MTP and Contraception


What it means? 
It means termination of an ongoing pregnancy for various medical reasons:

Who are suitable candidates?

  • Women with less than 10 – 11 weeks pregnancy where pregnancy has resulted as a result of contraceptive failure, rape, or there are substantial risk to the life or health of baby or mother.
  • Women with 20 week pregnancy with abnormal baby or life threatening complications to mother.

Who should not get MTP?

  • First pregnancy
  • Conceived after treatment
  • Women above 20 weeks

What are its main steps?
There are two methods. Medical and surgical


Medicines are given to interrupt pregnancy. Abortion occurs the natural way.


  • No surgical or anaesthesia is required.


  • Abortion may remain incomplete and may require a surgical method to complete.
  • Takes many days to complete treatment
  • Long term complications are similar with both methods



Minor surgical intervention is done to interrupt pregnancy. Some anaesthesia is also given.


  • Quick, time tested and reliable method.


  • Abortion may remain incomplete and may require a repeat procedure to complete.
  • Long term complications are similar with both methods like infection, infertility pain and bleeding

Legal implications:

  • MTP is legally allowed in India (MTP act 72). It has to be done at a recognized place by qualified doctors. MTP after any sex selection is a crime under PCPNDT act. MTP by an unqualified health professional and at unauthorized place is illegal.


What it means?

  • Any method used to avoid an unwanted pregnancy

Who are suitable candidates?

  • All sexually active couples not wanting to conceive.
  • All couples with any partner having sexually transmitted diseases.

Who should not use contraception?

  • Couples trying to conceive.
  • Couples not staying together.

What are the main methods?

    • I. Natural methods -like safe period and coitus interruptus.
      • Advantages:- natural, no side effects
      • Disadvantages:- require lot of self-control and thus high failure rate, do not protect against sexually transmitted diseases


    • II. Barrier methods-e.g. condoms and diaphragm
      • Advantages:- no side effects, protect against sexually transmitted diseases
      • Disadvantages:- interrupt normal action, needed to be used every time high failure rate


    • III. Intrauterine device- e.g. Cut
      • Advantages:- highly effective, one time insertion, no interference, 5 to 10 years
      • Disadvantages:- side effects like bleeding, pain may be there, need a medical person to insert and remove,


  • IV. Hormonal – pills, injections, ring, etc.
    • Advantages:- highly effective, well studied, safe
    • Disadvantages:- need prescription and supervision, have side effects in some, cost