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Second Trimester Abortion (13–24 weeks) - 100% Safe and Confidential

Abortions in the second trimester are safe and can be carried out using a surgical method called Dilation and Evacuation (D&E). The second trimester of pregnancy starts at 13 weeks and ends at 26 weeks. For a second-trimester abortion, consult with the expert gynecologists at Pristyn Care and get a safe termination of your pregnancy. To consult with our expert gynecologists, reach out to our team today.

Abortions in the second trimester are safe and can be carried out using ... Read More

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What is Second Trimester Abortion?

A second-trimester abortion is the termination of a pregnancy within the second trimester. The second trimester starts in the 13th week of pregnancy and goes up to the 26th week of gestation. The abortion, however, can only be done till 24 weeks based on the current legalities around it. In the second trimester, abortion is typically done through surgical methods. One standard surgical procedure employed for second-trimester abortions is known as Dilation and Evacuation (D&E).

Decisions regarding second-trimester abortion should be made in consultation with a gynaecologist, who’d consider individual circumstances before deciding whether or not it would be suitable for the patient. It is crucial to seek abortion services from licensed clinics under the supervision of qualified doctors to ensure safety and minimize potential complications.

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Second Trimester Abortion Method

During the second trimester of pregnancy, abortion is solely conducted through surgical methods.

The surgical method commonly employed during the second trimester of pregnancy is Dilation and Evacuation (D&E). This procedure is typically performed to terminate pregnancies between 13 and 24 weeks. In the D&E technique, the cervix is dilated, meaning it is gently expanded to allow access to the uterus. Specialized instruments such as forceps, suction devices, and curettes are then utilized to extract the pregnancy tissue from the uterus carefully.
The dilation of the cervix facilitates the safe removal of the pregnancy contents. This surgical procedure is essential during the second trimester due to the increased complexity of fetal development at this stage.

D&E is performed with the patient under anesthesia. The anesthesia can be general, which puts the patient in a state of complete unconsciousness, or local, which numbs the specific area, depending on the individual’s preference and medical considerations. The choice of anesthesia aims to ensure the patient’s comfort and minimize discomfort during the procedure.

It’s important to note that the decision to undergo a D&E or any abortion procedure is a personal one and should be made in consultation with healthcare professionals who can provide guidance tailored to individual circumstances and medical considerations. Individuals need to get their abortion from licensed abortion clinics and under the supervision of a qualified doctor. This is particularly essential for ensuring safety and preventing potential complications.

Why are you seeking an Abortion?

How to Prepare for Second Trimester Abortion

To avoid complications and be mentally and physically prepared for an abortion, it’s essential to follow some practices and make some lifestyle changes. The need for surgical intervention in second-trimester abortions further raises the need for being prepared. The doctor generally provides guidance regarding preparation. Some tips to prepare for a second-trimester abortion are as follows:

Obtain Complete Clarity on the Procedures: Patients must seek complete clarity on the abortion procedure before they undergo it. This involves educating oneself about the procedure, why it’s best for you, its complications, pre and post-procedure care, etc.

Ask Enough Questions: Most women have several questions about the abortion procedure. They should get all these questions answered beforehand to avoid any issues later on.

Get All Diagnostic Reports Handy: Some diagnostic tests may be done prior to a second-trimester abortion. The reports of the assessment are to be kept handy on the day of the procedure and otherwise.

Maintain a Healthy Lifestyle: The patients must maintain a healthy lifestyle in the days leading up to their abortion procedure. This involves eating the right foods and cutting back on junk food. In addition, they must avoid alcohol consumption or smoking.

Ensure Emotional Readiness: Irrespective of the reason for an abortion, several women experience the emotional impacts of the procedure afterward. They are, therefore, advised to seek emotional support by talking to them and sharing their emotions.

Reasons for Second Trimester Abortions

The reasons to terminate a pregnancy in the second trimester may differ from patient to patient. The reasons may differ from medically necessary situations to personal motivations. Some reasons for a second-trimester abortion are as follows:

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Risk to the Mother’s Health: If continuing the pregnancy poses a risk to the health of the expectant mother, a termination may be suggested. This happens if the mother has an underlying condition that can cause complications during or after childbirth.

Fetal Abnormalities: If life-threatening abnormalities are present in the fetus, the doctor may suggest an abortion of the pregnancy in the second trimester to prevent the risk of the baby being born with a health condition and decreased chances of survival.

