About Mid trimester abortion without Dilatation and Curretage
Key Highlights
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Avoids surgical instrumentation of the uterus, potentially reducing risks like uterine perforation or Asherman's syndrome.Often perceived as a more natural process, similar to a miscarriage or labor.Typically performed in a controlled hospital environment with full medical support.Allows for genetic testing or autopsy of the fetus if indicated for diagnostic purposes.Managed by a specialist Obstetrician and Gynaecologist ensuring expert care.
Who is this surgery for?
- Diagnosis of severe fetal genetic or structural abnormalities incompatible with life.
- Serious maternal health conditions (e.g., severe cardiac disease, pre-eclampsia, cancer) where continuing pregnancy is life-threatening.
- Intrauterine fetal demise (missed abortion) in the second trimester.
- Premature rupture of membranes with infection (chorioamnionitis) in the mid-trimester.
- Select cases of maternal mental health crises, following extensive multi-disciplinary evaluation.
How to prepare
- Comprehensive counseling with the obstetrician to discuss the procedure, alternatives, risks, and emotional support resources.
- Confirmatory ultrasound to determine exact gestational age and fetal status.
- Blood tests (complete blood count, blood group, and Rh factor).
- Administration of Rh immunoglobulin if the patient is Rh-negative.
- Discussion of pain management options, which may include epidural or intravenous analgesia.
- Informed consent process detailing the staged nature of the procedure.
Risks & possible complications
- Incomplete abortion, requiring a subsequent surgical procedure (D&C).
- Heavy bleeding (hemorrhage) requiring transfusion.
- Infection (endometritis).
- Prolonged labor or failure of the medication to induce labor effectively.
- Retained placenta.
- Emotional and psychological distress; grief counseling is strongly recommended.
- Very rarely, uterine rupture, especially in patients with a prior uterine scar.
Recovery & hospital stay
- Hospital stay is required for 1-2 days for monitoring of labor, delivery, and immediate recovery.
- Vaginal bleeding and cramping, similar to a heavy period, can continue for 1-2 weeks.
- Patients should avoid tampons, sexual intercourse, and swimming for at least 2 weeks to prevent infection.
- A follow-up appointment in 2-3 weeks is essential to check for complete uterine involution and provide emotional support.
- Physical recovery often takes 2-4 weeks; emotional healing may take longer. Access to counseling services is important.
- Contraception can be discussed and initiated at the follow-up visit.
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Typical hospital stay: 1-2 days
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Expected recovery time: 2-4 weeks
Frequently Asked Questions
If you are considering mid trimester abortion without dilatation and curretage in India, these questions and answers can help you make a confident, informed decision.
Popular choices for mid trimester abortion without dilatation and curretage in India include Kamineni Hospital, King Koti, Manipal Hospital Old Airport Road, Manipal Hospital Mukundapur, SIMS Hospital Vadapalani, Manipal Hospital Dwarka, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform mid trimester abortion without dilatation and curretage. MediFyr helps you compare obstetrics and gynaecologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for mid trimester abortion without dilatation and curretage compare across other countries where we have data.
Top hospitals for Mid trimester abortion without Dilatation and Curretage in India
These partner hospitals in India have dedicated obstetrics and gynaecology teams and experience managing patients undergoing mid trimester abortion without dilatation and curretage.
Diya Nair, a 32-year-old software engineer,...
Diya Nair, a 32-year-old software engineer, was 18 weeks pregnant with a much-wanted first child. A routine anatomy scan revealed anencephaly, a fatal neural tube defect where the baby's brain and skull do not fully develop. The news was devastating. Her obstetrician, Dr. Sharma, explained with great compassion that the condition was incompatible with life outside the womb. She recommended a mid-trimester abortion using medication (mifepristone and misoprostol) to avoid the surgical risks of D&C at this stage. The treatment took place over two days in the hospital's dedicated care unit. The physical process was intense and emotionally harrowing, but the nursing staff provided constant support and pain management. Physically, Diya recovered well within two weeks. Emotionally, she and her husband were engulfed in profound grief. Before the procedure, she felt a crushing sense of loss and failure. Afterwards, while the sadness remained, she began to feel a sense of peace having spared her child suffering, and she focused on healing with the support of a perinatal loss counselor.
Obstetrics and Gynaecologists for Mid trimester abortion without Dilatation and Curretage
Explore experienced obstetrics and gynaecologists who regularly perform mid trimester abortion without dilatation and curretage and provide pre- and post-operative care in India.
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Miot Hospital Chennai, Chennai
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Manipal Hospital Yeshwanthpur, Bangalore
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Manipal Hospital Yeshwanthpur, Bangalore
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Manipal Hospital Sarjapur Road, Bangalore
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Manipal Hospital Sarjapur Road, Bangalore
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Manipal Hospital Sarjapur Road, Bangalore
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Manipal Hospital Sarjapur Road, Bangalore
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Manipal Hospital Whitefield, Bangalore
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Manipal Hospital Whitefield, Bangalore
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Manipal Hospital Whitefield, Bangalore
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Manipal Hospital Whitefield, Bangalore
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Manipal Hospital Whitefield, Bangalore
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Manipal Hospital Old Airport Road, Bangalore
- 30 Years Experience
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Manipal Hospital Old Airport Road, Bangalore