Pregnancy Pregnancy Complications Termination of Pregnancy for Medical Reasons When faced with life-threatening complications for the fetus or mother, couples must decide whether to terminate the pregnancy. Here's what you need to know. By Laura Riley, M.D. Updated on March 25, 2022 Share Tweet Pin Email Photo: Marcos Mesa Sam Wordley/Shutterstock If you've received heartbreaking news following your amniocentesis or other diagnostic tests, you may elect to terminate your pregnancy. Some parents make this wrenching decision after learning that their child will be born with a severe disability or a condition that will cause the child to suffer through potentially painful treatments for a disease that is incurable. Here’s everything you need to know about termination of pregnancy for a medical reason. Reasons for Termination of Pregnancy About one-fourth of women will have an abortion before they turn 45, according to the Guttmacher Institute. These abortions are often voluntary—for example, a woman may end the pregnancy if a child will interfere with her education plans, or if she doesn’t have the financial means to raise another person. Occasionally, however, couples must terminate a wanted pregnancy for medical reasons, like fetal abnormalities or maternal health issues. Preimplantation Genetic Diagnosis: Should You Get PGD? Fetal Abnormalities: Doctors conduct a few tests in the second trimester of pregnancy, including blood work and amniocentesis (testing of the amniotic fluid.) Occasionally, these tests can uncover a condition that could negatively impact the baby’s quality of life, or that could result in fetal death before birth or shortly after birth. Parents-to-be must decide, in these instances, whether they want to terminate the pregnancy. Some conditions that necessitate pregnancy termination include: Chromosomal abnormalities that can affect the child’s well-being, like trisomy 13, trisomy 18, Down syndrome, Turner syndrome, Tay-Sachs disease, and Potter's Syndrome Birth defects like certain forms of spina bifida, meningocele, kidney abnormalities, heart defects, and anencephaly (neural tube deformation that affects the brain). Babies with severe birth defects generally don’t live long after birth. Hydrocephalus (cerebral spinal fluid builds in the brain) Premature rupture of the membranes (your water breaks too early) Impending miscarriage Maternal Health Issues: A mother might face a certain health condition that could prove fatal to herself and/or her baby. These include placental abruption, cancer, hyperemesis gravidarium (severe morning sickness), infection, or advanced preeclampsia. Pregnancy termination might be recommended in such cases. RELATED: Types of Abortion Throughout Pregnancy Methods for Terminating a Pregnancy Most of the time, doctors terminate a pregnancy through standard abortion techniques. The exact technique used will depend on several factors, including your gestational age and the baby’s condition. Discuss these techniques with your provider. Medication abortions (abortion pills) are often used in the first 10 weeks of gestation. A woman will take two separate pills (mifeprex and misoprostol) to promote the body to thin the uterine lining and expel the contents. Most women experience heavy bleeding, clots, and cramming after a medication abortion—and other side effects like nausea, diarrhea, fatigue, and mild fever are also likely. Medication abortions are about 95% effective. The Abortion Pill: How Medication Abortions Work Doctors may also a vacuum suction technique (called vacuum aspiration) until the 16th week of gestation. A dilation and extraction (D&E) technique, which removes the fetus with suction and tools, can also typically used between 14-24 weeks. Both minimally-invasive procedures are more than 99% effective, but they must be conducted in a healthcare center or clinic. Side effects include bleeding and cramping. Late-term abortions, which happen if the pregnancy is life-threatening to the mother or complications prevent the baby’s survival, are generally scheduled inductions. Doctors will induce labor by injecting medication into the fetus, amniotic sac, vagina, or vein; the woman will go through natural labor and delivery. Finding Support After Pregnancy Termination Before making the decision to terminate your pregnancy, confirm the diagnosis and thoroughly discuss the possible extent of your child's disability. Your health care provider can help put you in touch with specialists who can provide specific information, including high-risk obstetricians, genetic counselors, therapists, pediatric surgeons, and developmental pediatricians. What New Abortion Laws Mean for Moms, Pregnant Women, and Women Who Want to Get Pregnant Perinatal social workers or therapists may also help prepare you for the onslaught of emotions that may accompany a pregnancy termination. After an abortion you can expect to feel weepy, angry, and exhausted, so having such support in place is essential for surviving this ordeal. You might also rearrange burial services with your doctor or the healthcare service. Updated by Nicole Harris Nicole Harris Instagram Nicole Harris joined the team in 2018 as a staff writer and was promoted to SEO editor in 2021. She now covers everything from children's health to parenting trends. Her writing has appeared in Martha Stewart Weddings, Good Housekeeping, The Knot, BobVila.com, and other publications. A graduate of Syracuse University, Nicole currently lives in Queens, New York with her husband. learn more Was this page helpful? Thanks for your feedback! Tell us why! Other Submit