What is MTP ?
MTP means Medical Termination of Pregnancy. It is governed by the MTP act. It
gives the right to a qualified doctor to decide if the pregnant woman can be
allowed to under MTP. This decision is based on few criterions.
MTP Methods Available
| 0 wks – 12 wks | 12 wks – 20 wks |
| Medical Pills upto 49 days of pregnancy Surgical |
Surgical USG Guided Dilatation, Suction Evacuation & Curettage Extra Amniotic Instillation of Ethacridine Lactate Misoprostol Instillation |
Can I get MTP done at any time in pregnancy ?
NO. MTP can only be done till 20 weeks of pregnancy. After which it is
illegal.
Can I get MTP done because I know the sex of the child and don’t want it ?
NO. Sex determination is illegal. Also MTP for that reason is illegal too.
Is there any risk in MTP ?
MTP is a medical procedure and so it also has its risks, which may vary with
the procedure adopted.
Which is the safest method ?
As of now pills are the safest but if MTP is not successful with the pills
then a surgical procedure will have to be performed and that can be unsafe.
Complications can occur in any method.
What should I do to avoid MTP ?
As always said 'PREVENTION IS BETTER THAN CURE', you should choose a family
planning method that is best suited for you rather than facing the need to
undergo a MTP in the future.
What are the risks & complications of MTP ?
The risks & complications of MTP would range from Nothing, Infection, Late
discharge from hospital, Perforation, Infertility, Ectopic pregnancy in
future, Hysterectomy and Death.
What investigations are necessary ?
The idea of investigations is to know what problems if any is the doctor about
to face in your case.
We advice you to completely comply with what your doctor asks you to do. At
that time he is the best person to judge.
Can MTP be done if I come alone ?
NO. MTP cannot be done if you are alone some responsible adult has to
accompany you, preferably your husband. If not any one else is OK
How much time does it take for the operation? When can we go home ?
It depends on the type of operation. The Suction & curettage operation usually
takes about 10 minutes (if there are no complications). After the operation
the patient is kept under observation for a few hours after which if
everything is ok then the patient may be allowed to go home.
How many times can I undergo a MTP ?
This question should never come across your mind as MTP is a blind procedure
and carries its own risks. You should only consider MTP in extreme cases and
use appropriate Family planning methods to avoid it.
What should I do before I am going to be operated for MTP ?
Here are a few things that you should do:
+ Do not eat or drink 6 hrs before the operation.
+ If you have had anything be sure to tell you doctor and the anesthetist.
+ Be on time for admission
+ Take a good bath
+ Remind the doctor if you use contact lens, dentures, removable implants,
etc.
| TEMPORARY | PERMANENT | EMERGENCY CONTRACEPTION |
|
Natural Methods Coitus Interuptus Calendar Method
Barrier Contraception Hormonal IUD |
Operation Vasectomy (Male) Tubectomy Tubal Ligation Laproscopic TL |
OC pills Progesterone only pill Copper-T |
Why Family Planning ?
The decision of family is one of the most important decisions that a
couple/lady will take in their/her life. The reasons may be different in each
case but the most common being:
+ Keeping a gap between two pregnancies
+ Keep a gap before the first pregnancy.
+ Lately, for unmarried women who have an active physical relation.
+ Also, in cases when a couple suspects failure of method (within 48hrs –
EMERGENCY CONTRACEPTION)
What is BEST for me ?
This will depend on a lot of factors like Age, Family Status, Existing
Diseases & Previous Experience of using other Family Planning Methods.
What if I am unmarried or just married and do not want a pregnancy for some
time ?
OC pills, Condoms or Spermicidal Vaginal Pessaries could be the option for
you
What if I have just delivered a healthy baby ?
For the first 6 weeks nothing is required. After that till about 6 months till
EXCLUSIVE BREAST FEEDING is being continued there is likelihood of not
becoming pregnant but than that is a risk.
