This post intends to help women seeking abortions for their 4-week unwanted pregnancies in Bangalore. 4-week pregnancy is very early and probably the best time if you are considering an abortion. Earlier you are in seeking an abortion, lesser are the risks and complications. Moreover, the recovery is also quick since pregnancy symptoms have not yet bloomed.
Contents in this post:
Just missed your period? What to do next?
When you are 4-weeks pregnant, you may or may not have pregnancy symptoms. However, if you have just missed your period, you must take a home pregnancy test. Even if you have used a contraceptive, still you should take a home pregnancy test upon a missed period. This is because contraceptives also fail multiple times. And it may not be good to delay because of risks like ectopic pregnancies.
You can use any home pregnancy test kit. They are easily available on demand at pharmacies. Or you can also buy them online. It’s a simple urine test. Just follow the directions mentioned on the pack. You’ll be able to figure out whether the test was positive or negative.
In case of a negative test, you can wait for another couple of days. Either you’ll get your period or else you can repeat the test.
Taking a pregnancy test is important whether or not the pregnancy is wanted. This is because in a case the pregnancy is ectopic, the need of the day is early treatment. Or there can be some other reasons for the delayed period such as Polycystic Ovarian Syndrome (PCOS), etc. And even in such a case, it may be better for you to start an early treatment rather than complicating the medical situation.
The scope of this post is to discuss the options for women who discover an unwanted pregnancy at 4-weeks. So, the most probable and likely option they may have is to proceed with early pregnancy termination.
Consultation before abortion:
If you have tested positive for a pregnancy test, you must schedule a gynecologist appointment at the earliest. And this should be your first step whether or not the pregnancy is wanted. This is because there are complications like ectopic pregnancy that may turn into life-threatening complications. But an early diagnosis and early treatment can save both the patient’s reproductive health and life.
When you visit a doctor for an abortion, the first thing you undergo is an assessment, also known as pre-abortion consultation. During the same, the doctor shall take down your medical history. And will also check your vitals. The doctor may also ask you to undergo some routine blood and urine tests and a small ultrasound. Since you are only 4-weeks pregnant, probably your ultrasound will be internal, which means a simple transvaginal scan (TVS). It is a highly important test to check for both the pregnancy length and location.
Diagnostic tests before abortion:
Ultrasound/Transvaginal scan before abortion:
You estimate that you are 4 weeks pregnant. However, the ultrasound will help the doctor know the exact length and size of the embryo. By this time, the embryo may not be visible or a very small dot seen. But the presence of an intrauterine gestation sac can confirm early intrauterine pregnancy. Or in a case of an ectopic pregnancy, the test will help in determining its location.
You should never miss this test for cutting the cost of the abortion. It comes at a minimal cost. But the cost of any risk you may have to face in absence of a proper diagnosis can be mild to severe such as loss of fertility or even life.
Your abortion options ahead depend largely on this report.
Blood/Urine tests before abortion:
Your doctor may also ask you to undergo a few routine blood and urine examinations. Only the tests essential for assessing your medical condition and prescribing you the best abortion method are asked for. Don’t worry, they may take only a few minutes of your appointment. The reports will also be out soon.
One of these tests may be to evaluate your blood group in a case you do not know it. It may include your Complete Blood Count (CBC) to check if you are anemic or presence of infections if any. The doctor may prescribe some other additional tests like that of your diabetic profile, Liver Function Test (LFT) or Renal Function Test (RFT) only in case they are essential. Your medical history and current medical condition will help the doctor to suggest you the necessary diagnostic tests before the abortion.
Even these tests are essential. For example, in case your Hb levels are low, the doctor may not advise you of medical abortion. Or in case you are having an infection as marked by a higher TLC level, the doctor may prescribe you some antibiotics to be taken before and after abortion. Similarly, other tests will help the doctor take necessary precautions during your abortion and prescribe accordingly.
Until then, you can choose to stay in your private room and rest. Or can also work remotely until the reports are ready.
What should you tell your doctor during a pre-abortion consultation?
Well, many unmarried girls hesitate in visiting abortion clinics due to one or more fears with abortion. One of the most prominent fear is prejudice and being judged. The patients sometimes expect that the doctors and other hospital staff may not treat them nicely for seeking abortions. Or may also have a judgmental opinion regarding premarital sexual relationships resulting in an unwanted pregnancy.
However, if you choose to visit the best abortion hospital near you, Bangalore Genesis Hospital (BGH), you can walk in with freedom from any such fears. BGH has been providing Comprehensive Abortion Care (CAC) services to married and unmarried women for many years. And all abortions here are completely safe, legal, confidential, painless, non-judgmental and stress-free.
All abortion consultations are also in a close and comfortable setting with one-on-one patient care. You can expect a friendly conversation with the doctor. Don’t worry, the doctor will not ask any personal queries. She will ask you only the medical details relevant to your abortion.
However, there are certain things that you should also tell your doctor. These include:
- Your Last Menstrual Period (LMP): This is the first day of your last menstrual period.
- Your MC length: This is the duration in the number of days when you have your next menstrual period from the first day of the last period. The usual cycle length is 28 days. But in many cases, it may range between 28-40 days.
