Ankur Hospital

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 Dilatation, Suction Evacuation & Curettage	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.

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Family Planning Methods

TEMPORARY PERMANENT EMERGENCY CONTRACEPTION

Natural Methods
Coitus Interuptus
Calendar Method

Barrier Contraception
Condoms
Female Condoms
Diaphrams
Spermicidal Jelly / Foam / Tablets

Hormonal
OC Pills
Progesterone only pill
Injection

IUD
Copper-T
Progesterone
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
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Misc
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. more

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 lots 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.

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 2007 - the incidence of Emergency C-Section is just 20% [40% in USA: 1996-2004; up to 35% in Teaching Hospitals in Delhi: 2006]

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Birthday Greeting's

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 you could stop receiving the greeting card. 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. You could also fill up this form>>

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. You could also fill up this form>>

I am married now and my Name, Surname & Address all have changed. What do I need to do now ?
Either send us an email or just fill up this form>>. Be sure to include your Date of Birth and your Mother's FULL NAME

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