Therapeutic termination of pregnancy Tunisia
What is a therapeutic termination of pregnancy or ITG ?
Therapeutic termination of pregnancy (ITG) is a medical intervention aimed at terminating a pregnancy exceeding 12 weeks for therapeutic reasons. It is carried out when the continuation of the pregnancy represents a danger to the health of the pregnant woman or when the fetus suffers from a serious and incurable illness at the time of diagnosis.
This procedure is strictly regulated by law and requires the advice of two specialist doctors. It must be carried out in an approved healthcare facility. ITG is distinguished from voluntary termination of pregnancy (abortion), which is a personal decision by the woman to terminate her pregnancy.
What are the legal conditions for an ITG in Tunisia ?
In Tunisia, ITG is authorized by Law No. 2016-61 when the pregnancy endangers the health of the woman or the fetus is affected by a serious and incurable illness. The decision is made by a medical committee before the 22nd week of amenorrhea, with exceptions. The ITG must be carried out in an approved establishment with the informed consent of the woman and can be covered by social security under conditions.
How to calculate gestational age in months and weeks?
To determine the number of weeks pregnant, it is necessary to know the date of your last period and count on a calendar the number of weeks that have passed between that date and the current date. This number will correspond to the number of weeks of pregnancy.
For example, if the current date is June 23 and a woman had her last period on April 15, she should have a total of 69 days since her last period. Dividing this number by 7 (the number of days in a week) will give her a gestational age of 9 weeks and 6 days, with 6 being the remainder of dividing 69 by 7.
The doctor can also tell you the corrected gestational age, that is, the date suggested by the ultrasound. This date is generally considered more accurate and helps predict the likely date of delivery.
Calculation of gestational age based on the date of the last menstrual cycle is a common method used in obstetrics.
Pregnancy Age Calculator
What is the difference between an ITG and an IVG ?
ITG and IVG are two different procedures. ITG is performed for medical reasons when the pregnancy endangers the woman's health or the fetus suffers from a serious and incurable disease. Abortion is a personal decision of the woman to terminate her pregnancy for reasons specific to her. ITG is regulated by law and requires the opinion of two doctors, while IVG is authorized up to a certain stage of pregnancy.
How does a therapeutic termination of pregnancy take place ?
In Tunisia, surgical ITG consists of dilating the cervix and aspirating the uterine contents under anesthesia. The procedure includes preparation, dilation, aspiration, verification and medical monitoring. It is practiced in an approved establishment and can be covered by social security under conditions. It is essential that the pregnant woman is informed and supported.
Is ITG painful ?
ITG can be painful, but the level of pain varies depending on the method used and individual tolerance. Analgesic medications are given to relieve pain. It is important to discuss pain relief options with your doctor before ITG and to follow medical instructions for managing pain after the procedure.
What are the risks associated with an ITG ?
Risks associated with an ITG include excessive bleeding, infection, damage to the uterus, increased risk of miscarriage or premature birth in future pregnancies, reactions to medications, and psychological impact. It is important that the pregnant woman is informed of these risks before making an informed decision and that medical precautions are taken to minimize these risks.