If you or a loved one are considering an abortion, you likely have a variety of questions about the procedure. Whether you want to know the process, possible risks or recovery, we have pulled together the answers to some of the most frequently asked questions here to inform and put your mind at ease.
An abortion is when a pregnancy is ended and does not result in a live birth. It is otherwise known as a termination of pregnancy. It should be noted that there is a difference between a spontaneous abortion (a miscarriage) and an induced abortion which is chosen for various medical and ethical reasons.
There are different laws regarding the right to legal abortion in the UK. The 1967 Abortion Act sets out the legal grounds for abortion in relation to England, Scotland and Wales only. This act states that an abortion is legal if the pregnancy is less than 24 weeks and two doctors agree that the abortion can be carried out. The two doctors need to agree that one or more of the following apply:
How doctors interpret the law will depend on their feelings about abortion. Some doctors may take the woman’s social and economic circumstances into consideration.
As mentioned, the majority of abortions will take place within 24 weeks of the pregnancy. However, a legal abortion can be obtained after 24 weeks, but these are relatively infrequent. An abortion can only go ahead after 24 weeks when two doctors have agreed there is a serious threat to the pregnant person’s life or in cases of serious foetal disability.
The Offences Against the Person Act of 1861 criminalises abortion in Northern Ireland. However, a legal abortion can be obtained in the most exceptional circumstances under the Protection of Life During Pregnancy Act 2013.
Any woman or girl, married or single, can have an abortion if the reason is one of those outlined in the law and the required number of doctors certify the procedure. If you have decided that you definitely want an abortion, say so firmly and explain your reasons.
As soon as a woman has missed a period, a pregnancy test should be done to confirm her pregnancy. As soon as pregnancy is confirmed, an abortion can be carried out as long as she is sure she does not want the pregnancy to continue. Very early abortions can occur soon after the woman has missed her first period.
Most hospitals and clinics will not consider termination beyond 18-20 weeks. If you are considering having an abortion, you should seek your doctor’s advice as soon as possible. An ultrasound scan is used to pinpoint the pregnancy’s exact stage. There are time limits to abortions, so the sooner you seek help, the better.
A qualified doctor must carry out abortions in an NHS hospital or a clinic/nursing home approved for abortions by the Department of Health.
When speaking to your GP, they may recommend an approved clinic that you should get in contact with if you express your wish to proceed with a termination. Alternatively, you may wish to do your own research. Approved and high-quality service providers with clinics across the UK include BPAS (British Pregnancy Advisory Service) and MSI United Kingdom. A simple phone call consultation will help you with the initial discussion and ensure you get booked in with a professional at one of their clean and safe clinics.
The law in England, Wales and Scotland says that no doctor or nurse must help with an abortion if they have a moral objection to the procedure. Suppose your doctor will not consider your request for an abortion on personal, moral or religious grounds. In that case, you can ask to be referred to another doctor who is willing to give advice and help.
Alternatively, you may seek help and advice directly through an approved clinic, as we have already touched upon.
The ease of having an abortion will depend on the reasons and how far into the pregnancy you are. Abortions up to about 12 weeks are a relatively simple operation. After this period, it becomes more complicated and risky for the woman. Because of the risks that may be involved, doctors are less likely to carry on with the request for an abortion after 12 weeks. If a woman lives in an area where it is not easy to get an N.H.S. abortion, it may be easier for her to pay the fees herself at a suitable private clinic.
In Northern Ireland, it is very difficult to get a legal abortion. In 2016 the Irish Department of Health said there were 25 legal abortions carried out in Ireland. While in the same year, 3,265 women travelled from Ireland to the UK for a termination. However, you can access free abortion care in England, and some clinics will help you to arrange travel and overnight accommodation to ensure you access safe care.
Most abortions undertaken in England, Wales and Scotland are provided free by the N.H.S. following a referral from two doctors. There are usually waiting times, but you shouldn’t have to wait more than two weeks from your initial appointment. In some areas, it may be challenging to get a free abortion, with very few consultants willing to accept abortion cases.
Some women choose to use a clinic run by an abortion charity or a private clinic to avoid this waiting period. Most can still offer an NHS–funded procedure if you are eligible. If you are paying privately, fees can vary from £300 to £2000 depending on the clinic, stage of pregnancy and the method used.
All doctors’ visits are confidential even in cases where the woman is under 16 years of age. All staff working at hospitals, clinics and surgeries are under strict confidentiality rules, and information about abortion does not go on your medical records.
If a girl under sixteen wanting an abortion shows she can understand what is involved in the process, she may give her own consent. The doctor will encourage the girl to involve her parents because they will need support emotionally and sometimes physically.
Some doctors are not prepared to undertake an abortion for a girl under sixteen without her parent’s consent. If the girl is certain she will not tell her parents, then the doctors will have to decide if the girl is mature enough to understand what she is doing. If the doctors do not believe the girl is mature enough, they will require a suitable guardian’s consent.
Anyone over sixteen has the right to consent to medical treatment, including abortion.
The law at present states the father’s consent is not needed for an abortion to be carried out.
Whether you are certain you want to proceed with abortion or are having difficulty making a decision, you should be offered impartial advice and support from a trained pregnancy counsellor. This can be obtained from your GP practice, a counselling service at an abortion clinic or various organisations and charities such as BPAS, MSI UK, Brook, and NUPAS.
You may want to discuss the option of abortion with your partner, family or a friend. However, they will not have a say in the final decision.
There are two commonly used methods to terminate a pregnancy. These are referred to as a ‘medical abortion’ and a ‘surgical abortion’.
Medical abortion is when an abortion pill is used in the first nine weeks of pregnancy and does not involve any surgery. During a medical abortion, the woman is given a course of 2 different types of tablets. After taking the first tablets, the woman will have to return to the hospital or clinic 48 hours later to have the other tablet placed in her vagina (like a vaginal thrush pessary). These drugs usually result in the woman having a miscarriage within six hours. The woman will experience symptoms like a heavy and painful period.
Most abortions before 13 weeks are by ‘vacuum aspiration’ (the suction method). A local or general anaesthetic is required. During a vacuum aspiration abortion, a thin, round tube is eased into the uterus (womb) through the cervix – the passage that links the vagina to the womb. Suction is applied to remove the contents of the uterus, and the pregnancy is terminated. This method will not involve any stitches, so there is no wound. Most healthy women can go home the same day.
The type of abortion you are offered will depend upon the pregnancy’s length and the facilities available at your chosen hospital or clinic. There are a few other methods for later abortions, which your doctor will discuss with you.
A visit to the doctor about two to three weeks after the abortion will be necessary to ensure all is well and to ensure the abortion is complete.
Most women feel well enough to return to work and other commitments a day or two after treatment. Sexual intercourse can resume as soon as they feel sufficiently recovered. Although it should be noted that a new pregnancy can occur immediately after treatment, contraception is advised.
The recovery from an uncomplicated abortion is usually fairly quick. Some women experience bleeding for one to two weeks after the procedure, and sanitary towels are recommended for use during this time. With surgical abortion, some women may not experience any bleeding until their next period, which is also normal.
Most women will not experience any problems or issues when having an abortion. However, they are safer the earlier they are carried out. Please note there is a small risk of complications, such as:-
Having an abortion should not affect a woman’s fertility.
You may experience some emotional problems. If you ever need to talk, your doctor or a professional counsellor will help as much as possible.
For further help and advice on an unplanned pregnancy or if you have concerns following an abortion, call British Pregnancy Advisory Service (BPAS) on 03457 30 40 30. The call will be charged at a local rate.