Can I have a normal delivery after a previous C-section (VBAC)?

Vaginal birth after cesarean (VBAC) may be possible in selected cases, depending on factors such as the previous uterine incision, reason for the earlier C-section, and current pregnancy status. It is considered after careful evaluation and in a setting with appropriate monitoring and emergency care.

What are the signs of labour?

Common signs of labour include regular increasing contractions, water breaking, lower back pain, pelvic pressure, and passage of mucus or blood-stained discharge. If contractions become regular and painful, your water breaks, or you notice reduced baby movements or unusual bleeding, it is advisable to seek medical evaluation.

Is epidural safe during normal delivery?

Epidural analgesia is a commonly used and generally safe method of pain relief during labour when administered by trained professionals. Its suitability depends on individual clinical factors, so discussing the benefits and risks with your obstetrician and anaesthetist is important.

How can I increase my chances of a normal delivery?

The mode of delivery depends on individual clinical factors, but regular antenatal check-ups, a balanced diet, staying active as advised, and managing medical conditions may support a smoother labour process. Antenatal education, understanding labour, and discussing a birth plan with your doctor can help you feel more prepared, and your obstetrician will guide you based on your pregnancy.

How long does labour last?

The duration of labour varies for each woman and may last approximately 8-18 hours in a first pregnancy, often being shorter in subsequent pregnancies. Labour progresses through stages, and its duration depends on individual factors, with monitoring used to assess the well-being of both mother and baby.

Is normal delivery possible after cervical cerclage?

Vaginal delivery may be possible after cervical cerclage once the stitch is removed around 36-37 weeks of pregnancy. The final mode of delivery depends on individual factors such as the type of cerclage and pregnancy progress, and your obstetrician will guide you accordingly.

When to start exercises for normal delivery?

Gentle exercises during pregnancy can usually be started after medical evaluation, often in the second trimester if there are no complications. It is advisable to follow exercises recommended by your doctor or a trained antenatal specialist based on your individual pregnancy

Safe Abortion in Thane

Safe Medical Termination of Pregnancy (Abortion) in Thane

If you are facing an unplanned pregnancy, a consultation can help you understand available options. Care is provided with attention to medical safety, privacy, and informed decision-making.

Dr. Nikita Kulkarni, an obstetrician and gynecologist in Thane, offers evaluation and management based on gestational age, medical history, and individual preferences.

What is Medical Termination of Pregnancy?

Medical Termination of Pregnancy (MTP), also known as medical abortion, is a legal way to end a pregnancy using prescribed medical treatment under a doctor’s supervision. It is usually considered during the early weeks of pregnancy and may be allowed later in specific situations under the Medical Termination of Pregnancy (MTP) Act, 1971, as revised under the 2021 Amendment Act. MTP may be advised for failure of contraceptive technique, risks to the mother’s health, or serious fetal abnormalities.

When is MTP Considered?

Risk to the mother: Continuing the pregnancy may pose significant risks to the woman’s life or well-being
Fetal Abnormalities: When there is a high chance that the baby may develop severe physical or mental abnormalities
Contraceptive Failure: When pregnancy happens even after using contraceptives
Rape: Pregnancy resulting from rape, which may have a significant impact on mental health.

When to Seek Medical Attention After Abortion

If you notice any of the following symptoms, seek medical advice promptly.

Heavy Bleeding: Heavy use of at least two large pads in two hours in a row
Extreme Pain: Severe pain in the abdomen or the back which is unresponsive to medications
Infections: Fever persisting beyond 24 hours of using medicine or the presence of foul vaginal discharge
No Blood Loss: Minimal or no bleeding after taking prescribed medication (as advised by your doctor)
Continued Symptoms: Persistent vomiting preventing medication intake
Overall Health: Weakness, dizziness, fainting, and increased heartbeat

Risks and Possible Complications of MTP

Understanding any potential risks and outcomes will enable you to make an informed choice:

Haemorrhage: It is possible to lose too much blood in certain instances
Incomplete abortion: You might require further medical or surgical care
Infection of the reproductive tract: It could become infected if not managed in time
Injury to the cervix or uterus: This is rare but may occur during the procedure
Allergic reaction to medication: In rare cases, the body may occasionally react to the prescribed medication

Legal and Medical Eligibility for Abortion in India

Medical termination of pregnancy in India is governed by the MTP Act (amended 2021). The decision is based on gestational age and clinical evaluation.

