namrata Shah & Dr. Dhaval Shah from Saavi Women's Hospital, Ahmedabad, has many years of experience and will ensure that your procedure will be performed safely and comfortably.

2.Laparoscopic Excision:

Dr. Namrata Shah & Dr. Namrata Shah & Dr. Dhaval Shah explains that a laparoscopic excision for abortion is usually carried out in ectopic pregnancies. Four laparoscopic incisions (very small incisions) are made on the abdomen, and the ectopic contents are removed with the help of a guided camera. This process is also mainly used for pregnancies outside of the uterus, which is challenging to abort, like ectopic surgeries in the fallopian tubes or the pouch of Douglas. If required, additional procedures like fallopian tube removal are done in case of tube ruptures. Finally, products of conception are removed laparoscopically. The incisions are sutured with dissolvable material.

What is the cost of Medical Termination Of Pregnancy in Ahmedabad?

The cost for medical termination of pregnancy at Saavi Women's Hospital, Ahmedabad varies depending on the stage of pregnancy and individual insurance coverage. Our team will work with you to find a solution that meets your needs and financial situation.