- Any medicine(s) you may be taking.
- Any medical condition you may be having at the time of the abortion.
- If you have any known allergies.
- If you have any family history of genetic diseases.
You can also ask about your concerns. The doctor will be happy to help you.
Your abortion choices at 4 weeks pregnant:
Now, after your reports are ready, the doctor will evaluate them and help you walk through your abortion journey step by step. She will tell you all that you need to know and help you decide what’s best for you and your health.
The expected outcomes of the reports and probable options may vary from patient to patient. We are discussing a few most probable outcomes, evaluations and your further options.
Expected outcome: A normal intrauterine 4-week pregnancy:
This is the most common expected outcome that you are carrying a normal intrauterine pregnancy. And the pregnancy length may be somewhere near 4 weeks. Now, both your pregnancy length and location have been confirmed. Next, the doctor will discuss with you the two abortion methods available.
Well, most women prefer Gentle Care suction abortion at 4 weeks due to the advantages it has over the medical abortion method. But, your choice and discretion are respected at all times. So, the two abortion methods in detail are:
- Medical abortion with the help of abortion pills.
- Vacuum aspiration abortion with Gentle Care suction procedure.
This is the earliest abortion method but is not much liked by women these days. Their hesitation toward abortion pills is evident because of heavy bleeding, pain, abdominal cramps and discomfort it brings along. Moreover, it carries a risk of an incomplete abortion which needs surgical intervention to complete. Furthermore, the patient has to wait for up to days or weeks before she is confident of successful abortion.
Who can undergo a medical abortion?
The doctor will first check for your eligibility for a medical abortion. And the doctor may prescribe it to you only if:
- Your pregnancy length and location permit.
- You are not anemic because abortion pills may cause heavy blood loss.
- You are not allergic to any abortion medicine(s) ingredient(s).
- If it is okay for you to visit the hospital twice or more depending upon your abortion outcomes.
- You are ready for a surgical abortion in case abortion is incomplete.
- It’s okay for you to stay with abdominal cramps and pain for hours and sometimes, even for more than a day.
- If you can seek help in case of any emergency at a nearby hospital.
- And you can take a professional or personal break for more than a day. Since what can come ahead of medical abortion may vary from woman to woman, you may need a break. The abortion will most likely take place when you’ll be at home on the third day of your visit. So, if you choose to go with abortion pills, you may have to take the day off.
- You are not taking any medicine(s) that can interfere with the working of the abortion tablets.
- In a case, you are not suffering from any medical condition that can create complications after a medical abortion.
How is it done?
Medical abortion takes place in two steps and with two kinds of abortion tablets. The first abortion pill is Mifepristone. The doctor will give it to you to take it orally at your first appointment.
The doctor shall also hand you over the other set of the abortion pill(s), Misoprostol on the same appointment. You will receive guidelines as to when and how to take them. Usually, the gap between the administration of the two pills is between 6-72 hours. Do not judge yourself. The doctor will give you the details of how and when to take them.
The doctor will also consider the dose and mode of administration of abortion pills. So, please do not decide for yourself. The dose of abortion tablets may vary from patient to patient based on her specifics. Some of the things the doctor will consider in deciding the best dose for you are your Body Mass Index (BMI), any medicine(s) you are taking or any medical condition you’re suffering.
The doctor will also guide you on how to take the medicines. For some patients, the doctor may consider oral ingestion beneficial. Sometimes, for some specific sublingual brands available, the doctor may ask for sublingual or buccal administration. Or in some other cases, she may also ask you to gently insert the tablets into your vaginal opening.
What happens when you take abortion pills?
After you take Mifepristone, you may not feel any change as such. It is an anti-progestin. This medicine will block the production of the Progesterone hormone in your body. It will also cut off its available supply from the embryo and stop it from growing further. This may not cause any pain or a different feeling as you may be expecting.
However, when you take the second pill, you need to be at home. You can expect to start bleeding in less than half an hour. Some patients may take even longer. But most patients pass out the embryo between 0.5 – 6 hours. During this time, you may experience moderate to severe abdominal cramps and pain. If the pain goes unbearable or bleeding becomes excessively heavy, you may need to seek emergency care.
The bleeding will slow down gradually before it entirely stops. It may take days or even weeks. However, in case of bleeding or spotting that does not stop by a week, it may be a case of incomplete abortion. In such a case, you may need to have another appointment with the doctor. The doctor shall check for pregnancy remnants. If it is a case of an incomplete abortion, the doctor may advise you to undergo a Dilatation and Evacuation (D&E) or surgical abortion to complete it.
There’s a piece of good news in case you do not want to undergo such pain, bleeding and complications. You can opt for a Gentle Care suction abortion, details of which you can find in the coming section.
Gentle Care suction abortion:
It is the most preferred abortion method available at Bangalore Genesis Hospital (BGH). Since most women in Bangalore today are working professionals or full-time homemakers, they do not want to go through a lengthy abortion process. They may also not want to take a long professional or personal break due to multiple appointments, fatigue, pain or completing an incomplete abortion. They want a one-stop solution to the problem of an unwanted pregnancy. And Gentle Care abortion offers them just that!
