Description

In India, legal abortion is available up to 20 weeks with one doctor's approval, and up to 24 weeks for specific categories (including rape survivors, minors, and changes in marital status) with two doctors' approval under the MTP Act 2021. Procedures include medication (mifepristone/misoprostol) or surgical methods (vacuum aspiration/dilatation and evacuation), with safety prioritized throughout. RCOG RCOG +4 Key Aspects of Abortion Care (Up to 24 Weeks) Legal Framework (India): The 2021 amendment allows abortions up to 24 weeks for vulnerable groups, including survivors of sexual assault, minors, and those with changed marital status. Procedures: Medical Abortion: Commonly uses a combination of mifepristone and misoprostol, often used up to 10–12 weeks, though sometimes used later under supervision. Surgical Abortion: Dilatation and Evacuation (D&E) is common for second-trimester (13–24 weeks) abortions. Safety and Care: Second Trimester Care (14-24 weeks): Involves ultrasound to measure fetal growth and check for anomalies. Aftercare: Involves monitoring for complications like heavy bleeding or infection. Emotional care is essential due to hormonal shifts, which can lead to low mood or anxiety. Medical Board: For cases involving substantial fetal anomalies, a medical board's opinion is required for termination beyond 24 weeks.