Unexpected pregnancy (unplanned pregnancy)

unexpected pregnancyUnexpected pregnancy

More than half of all pregnancies are unplanned. If a woman is still not in menopause she can become a mother even when she is using birth control methods. There is no method of birth control except the abstinence that may help to prevent pregnancy 100% effectively.  The mistakes while using birth control methods also reduce their efficacy and increase the risk of pregnancy.

When to suspect that you are pregnant?

The following symptoms may be suggestive of a possible pregnancy:

  • Cramps that remind menstrual cramping;
  • Light bleeding/spotting;
  • Missed period;
  • Milky vaginal discharge;
  • Fatigue and tiredness;
  • Fainting and dizziness;
  • Sensitivity to odors;
  • Changes in tastes, food cravings;
  • Nausea and vomiting of pregnancy/morning sickness;
  • Breast tenderness and swelling;
  • Frequent urination;
  • Bloating and constipation;
  • Motion sickness;
  • Mood swings;
  • Headaches;
  • Back pain;
  • Temperature changes, increased basal body temperature;
  • Changes of the areola color;
  • Increased heart rate;
  • Unintended weight gain;

How to make sure whether you are pregnant?

The placenta – the organ which nourishes the fetus produces human chorionic gonadotropin (hCG). The elevated level of hCG may be detected in the blood 11 days after the fertilization and in the urine – after 12-14 days. Later the level of the hormone increases gradually until the 11th week of pregnancy and then decreases slowly.

The hCG urine test is the most simple method to detect the pregnancy.  Various over-the-counter kits (home pregnancy tests) or point-of-care devices are available.

The positive result of the test confirms the pregnancy. However, the negative test may not always be accurate, so it is recommended to repeat the test in a week. It is better to perform the test in the morning as the morning urine is more concentrated. The urine test has to be done by 10 days after a missed menstrual period.

A urine sample of about 60 mL should be collected in a sterile cup. The test strip has to be either immersed into the urine or the strip should be exposed to the urine stream while urinating. The method depends on the producer of the test, so a person should follow the prescript. The result will be ready in 5-10 minutes.

Sometimes this test may be false-positive or false-negative. So to make sure whether you are pregnant or not you should have an obstetrical ultrasound examination.

Pregnancy test

Pregnancy test 25 mIU/ml

What are the options if you are pregnant?

 

  • Parenting
    Talk with your partner, estimate your financial and emotional condition. Bringing up a child is a great responsibility and you should be ready to take it. There are various institutions that help young parents to deal with pregnancy and parenthood. Find the one in your place and feel free to ask for help. You can also find there phycologists and social workers that will help you to make a decision.
  • Adoption
    Adoption agencies will help you to find the adoptive parents for your child and will guide you throughout all the process. You may participate in choosing the parents to make sure that your baby will be raised in a good family.

 

  1. Abortion
    The abortion is legal only until the end of the first trimester. Later it may be performed only due to certain medical conditions. It is recommended to have it done as soon as possible, but it is important to take your time and make a pondered decision considering all the benefits and risks.
  • Vacuum aspiration
    The procedure lasts from 10 to 15 minutes. During it a tube is used to terminate the pregnancy via the suction of the uterus content.
  • Pharmacological abortion
    Mifepristone, progesterone receptor antagonist, should be used only until 63 days after the fertilization. Three days after the intake of mifepristone misoprostol should be taken. In combination these drugs terminate the pregnancy.