Ectopic Pregnancy: This is a complication of pregnancy involving the fertilization of eggs outside of the uterus in the fallopian tubes. An ectopic pregnancy can not be left to continue since it’s linked with life-threatening complications, which necessitate pregnancy termination.

Cancer: If a woman has cancer or is diagnosed with cancer during the second trimester of her pregnancy, she may have to abort her pregnancy. This is because some cancer treatments are linked with an increased risk of congenital disabilities.

Pregnancy is Unplanned: Unplanned pregnancy is a leading reason for abortions. If the pregnancy was unplanned and the couple or woman does not wish to keep the baby, they may seek termination.

Lack of Preparedness: Being emotionally and financially unprepared to raise a child is essential. Women or couples who are not prepared to raise a child or do not have enough funds to raise a child can get an abortion.

Emotional Unreadiness: Sometimes, the woman may not feel connected to the child and feel she’s not emotionally prepared to raise a child. This can be another reason for several women to abort the pregnancy.

Lack of Resources to Raise a Child: Lack of resources to raise a baby may also cause several couples to seek a pregnancy termination.

Second-trimester abortions in India are legal till 24 weeks, whether it’s for personal or medically necessary reasons.

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What is the cost of Second Trimester Abortion?

In India, a second-trimester abortion can cost you anywhere between Rs.20,000 and Rs.40,000. This is the estimated cost of the second trimester abortion procedure, and the actual cost of the procedure may vary for different individuals. The difference in cost can occur as a result of various factors, including:

  • City: The city where the abortion is being done can make a difference in the total second trimester abortion cost. Treatment charges are higher in metropolitan cities.
  • Hospital: The choice of hospital can also impact the cost. Charges are higher in private hospitals compared to government hospitals.
  • Term of pregnancy: The stage of the pregnancy can impact the cost. Abortions done in the advanced stages of pregnancy can impact treatment costs.
  • Doctor’s fees: The fees charged by gynecologists may vary. The consultation fees differ based on the doctor’s experience.
  • Anesthesia charges: Anesthesia charges can also make a difference in second trimester abortion cost
  • Additional charges in case of complications: If complications such as incomplete abortion, infections, organ damage, etc, arise, the patients may have to bear additional costs for management.

It’s important to seek clarity from a healthcare facility regarding the surgical abortion second trimester cost. This can aid in being financially prepared for the procedure. Information regarding cots can be sought from the healthcare facility the patient is considering for her abortion.

Insurance Coverage for Second Trimester Abortion

In India, abortion procedures typically aren’t covered under insurance. The patients have to bear the cost of the procedure on their own, irrespective of the type of abortion procedure. Abortion is typically excluded from insurance coverage as most women choose to get it done for personal reasons and not as a medically necessary procedure.

However, in cases where a second trimester abortion is medically necessary, such as there’s a risk to the child and mother’s health or fetal abnormalities are present, the procedure may be covered. It is best to reach out to the insurance provider to obtain clarity on whether or not the abortion in your respective case will be covered under insurance. They will give you clarity on the coverage.

Recovery after Second Trimester Abortion

After a second trimester abortion, it’s normal for women to experience some bleeding, pain, and discomfort. It may last a couple of days and eventually subside. It may not indicate anything severe, but occurs as a result of the abortion procedure. Recovery can take a couple of weeks, and during this period, the women are required to be very attentive towards their health. Following the right healthcare practices during this period can help prevent potential complications and speed up recovery. Some tips to recover without hassles after a second-trimester abortion include: 

Take Complete Rest: An abortion can take a toll on a woman’s physical and mental health. It’s essential for anyone undergoing an abortion to take complete rest following the procedure to give the body time to heal. Avoiding strenuous activity of any sort is recommended during the recovery period. 

Take Medication as Prescribed: If the doctors have prescribed medication for pain management after an abortion, the patients must take the medication as advised. In addition, any other medication should only be started after consulting a doctor. 

Don’t Ignore Signs of Second Trimester Abortion Complications: If signs of complications, such as heavy bleeding, excessive pain, fevers, or chills, occur after an abortion, they must immediately be reported to a healthcare provider. 

Resume Sex With Doctor’s Advice: Penetration of any sort must be avoided after abortion. The doctors may advise waiting a while before resuming sex after a second-trimester abortion to prevent complications. It’s best to seek the doctor’s advice before resuming sex after an abortion to ensure no complications arise. 

Get Emotional Support: It’s normal for women to feel distressed after an abortion in the second trimester. To deal with the emotional implications of an abortion, they are suggested to talk to their friends and family to seek professional therapy. 