Up to 20 weeks: Opinion of one registered medical practitioner (RMP)

20–24 weeks: Opinion of two RMPs for specified categories (including survivors of sexual assault, minors, change in marital status, etc.)

Beyond 24 weeks: Permitted only in specific cases of substantial fetal abnormalities with approval from a state medical board

Consent: Consent of the pregnant woman is required. Partner or family consent is not required For minors (<18 years) or mentally ill individuals, guardian consent is required

Confidentiality: The identity of the woman is protected under the law and must be kept confidential.

Evaluation & Medical Consultation Before MTP

The following basic examinations are performed to establish safety and determine appropriate procedures:

Review of Medical History: Doctor reviews previous medical conditions such as coagulation problems, heart disease, or drug allergy before performing abortion.
Ultrasound Examination: Ensures pregnancy, determines the duration of pregnancy, and excludes ectopic pregnancy
Laboratory Examinations: Includes blood tests for haemoglobin levels, Rh group, and a urine test for infections
Physical Examination: Examination of the pelvic cavity to evaluate uterine size and the presence of infection

Methods of Medical Termination of Pregnancy (MTP)

There are two major methods employed depending on the medical need and gestation age of the pregnancy:

Medication Abortion: Makes use of pills to terminate the pregnancy
Surgical Abortion: This is a simple surgery that is usually performed under local anaesthesia, short sedation or general anaesthesia, depending on the situation which includes surgical procedures like vacuum suction and D&C

What to Expect Before, During, and After the Procedure

Understanding each step involved in medical termination of pregnancy helps you feel informed, prepared, and confident about the procedure.

Before the procedure: Consultation, reviewing medical history, and an ultrasound are performed. Medications can be given to get your cervix ready
During the procedure: The process depends on the method advised by the doctor. In a medical abortion, prescribed treatment causes cramping and bleeding as the pregnancy tissue passes naturally. During a surgical abortion, pain management measures are provided, and vacuum aspiration is commonly used to remove pregnancy tissue. Mild cramping and pressure may be experienced in both medical and surgical methods.
After the procedure: Light cramps and bleeding might occur. Aftercare is recommended. Call for help in case of heavy bleeding, cramps or fever

How Dr. Nikita Kulkarni Provides Confidential Care in Thane

Skilled Specialist:
Dr. Nikita Kulkarni specialises for safe abortion in Thane with over 12 years of collective experience in the field of women’s health

Approach to Patient Care:
Care is given based on clear communication and evaluation and respecting patient privacy and confidentiality

Wide Scope of Work:
She is renowned for safe medical termination of pregnancy in Thane, dealing with complicated cases, menstrual problems, PCOS/PCOD, fibroids, menopause, and other gynaecological problems

Specialised Treatment Techniques:
Has been trained in minimally invasive surgery, laparoscopic surgery, and robotic surgery

Prevention and Early Diagnosis:
Helps in the early diagnosis and prevention of women’s health problems such as cervical cancer

Dr Nikita Kulkarni - Consultant Gynaecologist

Frequently Asked Questions

Is abortion safe?

Medical termination of pregnancy is generally considered safe when performed by a qualified doctor in an appropriate medical setting and within recommended guidelines. As with any medical procedure, there may be certain risks, and your doctor will guide you based on your individual condition.

Up to how many weeks is abortion allowed?

In India, medical termination of pregnancy is permitted up to 20 weeks with the opinion of one registered medical practitioner, and up to 24 weeks in specific circumstances with the opinion of two practitioners. Beyond this period, it may be allowed in certain cases of significant fetal abnormalities with approval from a medical board, as per current guidelines.

What are the types of abortion?

The choice of method depends on the stage of pregnancy and individual clinical factors, and your doctor will guide you accordingly.

Is abortion painful?

Cramping and discomfort are common during and after abortion, and the intensity can vary depending on the method used and individual sensitivity.

What precautions should be taken after abortion?

After an abortion, it is important to take prescribed medications, maintain hygiene, and avoid strenuous activity or intercourse for a short period as advised. Seek medical care if you experience heavy bleeding, fever, severe pain, or unusual discharge.

When will periods start after abortion?

Timing may vary between individuals. If menstruation does not resume within 4-6 weeks or if you have concerns, it is advisable to consult your doctor.

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