Week 14 Pregnancy Abortion by Top Female Gynaecologist

How to Prepare for Week 14 Pregnancy Abortion?

Individuals undergoing abortion may experience both physical and emotional consequences, which highlights the importance of being thoroughly prepared. This preparation includes being mentally and physically prepared to navigate what happens after an abortion. In a week 14 pregnancy, the fetus has reached the second trimester, a  significant stage of development, amplifying the necessity for the mother to be well-prepared for the procedure’s effects, ensuring a smoother experience. Here are several suggestions for preparing for a pregnancy abortion at 14  weeks:

• Think the decision through: If a patient is contemplating an abortion, it’s crucial for her to thoroughly contemplate their choice before proceeding with the procedure.
• Understand the procedure: A patient must gain a comprehensive understanding of the procedure before undergoing it. This allows them to understand each phase of the process accurately.
• Complete the diagnostic tests: Prior to the abortion, patients should complete all recommended diagnostic tests. Keeping the test results readily available aids the doctor in their assessment.
• Share concerns with the doctor: Patients should openly discuss any concerns or uncertainties they have about the procedure with the doctor prior to undergoing it. Addressing all questions helps prevent any confusion and helps them have a smooth sailing.
• Seek support from loved ones: Opting for an abortion is a difficult decision for many. Thus, it’s advisable for women to talk to their family and friends for emotional support and guidance in making the right choice before they undergo the procedure.

How is Abortion Done in 14 Weeks of Pregnancy?

For terminating a pregnancy at the 14-week mark, medical professionals recommend a surgical approach due to the advanced stage of the pregnancy. Medication-based termination is not considered viable at this point. The two primary surgical methods proposed for ending a 14-week pregnancy are suction aspiration (also known as suction curettage) and dilation and curettage (D&C). These procedures are recognized as the most effective options for terminating a week 14 pregnancy. However, they are considered viable only up to around 14 to 16 weeks. The specific procedure chosen is determined by the doctor’s evaluation of the patient. Let us look at what these two procedures comprise:

Suction Aspiration or Suction Curettage: This surgical approach is recommended for pregnancies up to 10  to 14 weeks. It is a brief procedure that allows the patient to return home as they are stable. The suction aspiration process involves the following steps:

• Introduction of a speculum into the vagina, followed by gentle dilation of the cervix using thin dilators.
• Insertion of a tube through the cervix into the uterus.
• Utilization of a suction device to extract and empty the contents of the uterus.

Dilation & Curettage (D&C): D&C is a surgical abortion technique, usually advised for ending pregnancies in the 14th week. This 10 minute procedure is performed in the following steps: 

• The doctor uses a speculum to dilate the vagina gently.
• Next, a clamp is used to secure the cervix, facilitating the procedure.
• A curette, a tool for suction or scraping, is employed to remove the pregnancy tissue from the uterus.

How to Recover After a Week 14 Pregnancy Abortion?

Following a surgical abortion, slight bleeding or spotting might occur, and there could be mild menstrual-like cramps as well. Typically, menstrual cycle resumes within 4 to 6 weeks post-abortion. Often, feelings of anxiety, sadness, and even guilt can arise. It’s imperative for women to address these post-abortion effects, ensuring a smooth recovery process after abortion. Effectively managing these repercussions is pivotal for facilitating an uncomplicated recovery. Here are several strategies to recover after a week 14 pregnancy abortion:

• Prioritize Rest: Regardless of how well one may feel post-procedure, complete rest is paramount. Vigorous physical activity should be entirely avoided.
• Seek Timely Medical Assistance: If persistent pain or ongoing bleeding occurs, seeking immediate medical attention is vital.
• Follow Medical Guidance Diligently: It’s crucial to adhere to any instructions the healthcare provider provides meticulously. Avoiding suggested restrictions is not recommended to prevent complications.
• Take Advice on Resuming Sex: Resuming sexual activity should only be considered once symptoms have subsided and the patient feels physically ready.

The experience one has after a surgical abortion can differ extensively, but following these guidelines can contribute to a smoother recovery and better overall well-being.

Risks and Complications Associated with Week 14 Pregnancy Abortion

Much like any surgical procedure, a surgical abortion carries a potential for complications, although such instances are relatively uncommon. However, it is crucial for patients to be aware of these potential complications to ensure they can take proactive measures. To enhance the understanding of women undergoing a pregnancy abortion at week 14 regarding the associated risks and complications, we have compiled a list of common complications that might arise:

Infection: Surgical procedures can sometimes lead to infections, exhibiting symptoms such as fever, pain, or unusual discharge. Quick medical intervention is imperative to address signs of infection and prevent aggravation promptly.

