What is the procedure for Abortion?

In Indian Medical Termination of Pregnancy is legal under certain conditions. It is important for us understand the procedure for abortion.

 

For abortion or also known as Medical Termination of Pregnancy (MTP), the woman needs to fill a consent form called ‘Form C’.  Only the consent of the women is required for performing the medical termination.

The woman is provided with a medicine kit containing mifepristone and misoprostol.  These medicines are best helpful in first 12 weeks (1st Trimester of abortion).

The doctor properly explains how to utilise these medicines as it is important to take these medicines in a proper way and under the doctor’s guidance

miso-and-mife

Procedure:

  • Day 1:One 200 mg tablet of Mifepristone is taken
  • Day 3 (between 24 to 48 hours):Misoprostol pills of 200 mcg each (total of 800 mcg) are given orally or vaginally.
  • Day 14 – 15:Person returns for a post-treatment examination to affirm that a complete end of pregnancy has happened.

The doctor would recommend to come back for an ultrasound check up after 15 days. Then get an ultrasound (abdomen) done because it is important to find out if the abortion is completed and women is safe.

These medicines don’t have any side effects but should be always taken under the doctor’s guidance.  It is always better to see if the clinic has displayed the certificate for medical termination practice. One needs to be careful from quacks or unregistered doctors.

#OpenPockets : Conversations with young people on sexual well being

In 2018 , Hidden Pockets is conducting events in Bangalore with service providers with an aim to bring an audience of young people to the service providers and have open conversations around issue of health and young people. We call it the #OpenPockets.

A place where we come and talk about our sexual well-being and at the same time get a chance to talk about some of the myths and fears we have around sexual health.

a purse with things spilling over.

It is a great chance to meet counsellors and doctor and have some conversations with them to demystify some of the doubts we have around sexual well-being.

Where to find abortion clinics in North East? Kohima!

What do you expect when you’re about to visit a Family Planning Association of India clinic for the first time. You don’t know what to expect. I was at home, visiting one of cities of North East, trying to figure out if I could  find a good health clinic.

I took a bus from BOC point and headed to main town. From there, I got out of the bus and started walking as the traffic jam was massive. It wasn’t much of a challenge finding the clinic as I was initially given the address from which I clearly remember the name of the colony it stood in- Daklane. And as I reached the colony, the first person I met, I asked where Reproductive Health and Family Planning clinic is and he directed me perfectly and I didn’t need to ask anyone again on my way.

 

The moment I reached the clinic, I stretched my neck as it stood at a peak, and realized just how normal the clinic was and how though I’ve been to the colony many times I never really saw this yellow structure with huge billboards on Reproductive Health and Family Planning.

As I climbed up the stairs and entered, I was greeted by the head, who then took me to his office and after a brief conversation, introduced me to his team who will tell me about the clinic and answer my queries. It didn’t feel like I was in an alien place and though it was my first time I felt familiar with it.

The team took me through the process of the clinic right;

Registration,
Immunization (for children),
Counselling,
OPD and so on.

I was told they get about 250 patients coming in every month from all age groups. The number however used to be higher but because of the change in the consulting doctor who was liked by many and with whom many found comfort, had to take leave for further studies. He had a great rapport with the patients and was always the preferred one. Two doctors are currently in chair, one a male and the other a female. They take turns and are available through Monday to Friday. They have also through time have gained trust of patients and the number of visiting patients are increasing.

The clinic follows a No Refusal Policy.

Where though most treatments are FREE, for the few where fees are imposed is also not considered mandatory and if a patient is unable to pay, he or she is relieved from having to pay at all. The fee for MVA which is for safe abortion is two thousand rupees, covering all expenses like meds, procedure, full doses required. Again, even if the patient is unable to pay they will still treat her without payment.

They provide free contraceptives, and also conduct other long term procedures like coppertine, sterilization (both female and male).

The clinic not only receives patient from Kohima but all over Nagaland. Doctors from other districts and villages refer them to the clinic. Even government hospitals like Naga Hospital, Kohima refers patients to the clinic. Apart from these, they also provide Hepatitis B and C services. The clinic also have a good amount of HIV and IDU patients. Apart from such in house treatments, they also cater to an adolescents program called Adolescents Education Program, where they visit government schools and less privileged private schools, and hold comprehensive sexuality program. They conduct events and programs in order to share information on the same and create awareness. They also hold monthly musical program called Top Acts on every 4th Saturday in order to create a positive space for the same. The day I visited the clinic, an abortion was underway. It was the first time in my life that I stood next to a room where an abortion was underway. And rather than feeling anything else, I only worried if the patient is doing okay. And hoped she’d be fit both physically and mentally soon.