With a Gentle Care suction abortion, the patient can go back home the same day. She can also resume her routine by the end of the same day or by the next day. She can return home knowing that the abortion was successful and she is no longer pregnant. Unlike medical abortion, she may not have to wait for days or weeks to be sure of a successful procedure. Nor will she have to undergo any pain or heavy bleeding.
She can get a painless, quick 5-minute abortion within the clinic itself. Most patients even get back to their homes in less than an hour after abortion. Most of the patients who seek early pregnancy terminations, just like yourself say that the “Gentle Care abortion made me feel empowered to be back at normalcy with happiness and confidence. It was one of the best medical decisions I ever took.”
How is it done?
A Gentle Care suction abortion is available at Bangalore Genesis Hospital. After the doctor has prescribed you to undergo a vacuum aspiration abortion, the nurse can help you relax in your private room. She will help you lie down comfortably in the lithotomy position. It’s going to be painless. So, do not worry at all. Moreover, the highly caring, supportive and friendly nurse shall stay by your side throughout the procedure.
She will clean and disinfect your cervix region. This is important for preventing infections. Besides, numbing the cervix will also make the procedure painless for you. Then, the doctor will take a slender, soft tube called a vacurette. She shall insert it in your womb gently. Once it is in place, she shall turn on a hand-held device called an aspirator. This will create gentle pressure and suction to suck the embryo and other pregnancy tissues which get collected inside a collection bottle.
Once the doctor is sure of complete abortion, she shall remove the vacurette. The nurse shall again disinfect your cervix and that’s it. Abortion is complete and that too within the clinic and in less than 5 minutes. The nurse will give you a sanitary napkin to place in case of some spotting. You can expect slight spotting for up to a day or two. However, some women do not bleed for more than a few minutes. It’s just the womb emptying and nothing like heavy bleeding as that with a medical abortion.
You can rest in your room. Since the procedure was non-invasive and without any sedation, you can drink and eat normally. You can order some hot beverages or something to munch on from your favorite food outlets on Swiggy in a jiffy. Have them. Get some rest and you can take discharge after a post-abortion consultation.
You can go back home knowing that you have had a successful abortion procedure.
Getting an Intrauterine Contraceptive Device (IUCD) or Copper-T:
Another big advantage of a Gentle Care suction abortion over medical abortion is that you can get the most efficient contraceptive method along the abortion. During the same appointment and just after the procedure, the doctor can insert a copper-T in your womb. The same can stay for up to 5-10 years or as long as you wish to have birth control.
Whereas, with a medical abortion, you may need a separate appointment for getting an IUCD.
To know the details regarding the same, you can read the post by clicking on the given link: Should you get a copper-T insertion just after an abortion?
Another Expected Outcome: Ectopic Pregnancy 4 weeks
Although ectopic pregnancies are rare, their possibility of occurrence can never be overlooked. It is because of its severe complications. Just in case your pregnancy is found to be ectopic during the TVS, do not worry. It’s early and hence can be safely removed. Since it has been diagnosed early, it is possible to save its impact on your future pregnancies and your life.
If such a case presents, the doctor shall evaluate the size and exact location of the embryo. Next, she shall advise you of some medicines to take if she considers medical treatment feasible for you. Or in a case, she advises you to undergo surgical treatment, please do not delay.
A delay in getting treatment for an ectopic pregnancy can have it grow and rupture within the body. This can lead to hemorrhage and internal bleeding. Immediate surgery is necessary to save the patient’s life. Although life may be saved, she may have to lose her partial or complete fertility depending on the severity of the case.
So, do not delay.
Another Expected Outcome: Intrauterine Pregnancy for more than 4 weeks:
Yet another expected outcome can be an intrauterine pregnancy. However, the length may be above 4 weeks as expected. Again, do not worry. Abortion in India is legal for up to 20 weeks in normal cases. And you can have a Gentle Care suction abortion for up to 12 weeks.
To know about your legal reproductive rights and get answers to your queries about your legal abortion rights, the following link can take you to the desired post: Is abortion legal in Bangalore: What do you need to know?
If you have other queries regarding abortion, please feel free to check out our Abortion FAQ page available at the following link: Abortion Frequently Asked Questions (FAQs)
At Bangalore Genesis Hospital, Comprehensive Abortion Care (CAC) starts with your pre-abortion consultation and lasts through your post-abortion recovery. The doctor’s guidelines shall stay with you at each step of your abortion journey.
Before you leave the hospital, the doctor shall provide you with a post-abortion consultation. This will include your prescription to follow for a rapid recovery. The doctor will also guide you into the Do’s and Don’ts after an abortion based on your abortion method. You can also expect some guidance on your available birth control options to avoid unwanted pregnancies. Besides, you can openly and friendly ask the doctor if you have any concerns. During your recovery, you may also speak to the doctor in case any need arises on the hospital helpline number.
Since Bangalore Genesis Hospital takes in only a limited number of abortion patients each day, they have very limited slots. And most of them get filled in quick. You may not want to delay in seeking an early abortion. You can just call their helpline number and get an early seat reserved.
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