What is a termination of pregnancy / abortion?

What is a termination of pregnancy / abortion?

Termination of pregnancy (abortion) is a treatment to end an early pregnancy. The pregnancy is ended either by taking medicines or having a surgical procedure.

When an abortion can be carried out

When an abortion can be carried out

Terminations in England usually happen before 24 weeks of pregnancy, most often before 12 weeks. However they can be carried out after this time under special circumstances such as if the mother’s life is at risk or if the child would be born with a severe disability. The length of pregnancy is calculated from the first day of your last period.

Getting advice early will give you more time to make a decision if you are unsure of what to do.

What to expect

What to expect

The process usually starts with an appointment to talk about your decision and what happens next.

There are 2 options:

Medical abortion

A medical abortion involves taking 2 tablets. The first tablet is called mifepristone. This blocks the hormone needed for the pregnancy to grow. The second tablet is called misoprostol, this should be taken 24-48 hours after the first tablet. It causes a softening and opening of the cervix and contractions of the womb. This causes the body to expel the pregnancy from the womb. You may need to take some painkillers at the same time.

More information will be given to you by your abortion provider.

Surgical abortion

If it is not safe to provide a medical termination, or you prefer a surgical procedure, you can have a surgical abortion. This usually takes place under general anaesthetic when you are asleep, although some services may offer a local anaesthetic for pregnancies under 12 weeks. It involves removing the pregnancy through the cervix and the vagina, usually using a suction method. It is a relatively quick procedure and can usually be done as a day case.

After a medical or surgical abortion

After an abortion, you’ll probably need to take things easy for a few days. It’s likely you’ll have some discomfort and vaginal bleeding for up to 2 weeks. Many people can also feel upset after a termination and it is important to seek support from others.

Risks of an abortion

Risks of an abortion

Abortion is a safe procedure. Abortions are safest, and happen with less pain and bleeding, when carried out as early as possible in pregnancy.

Most women will not experience any problems, but there is a small risk of complications, such as; infection, excessive bleeding, damage to the womb or entrance of the womb (cervix).

Having an abortion will not affect your chances of becoming pregnant again and having normal pregnancies in the future.

You may be able to get pregnant immediately after an abortion. You should use effective contraception if you do not want to get pregnant again.

How to get an abortion

How to get an abortion

Terminations are available under the care of an NHS hospital or a licensed clinic and are usually free of charge with the NHS.

There are four ways to get a termination of pregnancy with the NHS in Devon:

  1. Speak to your GP and ask for a referral to a termination of pregnancy service.
  2. You can contact us and ask for a referral. We’d be happy to talk you through the options that are available to you.
  3. Alternatively you can self-refer, free of charge, to Marie Stopes UK which has a branch in Exeter. This service offers medical abortions up to 10 weeks and surgical abortions in Bristol. The 24 hour advice line is 0345 300 8090. They offer an “at home abortion pills” service or a face to face service, whichever is most appropriate.
  4. If you are a resident in the Torbay area you can self-refer to the Torbay Pregnancy Advisory Service (ToPAS). This is an NHS service, that offers medical abortion up to 10 weeks and surgical abortions in Torbay (usually) or Exeter. You can access ToPAS by calling 01803 656500.

It is also possible to self-refer to BPAS (nearest branch is in Taunton). However this will incur a fee as they are not able to offer an NHS service to non-local residents. To contact BPAS call 03457 30 40 30.

How quickly can I get an appointment?

How quickly can I get an appointment?

If you self-refer to either Marie Stopes UK or ToPAS they will offer a telephone consultation within 24 hours. If you call your GP or Devon Sexual Health they will try to book you a hospital appointment as soon as possible. Most abortions occur before 13 weeks of pregnancy but some do take place after this. It is important that you contact a healthcare professional as soon as possible to discuss your options.

Terminations during the Covid-19 pandemic

Terminations during the Covid-19 pandemic

As a response to the current Covid-19 pandemic, the government has temporarily approved the use of telemedicine in some situations to allow safe abortion care to be provided in the home. This means some abortion care services are able to provide an initial consultation over the phone, and if it is safe to do so they can either send out medicines, or they can be collected, to be taken at home without the need to see a healthcare provider face to face.

It is only safe to do this if the pregnancy is under 10 weeks in duration (Up to 9 weeks and 6 days since the first day of your last normal period) and you have not been on any hormonal methods of contraception which could make it difficult to accurately date the pregnancy. Also if you are unsure when your last period occurred, or it was unusual in any way you may need a scan first to determine how far the pregnancy has progressed.

If you are unsure about your dates, over 10 weeks pregnant or feel you would not be suitable for a “telemedicine at home abortion” you may still obtain an abortion in the usual manner as detailed above.

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Accessing our service during the COVID pandemic

How to access our service:

We have now implemented a telephone triage system for all of our clinics. This system will be in place for the duration of the pandemic. Please contact our services to access this triage system. Our central telephone number is 0300 303 3989.

If you are experiencing symptoms of Coronavirus please do not attend the clinic. Clear advice for people with symptoms of coronavirus is available at nhs.uk/coronavirus .

Advice from our service:

We have updated information on the provision of routine contraception during this pandemic here.

If you need the combined contraceptive pill please try (if you can) to get updated measurements of your height, weight and blood pressure before calling us.

We are currently prioritising these groups for coil and implant (LARC) fits:

  • Those with vulnerabilities including but not limited to those who are: <18, attending abortion and maternity services, homeless, sex workers, victims of sexual assault, people with language barriers, drug and alcohol problems, learning disability, serious mental illness
  • Those aged <30 years

More details on LARC fittings at our service are found here

There is also specific advice on coronavirus available for People Living with HIV here, and for pregnant women here

Self-requested Sexual Health screening by post is available for for under 25s only - more info here

For others with testing requirements please contact the service on 0300 303 3989.

Information is now also available to advise on sexual contact during a time of social distancing here.

Alternative provision:

Please be aware that we may have to cancel, rearrange or shut clinical services in response to changing clinical and staffing pressures created by the Coronavirus pandemic. 

If you are struggling to access sexual health services, alternatives may be available:

  • Emergency Contraception - at your local pharmacy - more info
  • Contraceptive pills and LARC procedures - obtained from your GP
  • HIV postal testing - available to at-risk groups for a small fee -  more info
  • HIV PEPSE - available via A+E departments - more info
  • Condoms by post (for gay and bisexual men only) - more info