 

As I took my leave and was on my way out a young girl working there offered me tea, and as I came out of the clinic, it was just a normal day again. The clinic has two exits and entrances making it easier for patients to take whichever is best directed to their house or bus/taxi station. Just a couple of minutes of walk away is the bus stop and taxi station.

 

Writer : Sekulu Nyekha

What happens when a gynaecologist, a poet and a man walk into the room?

If you are unable to find the service, please do write to us.

Write to us at hiddenpocketsinfo@gmail.com
Call us at +918861713567

 

 

 

 

 

 

 

 

With four lovely performers and three speakers, Hidden Pockets and Krantikalli for #Sep28 campaign took this initiative to bring young people together and talk about Women’s Health and the City. The best part was that we had a gynecologist with us as a speaker. Dr. Suchitra is a medical officer for Family planning Association of India at the Delhi branch. Having a gynecologist among us made the audience very excited. The youngest in the crowd was a 16 years old performer.

The event was conducted at the Playground Creative House in Defense Colony, Delhi. The event started with two of the lovely performers reciting their poems. Brindalakshmi through her poems voiced the need for Red Lipstick, as if every women in the room was dying to put the red lipstick but was scared.  Anuradha recited her poetry in Hindi wherein she connected various different women and their struggles with health. Ankita spoke about body shaming and loving our own bodies while Amia brought a young adolescent’s anxieties into the room. The room was filled with an aura where we all had some questions to be answered. We all could connect with the poems, and we all connected with each other.

To the make the evening more interesting, we had our speakers next.  We had three speakers, Aisha from Hidden Pockets Collective, who mapped public health centers, and is a single women staying in a metropolitan city, went first. Second was Nitin, a man in a women’s meet, who spoke about how important it is to be a part of such discussions. As a partner, a brother and a friend, he wanted to be more engaged in these issues and be more sensitive to such issues. And third was the gynecologist, Dr. Suchitra.

 

 

The conversation was mostly focused on discussing public health centers and how difficult it is for women to access health centers, followed by sharing of experience on how it felt to visit Family Planning Association for the first time. Nitin shared his experience about visiting clinics and understanding how important it is to visit these centers with your partners.  And then we had the gynecologist talking about safe abortion, about how it is a women’s right to get a safe abortion and also about myths related to abortion.

Slowly the audience in the room started opening up. And then one by one we had the women asking questions. There was an excitement as well as seriousness in the room. Excitement because women were finally asking questions directly to a gynecologist and seriousness because all were paying attention to what the doctor was saying. The questions were related to periods, methods to contraception, pregnancy, safe abortion etc..

The audience also got to know about FPAI (Family Planning Association of India).  FPA India envisages sexual and reproductive health for all as a human right, including gender equality leading to alleviation of poverty, population stabilization and sustainable development. They have clinics around India such as in Delhi, Agra, Ahmadabad, Bangalore, Chennai, and Mumbai. We got to know how  FPAI follows ‘No Refusal Policy’ and also about how it gives importance to “after care” post having abortion and helps the person in understanding choices to contraception.

To sum up the beautiful evening, we had our performers recite their amazing poems. By the end a few still had questions, few looked content and while a few others were still in that fascinating aura.

Hidden Pockets Collective would like to thank out host partners @Krantikaali for helping us conduct this event in Delhi.

Pic credit: Riya Singh

 

 

 

 

 

 

 

 

 

Where do rape survivors go in Kerala to get help?

As part of empowering women, Kerala state had established 21 Bhoomika Centers to support women affected by violence in private and public places, within family, community and workplace. For now, these Bhoomika Centres work as referral centres, the idea is to convert them into 24*7 One Stop Crisis Centers for rape survivors.


Health Minister of Kerala, K K Shylaja has said that ‘one stop crisis centres’ for providing help to victims of sexual harassment would be set up in four districts this year.

Post the sexual assault incident in Cochin, focus is back on making cities in Kerala more safer and inclusive for women. As part of Nirbhaya fund, One Stop Crisis Centers were introduced as a one stop for rape survivors to access all facilities ( legal, medical, counselling and shelter accommodation referral). Kerala is seeking centre’s help to establish these.

As part of One Stop Crisis Centers, SAFE kit is introduced as per Kerala media-legal protocol.

The kit, designed jointly by the Health Department and the National Health Mission, has been developed by Kerala Medical Services Corporation.

The Sexual assault forensic evidence (SAFE) kit for doctors that would help them collect all samples in sexual assault cases.The kit has been introduced as in most cases non-availability of forensic evidence weakens the prosecution case. The kit consists of set of items used by medical personals for gathering and preserving physical evidence following a sexual assault.

All these are good measures introduced by the state government. It is only time, and effective implementation of these measures that would tell us, if One Stop Crisis Centers have been effecting in helping rape survivors.