MTP

What it means?
It means termination of an ongoing pregnancy for various medical reasons:

Who are suitable candidates?

  • Women with less than 10 – 11 weeks pregnancy where pregnancy has resulted as a result of contraceptive failure, rape, or there are substantial risk to the life or health of baby or mother.
  • Women with 20 week pregnancy with abnormal baby or life threatening complications to mother.

 
Who should not get MTP?

  • First pregnancy
  • Conceived after treatment
  • Women above 20 weeks

 
What are its main steps?
There are two methods. Medical and surgical

Medical:

Medicines are given to interrupt pregnancy. Abortion occurs the natural way.

Advantages:

  • No surgical or anaesthesia is required.

 
Disadvantages:

  • Abortion may remain incomplete and may require a surgical method to complete.
  • Takes many days to complete treatment
  • Long term complications are similar with both methods

 

Surgical:

Minor surgical intervention is done to interrupt pregnancy. Some anaesthesia is also given.

Advantages:

  • Quick, time tested and reliable method.

 
Disadvantages:

  • Abortion may remain incomplete and may require a repeat procedure to complete.
  • Long term complications are similar with both methods like infection, infertility pain and bleeding

 
Legal implications:

  • MTP is legally allowed in India (MTP act 72). It has to be done at a recognized place by qualified doctors. MTP after any sex selection is a crime under PCPNDT act. MTP by an unqualified health professional and at unauthorized place is illegal.
  • Jindal IVF and Sant Memorial Nursing Home is recognized under MTP act For MTP under 20 weeks

Contraception

 
What it means?

  • Any method used to avoid an unwanted pregnancy

 
Who are suitable candidates?

  • All sexually active couples not wanting to conceive.
  • All couples with any partner having sexually transmitted diseases.

 
Who should not use contraception?

  • Couples trying to conceive.
  • Couples not staying together.

 
What are the main methods?

  • I. Natural methods -like safe period and coitus interruptus.
    • Advantages:- natural, no side effects
    • Disadvantages:- require lot of self-control and thus high failure rate, do not protect against sexually transmitted diseases

     

  • II. Barrier methods-e.g. condoms and diaphragm
    • Advantages:- no side effects, protect against sexually transmitted diseases
    • Disadvantages:- interrupt normal action, needed to be used every time high failure rate

     

  • III. Intrauterine device- e.g. Cut
    • Advantages:- highly effective, one time insertion, no interference, 5 to 10 years
    • Disadvantages:- side effects like bleeding, pain may be there, need a medical person to insert and remove,

     

  • IV. Hormonal – pills, injections, ring, etc.
    • Advantages:- highly effective, well studied, safe
    • Disadvantages:- need prescription and supervision, have side effects in some, cost