Do Not Miss Follow-Up Sessions: Follow-up sessions are essential for monitoring recovery after a second-trimester abortion. Therefore, no follow-up sessions should be missed. In addition, the doctors may also recommend some diagnostic tests, if necessary, which must also be completed. 

Follow The Doctor’s Instructions Carefully: It’s essential to take the instructions provided by the doctor very seriously regarding medication usage, lifestyle modifications, etc. Any significant lifestyle changes must only be made with the doctor’s advice. 

The total recovery time after a second-trimester abortion can vary for patients. Recovery is also based on how well the patients care for themselves after the procedure. Resorting to the best recovery practices can ensure a speedy recovery.

Risks and Complications - Second Trimester Abortion

Second-trimester abortions are done through surgery, and like all surgeries, these procedures also accompany complications. Having an understanding of these complications can be beneficial in recognizing their signs and symptoms and seeking prompt treatment. Some second trimester abortion complications include:

Incomplete Abortion: While the chances of incomplete abortions are very low in the case of surgical abortions, the potential risk can not be overlooked. If an abortion is not done with precision, the chances of incomplete abortion may increase. Additional procedures are necessary in case of incomplete abortions.

A perforation in the uterus: Second-trimester abortions can sometimes lead to a puncturing or perforation of the uterus. Another procedure is done to manage this complication.

Excessive Bleeding: Some bleeding may occur after a surgical abortion, which may last a few days and generally isn’t excessive. However, excessive bleeding is another potential risk of surgical abortion, indicating a complication that requires prompt management.

Blood clot formation: There are chances of blood clot formation following abortion surgeries. Signs of blood clots include cramping, pain, and excessive bleeding. Timely treatment is necessary to manage these clots to prevent serious health issues.

Damage to Surrounding Organs: Sometimes, the lack of precision in a surgical abortion procedure can cause damage to the surrounding organs or tissues.

Infection: With surgery, there’s a risk of bacteria entering the body. This can cause infections. Signs of infection after second-trimester abortion include fever and chills, abnormal vaginal discharge, pain in the abdomen, etc. Infections require prompt management, or they may lead to serious health issues.

Anesthesia-Related Complications: Anesthesia-related complications are rare, but patients still need to be aware of the potential issues that may arise. Both D&C and D&E procedures require anesthesia.

Fertility issues: Contrary to what most people believe, an abortion does not cause fertility issues. However, in some cases, an abortion may cause fertility risks for the women. These issues, however, can be resolved by consulting a doctor for effective management.

How to Choose the Best Clinic for Safe Abortion in the Second Trimester?

While abortion is legal in India till 24 weeks gestation, patients need to undergo one at a reputed hospital/clinic. With the growing need for abortion, several hospitals and clinics provide unsafe abortions that can cause life-threatening complications. To find a good abortion clinic for a second-trimester abortion, the women are advised to:

Research the Best Abortion Clinics: They must research the best abortion clinics near them and create a list of the leading ones.

Check out Their Reviews: The next step involves going through the website of the respective clinic or hospital and checking out the facilities they provide.

Check their List of Doctors: The patients must research the qualifications and experience of the doctors who practice at those clinics and hospitals. Their panel of doctors can speak volumes about the quality of care they provide.

Go Thorough Patient Reviews: Patient reviews can be very helpful in obtaining clarity about the quality of services offered at the clinic. They can help patients get an idea of the services extended by the respective healthcare facility based on the accounts of people who’ve undergone an abortion at the same healthcare facility. But, you must note that patient reviews must not be trusted entirely.

Research their Panel of Doctors: Check out the doctors who practice at these clinics. Research their panel to understand what kind of doctors they have and how qualified and experienced they are.

Treatment Cost: Patients must ensure they do not pay extra for their abortions. Therefore, it’s integral to research the average cost of the procedure, and check which healthcare facilities offer good services at cost effective prices.

Second Trimester Abortion - What MTP Act Says?

In India, women have the right to terminate their pregnancy during the second trimester and up to 24 weeks gestation, provided a qualified doctor deems it appropriate. However, certain conditions must be met, including:

  • Abortion is permissible if there is a threat to the life of the mother or if the fetus has severe abnormalities.
  • The woman’s or her legal guardian’s consent is mandatory, especially if the individual is a minor or has mental abnormalities.
  • Abortion is allowed in cases of pregnancy resulting from rape or incest, when there is a risk to the woman’s physical or mental health, or if the fetus has severe abnormalities.
  • Qualified medical practitioners with specific credentials are authorized to perform abortions in India. It’s worth noting that the Medical Termination of Pregnancy (MTP) Act is a federal law, but individual states may have their regulations regarding abortion. Some states may impose additional restrictions, such as mandatory counseling, waiting periods, or parental consent.

