Choices in pregnancy

On the previous page, we looked at different methods of contraception which can be used to prevent unplanned or unwanted pregnancy.

But what happens if someone does become pregnant, perhaps if their chosen method of contraception hasn’t worked for some reason or contraception hasn’t been used?

Think first!

Do you know what options are available if a person has an unwanted or unplanned pregnancy? Type some notes in the box below before you move on.

If a person has an unwanted or unplanned pregnancy, they can choose to have an abortion. This involves having a medical process to end the pregnancy (this is sometimes also referred to as a ‘termination’).

In an abortion, the pregnancy can be ended in one of two ways:

  1. Medical abortion: Two medications (known as the “abortion pill”) are taken, usually 24 to 48 hours apart. This medication will trigger a miscarriage to end the pregnancy.
  2. Surgical abortion: This involves having a minor surgical procedure to remove the pregnancy.

Define it!

One in three women in the UK will have an abortion by the time they’re 45.

Most abortions in England, Wales and Scotland are carried out before 24 weeks of pregnancy (however they can be carried out after this time if there is a risk to the mother’s life or if the baby would be born with a severe disability).

Most abortions are risk-free and don’t cause any problems or complications. However, there can be some risks associated with abortion – such as infection of the womb, excessive bleeding, damage to the cervix or womb, or some of the pregnancy remaining in the womb. Abortions are most safe when they are carried out as early as possible in the pregnancy.

It’s important to remember that having an abortion doesn’t affect a person’s chance of becoming pregnant again in the future, when they are ready to have a family.

On the web

Abortions can only be carried out in an NHS hospital or a licensed clinic, and are usually available free of charge on the NHS.

Information, counselling and support relating to abortion can be found at:

Key point

If someone is considering an abortion, they should seek advice and support from an impartial service (such as the ones listed above) before making any final decisions.

They may also decide to talk to their partner, friends or family – however, they don’t have to talk to anyone about their situation or what they decide to do about it.

All medical details relating to an abortion are kept entirely confidential – even if the person is under the age of 16, their parents usually don’t need to be told about the procedure.