+ IUD till you plan to have another pregnancy
+ Injections till about 8 months to 1 yr (YOU MIGHT NOT HAVE ANY PERIODS TILL
YOU TAKE THE INJECTIONS)
+ Condoms till you plan for another pregnancy.
What if I my baby expired within a few day of delivery ?
This is a very sorry situation for the whole family but at the same time care
should be taken not to become pregnant for a while, as the mother has to
recover physically and mentally
+ IUD till you plan to have another pregnancy
+ Injections till you plan to have another pregnancy (YOU MIGHT NOT HAVE ANY
PERIODS TILL YOU TAKE THE INJECTIONS)
+ Condoms till you plan for another pregnancy.
What if I do not want any other child but am not sure for now ?
You should consider a temporary method for now and something permanent later
when you are absolutely sure.
What if I am sure I do not want any other pregnancy ?
You should consider a permanent method. As the risk involved in an operation
is much less than the risk involved in MTP.
The risk & complications in Vasectomy (Male) are few as compared to Tubectomy
or TL
Does Family Planning Fail ?
Everything in life fails and the same rule applies to family planning.
Different methods have different failure rates.
If I go for an operation what guarantee do I have that it will not fail ?
NONE. There is no guarantee or warranty in any medical procedures. However the
incidence is very low
If I undergo an operation and after a few years due to some unforeseen
circumstances need to plan a pregnancy will it be possible ?
MAYBE. Reversal may be attempted but there cannot be any sureity that the
operation will succeed.
What if I become pregnant while using some family planning method ?
Depends on what method you are using you could have the option to continue it
or undergo an MTP.
Is it possible that I may never become pregnant again ?
RARELY. YES. It would depend on the method adopted for family planning.
Can I undergo MTP every time I become pregnant ?
MTP has its own Risks & Complications and we would recommend you NOT to use
MTP as method Family Planning. But still whenever you become pregnant if you
do not want that pregnancy MTP can be done if you fit in the MTP Act.
WE HAVE CASSETTES AND CD THAT CAN GIVE YOU THE INFORMATION IN GREATER DETAIL
When am I going to deliver ?
It is not possible to accurately tell when will you deliver. Mostly a pregnant
lady with no complications delivers -2 weeks to +1 week from the expected due
date.
Normal pregnancy duration ranges from 36 to 41 weeks.
Am I going to deliver normally ?
A pregnant lady with no complications has a 75% chance to deliver normally but
it is not possible to predict who will deliver how.
Is it a boy or a girl ?
We should all think how important is this question. As per the
PNDT Act It is ILLEGAL to
ask a doctor this question in India. It is also ILLEGAL to tell a pregnant
lady about this in India too.
Can I have sex ?
Yes. It is safe to have Vaginal sex when you are pregnant. Your doctor will
tell you if it is not safe in your case.
Can I travel ?
Yes. You can travel as long as you are going to a place where if need arises a
gynecologist is available.
Airlines do not allow travel for pregnant ladies after about 28 weeks. Please
confirm with your airlines for the same.
Can I eat this.. this.... ?
You can eat everything. Your doctor will advice you if you need any diet
restrictions.
It is better to avoid outside food. Restrict oil, ghee, butter, spices.
It is recommended to have green leafy vegetables, all fruits, dals, pulses.
Nuts and dry fruits are also good in balanced amounts.
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I get burning sensation in the lower throat, chest, stomach. What should I
do ?
Probably it might be just gastritis (Acidity). Consult your Family Doctor and
do as directed.
I get backache, pain in abdomen. What should I do ?
Visit the Hospital and/or Consult your Doctor.
I get pain legs, spasm legs. What should I do ?
This normally occurs in pregnancy. Consult your doctor for further advice
I get swelling. What should I do ?
This is normal in pregnancy. Consult your doctor and talk about it on your
next visit.
Loss of weight or not gaining weight. What should I do ?
There may be loss of weight in first 3 months but there after weight should
increase at the rate of 0.5 kg/week. In the whole pregnancy there should
normally be a weight gain of about 12 kgs.