Cervical Tears or Lacerations: The abortion process might inadvertently cause tears or lacerations in the cervix, the lower part of the uterus. This could lead to bleeding, discomfort, or pain. Vigilant medical monitoring is essential to identify and manage any cervical injuries.

Uterine Perforation: Accidental puncturing of the uterine wall, known as uterine perforation, can result in internal bleeding, pain, and additional complications. Timely medical intervention is vital to tackle issues occurring due to perforation.

Bleeding: Bleeding is an anticipated outcome post any surgical procedure, including abortion. However, excessive or prolonged bleeding could indicate complications. Continuous monitoring and appropriate medical care are critical to avert severe blood loss.

Retained Pregnancy Tissue: In some situations, not all fetal tissue is completely eliminated from the uterus after an abortion. This situation can give rise to bleeding, infections, and other complications. Supplementary medical procedures might be necessary to address this complication. 

While these complications are typical and often manageable, if they worsen, prompt medical intervention becomes necessary. Recognizing signs of complications and knowing when to reach out to a healthcare provider is crucial. If any of the following symptoms occur, the patient must immediately contact their healthcare provider:

• Passing blood clots larger than a lemon for over 2 hours.
• Experiencing profuse bleeding, necessitating a pad change hourly for at least 2 consecutive hours.
• Developing a high or persistent fever.
• Noticing a foul-smelling vaginal discharge.
• Experiencing worsening pain or cramping, especially after 48 hours.
• Sustaining pregnancy symptoms for more than a week after the abortion.

Does Week 14 Abortion Impact Fertility?

Many women have concerns when considering abortion, often fearing its potential impact on their future fertility and the ability to get pregnant. However, it is essential to note that undergoing an abortion, whether medical or surgical or at any stage of the pregnancy, does not inherently affect fertility. A woman with healthy reproductive health can still conceive successfully after an abortion. 

But, one cannot ignore that having an abortion might marginally increase the likelihood of delivering a baby prematurely in subsequent pregnancies. Moreover, if a patient had experienced an untreated uterine infection following the procedure, there might be a slight increase in the probability of complications during future pregnancies.

Complications arising from infections involving the fallopian tubes and ovaries, such as pelvic inflammatory disease (PID), can also raise the risk of ectopic pregnancy. Ectopic pregnancy refers to a condition where the fertilized egg implants itself outside the uterus.

It’s crucial to understand that the likelihood of facing fertility-related challenges following an abortion at the 14 week mark is quite minimal. For most women, attempting to conceive again after an abortion is seamless, if they’re healthy.

Is Week 14 Pregnancy Abortion Legal in India?

Certainly, in India, women are legally permitted to undergo an abortion to terminate a pregnancy up to 24 weeks in gestation. The legal framework allows for abortion within the first 24 weeks of pregnancy, subject to specific circumstances:

• If the mother’s life is at risk or if there are significant health issues affecting the fetus.
• If the woman is of legal age and desires the procedure. Alternatively, if she’s below 18 years of age or dealing with mental health concerns, her legal guardian can provide consent.
• In situations where the pregnancy resulted from rape or incest, and carrying the pregnancy to term threatens the woman’s physical or mental well-being.

Surgical abortion procedures can solely be performed by doctors who possess proper authorization and expertise in conducting abortions. While abortion laws are generally uniform across India, there might be variations from one state to another. It’s paramount to recognize that these legal stipulations could change. Therefore, individuals seeking an abortion should consult a medical professional or legal expert for the latest and most accurate information.

Cost of Week 14th Pregnancy Abortion in India

Any woman undergoing an abortion procedure must gain insight into the associated expenses. In a majority of regions within the country, the cost for a 14-week pregnancy abortion typically falls within the range of Rs.10,000 to Rs.40,000. Although the procedural cost remains relatively consistent nationwide, minor variations might arise based on the patient’s geographical location.

Furthermore, various other factors contribute to potential variations in the procedure cost. These include the chosen surgical method – vacuum aspiration or dilation and curettage, the cost of anesthesia, the medical practitioner’s fees, as well as supplementary charges in the event of complications. It is advisable to acquire a detailed breakdown of the costs from the healthcare provider prior to undergoing the procedure. This proactive approach helps in financial readiness, averting last-minute constraints.

Insurance Coverage for Week 14 Pregnancy Abortion in India

A week 14 abortion is performed with the help of surgery. Since surgery is required to terminate a week 14 pregnancy, it is generally covered in the health insurance and mediclaim policies of most insurance providers in India. The coverage provided by an insurance provider for a surgical abortion depends on their respective terms and conditions. Whether or not insurance will cover the cost of a surgical abortion may also depend on the medical necessity of the procedure.

To understand the insurance coverage for a week 14 pregnancy abortion, the patients must reach out to their respective insurance providers.