Doctors for Medical Termination Of Pregnancy (Mtp) in Mumbai

Medical Termination of Pregnancy (MTP) refers to the process of ending a pregnancy through the use of medication, rather than surgery. MTP can be performed in the early stages of pregnancy and involves taking a combination of medications to induce a miscarriage.

There are two main types of medical termination of pregnancy:

• Mifepristone and Misoprostol: This is the most common method used for medical termination of pregnancy. It involves taking two different medications over the course of several days. Mifepristone is taken first to block the hormone progesterone, which is needed for the pregnancy to continue. Then, misoprostol is taken to cause the uterus to contract and expel the pregnancy.
• Misoprostol alone: This method involves taking misoprostol alone, without mifepristone. It is less effective than the mifepristone and misoprostol method and is typically used in cases where mifepristone is not available or contraindicated.

It is important to note that not all women are eligible for medical termination of pregnancy, and certain medical conditions or circumstances may make MTP an inappropriate option.

Women should discuss their options and seek guidance from a qualified healthcare provider before undergoing MTP to ensure that they receive safe, appropriate care and support during this time.

Diagnosis and tests before Medical Termination of Pregnancy may include:

• Physical exam: A physical examination helps to determine the duration of the pregnancy and any possible complications.
• Ultrasound: An ultrasound is done to confirm pregnancy, determine gestational age, and check for possible ectopic or molar pregnancy.
• Hormone levels: The progesterone and estrogen levels in a woman's blood can indicate whether she is pregnant or not. High levels of both hormones suggest that a woman is pregnant and has a developing fetus.
• Human chorionic gonadotropin (hCG) testing: This test measures the level of hCG, which is a hormone released by the placenta during pregnancy. A rapid rise in hCG indicates pregnancy, while low hCG readings suggest an abnormal or non-viable pregnancy, where embryonic development has stopped or has never begun at all.
• Rh Incompatibility Test: This blood test is used to check if the mother’s blood type is Rh-negative and the father’s blood type is Rh-positive, making the unborn baby at risk of having a serious medical condition known as hemolytic disease of the newborn (HDN).
• Alpha-fetoProtein Test: The alpha-fetoprotein (AFP) concentrations in a pregnant woman's blood are measured by this test. High levels can indicate an increased risk for certain birth defects and genetic disorders such as neural tube defects and Down syndrome in the fetus.
• Triple Screen or Quadruple Screen: These screenings measure three or four hormones in a pregnant woman’s blood that can help predict her risk of having a baby with birth defects, such as Down syndrome, spina bifida, heart abnormalities, and other serious conditions.
• Urine pregnancy test: This test searches for the hormone hCG (human chorionic gonadotropin), which is normally only generated when a woman is pregnant, in her urine.
• Urine follicle-stimulating hormone (FSH) test: This test measures levels of FSH in the urine, which can be used to estimate ovulation and fertility.
• Urine luteinizing hormone (LH) test: This type of urine test measures levels of LH in the body, which can help predict ovulation and thus inform couples about their likelihood of conception.
• Urine estradiol test: Estradiol is the predominant form of estrogen, and this urine test is used to measure its levels before or during menses or other cycles that may be associated with MTP treatment protocols or decisions.
• Pap smear: To assess the cervix's condition, a Pap smear is performed.
• STD testing: STD testing may be done to rule out any infection and to prevent any complications during the abortion process.
• Medical history: A thorough medical history is taken to check for any medical conditions or allergies that may affect the abortion procedure.

The Medical termination of pregnancy can be done by using medications when prescribed by a specialized doctor. These medicines are taken in a stepwise manner which includes:

• Medication is used to end a pregnancy medically, commonly referred to as a pharmaceutical abortion. In order to do this, two distinct medications mifepristone and misoprostol must be used.
• The first drug, mifepristone, is taken orally and stops the production of progesterone, a hormone required for a pregnancy to progress. As a result, the uterine lining degrades and the embryo cannot fully grow.
• Misoprostol, the second drug, is administered vaginally or orally. In order to remove the contents of the uterus, including the pregnancy, it triggers uterine contractions.
• The entire process typically takes several days to complete, as the second medication is usually taken several hours or days after the first medication. When performed during the first 10 weeks of pregnancy, medical termination of pregnancy is usually regarded as safe and successful.

There are several benefits of undergoing a Medical Termination of Pregnancy (MTP) including:

• Safe and Legal Procedure: Medical Termination of Pregnancy (MTP) is a safe and legal procedure that can be performed in Mumbai at a registered medical facility. This ensures minimizing the risks associated with illegal or self-induced abortions.
• Early Detection and Treatment of Pregnancy Complications: MTP can help detect potential complications early in the pregnancy, such as ectopic pregnancies or fetal abnormalities, that may pose a risk to the mother's health.
• Improved Health and Well-being: It can help prevent unwanted pregnancies, reduce the risk of unsafe and illegal abortions, and promote better reproductive health.
• Reduced Maternal Mortality: MTP can help reduce maternal mortality rates in Mumbai by providing safe and legal access to abortion services. This can help prevent deaths related to unsafe abortions, which are a major cause of maternal mortality in many parts of the world.
• Improved Access to Reproductive Healthcare: It can help reduce stigma and barriers to accessing abortion services, and promote better awareness and education about reproductive health and family planning.

Some of the side effects of medical termination of pregnancy may include the following :

• Nausea and vomiting: Some women may experience bouts of nausea and vomiting following medical termination of pregnancy. Typically, this side effect will go away on its own and won't need any special care.
• Abdominal pain and cramps: Women may experience mild to moderate abdominal pain and cramping following a medical abortion. This is due to the contraction of the uterus, which is a normal part of the process.
• Heavy bleeding: Women may experience bleeding up to two weeks after taking the medication. Nonetheless, you should get medical help if the bleeding is abnormally severe or persistent.
• Headaches: Headaches are a common side effect of the medication used in the medical termination of pregnancy.
• Dizziness and fatigue: Dizziness and fatigue are common after-effects of the drugs used in the medical termination of pregnancy.
• Infection: After a medical abortion, there is a danger of infection, just as with any invasive operation.

Following a medically assisted pregnancy termination, it's crucial to look after your physical and mental health. These are some strategies for healing:

• Rest: For at least a week after the termination, get plenty of rest and refrain from engaging in any heavy activity. Your body will be able to heal and acquire strength thanks to it.
• Follow your doctor's advice: Take prescribed medications on time and follow the advice of the gynecologist. Keep all scheduled follow-up visits.
• Eat a healthy diet: Eat a healthy, balanced diet that contains lean protein, fresh produce, and fruits and vegetables. Also, to remain hydrated, consume a lot of water.
• Exercise: After a few days of rest, start doing light exercise to regain strength and flexibility. However, avoid any strenuous activities.
• Emotional support: A medical termination of pregnancy can be emotionally draining. To deal with the emotional fallout, ask family, friends, or a therapist for assistance.
• Avoid alcohol and smoking: Don't indulge in smoking and drinking as it can affect your recovery process.
• Be positive: Focus on the present and stay positive for the future.

Remember, each woman's recovery process is different. So, it's crucial to pay attention to your body and, if required, seek medical attention.