It is important to note that abortion laws change over time, and individuals seeking abortion should seek advice from a healthcare provider or legal professional for the most up-to-date information on this.

FAQs around Second Trimester Abortion

Can I get an abortion in the late second trimester-27 weeks?

In India, the law permits women to get their abortions only till 24 weeks of pregnancy. Abortion in the 27th week of pregnancy, however, may be allowed in very specific cases, especially if there’s a risk to the life of the mother or the child. Currently, the MTP Act allows women to terminate their pregnancy up to 24 weeks.

Is abortion in the second trimester safe?

Abortions in the second trimester are considered safe and most women recover seamlessly after their abortion. However, the safety of abortions relies heavily upon where the abortion is being done, among other factors. The risks and complications can further differ based on individual circumstances. It’s important to consult with a healthcare provider to discuss the specific risks and benefits based on your health and gestational age.

Who is not eligible for a second trimester abortion in India?

Eligibility for a second-trimester abortion in India depends on various factors, including the woman’s health, fetal abnormalities, and other medical considerations. Legal restrictions and guidelines may also play a role. Consulting with a healthcare provider and understanding local laws is essential to determine eligibility.

Can I terminate my second trimester pregnancy with abortion pills?

Generally, abortion pills are more commonly used in the early stages of pregnancy. In the second trimester, surgical procedures are recommended. It is crucial to consult with a healthcare provider to discuss the most appropriate and safe method for terminating a pregnancy based on its gestational age.

Is it possible to reverse a second trimester abortion?

Once a second-trimester abortion is initiated, it is typically not reversible. It’s essential to make well-informed decisions and consult with healthcare professionals before proceeding with any abortion to avoid complications or misunderstandings.

Is anesthesia always necessary in second trimester abortions?

Anesthesia may be used during second-trimester abortions to ensure the patient’s comfort and safety. The type and extent of anesthesia can vary, and healthcare providers will assess the individual’s health and the specific procedure to determine the appropriate level of anesthesia.

How to know if a clinic/hospital is certified to provide an abortion?

To determine if a clinic or hospital is certified to provide abortions, you can check with local health authorities or regulatory bodies. Accreditation, licensing, and adherence to medical standards are crucial indicators. Additionally, you can ask the healthcare provider about their credentials and the facility’s certification for providing abortion services.

What is the best method of abortion in the second trimester?

The best method for a second-trimester abortion depends on factors such as gestational age, medical history, and individual circumstances. Common methods include dilation and evacuation (D&E). Consultation with a healthcare provider is essential to determine the most suitable and safe method based on specific conditions.

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Content Reviewed By
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Dr. Monika Dubey
23 Years Experience Overall
Last Updated : October 17, 2024

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    Pristyn Care delivers extraordinary services during my surgical abortion. Doctors were professional and compassionate. Everything was nice. You must choose Pristyn Care if you are looking for a healthcare center to get effective and safe treatment at an affordable price. Highly recommended!

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    Pristyn Care provided excellent care and support during my abortion. The doctors were understanding and caring, ensuring a comfortable and safe procedure. Pristyn Care's team guided me through the process and provided the necessary information. Thanks to Pristyn Care, I had a positive experience, and I appreciate their kindness and professionalism.

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    When faced with an unexpected pregnancy, I turned to Pristyn Care for abortion, and they exceeded my expectations in every way. The medical team was incredibly supportive and non-judgmental, providing me with all the necessary information and counseling. The medical abortion procedure was safe and discreet, and the follow-up care was excellent. Pristyn Care's compassionate approach made an emotionally challenging time easier to navigate. I am grateful to Pristyn Care for their expert abortion medical services and highly recommend them to anyone in need of sensitive and professional care.

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    Pristyn Care team was professional throughout the abortion procedure. The care coordinators keep me in the loop at each step. As it is a very emotional time for me, the doctors and nurses made me feel comfortable. I am thankful to the entire team of Pristyn Care. Thank you!

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    My experience with Pristyn Care was exceptional. They provided comprehensive care in a safe and comfortable environment. The facility followed all safety protocols, and the medical team was well-trained and supportive. They took the time to listen to my concerns and address them with care. Pristyn Care made a challenging situation more manageable, and I'm grateful for their dedication to patient well-being.

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