I have put on a lot of weight. What should I do ?
You should not crash diet during pregnancy. By having a balanced diet and
moderate exercise it may get controlled.
I am having white discharge from below. What should I do ?
This happens commonly in pregnancy.
I am having itching below. What should I do ?
This happens commonly in pregnancy. But if it's Fungal infection it needs
to be treated.
Why should I take Tetanus injections ?
Tetanus is a deadly disease. This can occur when exposed to Bacteria
(Clostridium Tetani). This is present all around us and can infect us when we
undergo an operative procedure. Since the outcome pregnancy is never known it
is better to take it in advance and be safe from it.
Which are other vaccinations, which are safe in pregnancy ?
Hepatitis is safe in pregnancy.
Rabies vaccine is safe in pregnancy.
===CAUTION=== Rubella should be taken 3 months prior to becoming pregnant. IT
SHOULD NEVER BE TAKEN DURING PREGNANCY.
Does ultra sonography cause any harm to baby ?
There is no evidence of USG causing harm to the fetus.
Can I take drugs for some common complaints without consulting doctor ?
Always take a medical opinion prior to taking any medicines.
Can I drop some drugs, if I get side effects ?
Please do not do it at your will. Consult your doctor and follow their advice.
I get black stool after Iron tablets. Is it normal ?
Yes. Some iron formulations can cause this.
I get vomiting. What to do ?
This is normal during the first 12 weeks. If severe do consult your doctor.
How will I know that delivery pains have started ?
Delivery pains start form the back and move forwards towards the inner thigh.
Each pain may last for 15-45 seconds.
It may be accompanied by Leaking or Bloody discharge.
Reach for your hospital. If you think you cannot make it to your hospital then
go to a nearby maternity hospital.
Can I drive?
Yes. Drive cautiously, follow safety guidelines & use seat belt.
Can I have alcohol or smoke?
NO. Alcohol and Smoking can cause harmful effects on the growing fetus.
Tobacco and Drugs are also harmful.
How much rest should I take?
In a normal pregnancy you should rest only when you feel tired. Excessive rest
is not necessary.
You should walk for atleast 45 min in morning & 45 min in evening.
Can I go to work?
In a normal pregnancy there is no need to stop working.
Will I have a Normal Delivery?
Mode of delivery cannot be predicted by anyone. All efforts will be made to
give the best medical care to the Mother & Fetus.
I hear a lot these days that the incidence of C-Section / LSCS / Cesarean
has increased?
YES, its true as compared to previous years the incidence has increased mainly
due the significant reduction in risk related to Anaesthesia and Surgery. To
put it in other way it is now much safer than before to undergo a C-Section.
Other factor that have also contributed to the increase in C-Section is
Precious Pregnancies (Infertility, Increased Maternal age, Previous Surgery on
Uterus, etc).
Article
What is the incidence of C-Section at Ankur Hospital?
As per the analysis of mode of delivery at Ankur Hospital for the year
2008 -
the incidence of Emergency C-Section is just 14% [40% in USA: 1996-2004; up to
35% in Teaching Hospitals in Delhi: 2006] 6% less than 2007.

I do not receive birthday greeting card any more ?
We send Birthday Greeting cards to all those that have delivered at our
hospital every year. As per our policy when the card comes back to us due to
some postal issue we stop sending them hence forth. If your address has
changed and we haven't updated your new address with us it is likely that we
would have stopped sending
greeting card to you. All you need to do is just emails us your new address with your
Date of Birth and your Mother's FULL NAME and you would start receiving the
card from next time.
I receive Birthday greetings in my parents name ?
We do not have your name in our database and so we send the card in your
parents name. All you need to do is just emails us your name with your Date of
Birth and your Mother's FULL NAME and you would start receiving the card on
your name from next time.
I am married now and my Name, Surname & Address all have changed. What do I
need to do now ?
Just send us an email. Be sure to include your Date of Birth and your Mother's
FULL NAME