Termination of pregnancy

According to the laws of Finland, termination of pregnancy requires the consent of one or two doctors – depending on the case – or permission from the National Supervisory Authority for Welfare and Health Valvira. In most cases, the consent of two doctors is required. Termination of pregnancy can only be conducted in a hospital equipped to perform terminations. Official documentation required includes the AB 1 form filled in by a doctor. This form is also your referral to the hospital for the termination of a pregnancy. AB 1 forms are available at your local health center, occupational or student health care services, or from a private doctor. Once you have received the AB 1 form, you should contact a gynecology outpatient clinic. Click on the links on the right column for hospital contact information.

If you are more than 12 weeks pregnant, you must apply for permission for the termination of pregnancy from the National Supervisory Authority for Welfare and Health Valvira. All the necessary documentation will be provided by your referring doctor (health centre, private doctor) or the hospital outpatient clinic. Once you have received permission from Valvira, the hospital can proceed with the termination.
Pregnancy may be terminated medically or surgically before the 12th gestational week; terminations carried out later are, as a rule, medically induced. Today, nearly 90 per cent of terminations are carried out using medication.

Drugs used to carry out the termination are called mifepristone and misoprostol.  You take the medication at 1-3 day intervals. If you choose medical termination, you will not require any surgical procedures on your uterus (dilation and curettage, or D&C) or general anesthesia. However, sometimes medical termination may be incomplete and the pregnancy may continue. Approximately 6 per cent of women need to undergo additional D&C. Since the drugs used for medical termination of pregnancy may increase the risk of fetal damage, the termination cannot be cancelled without serious risks after you have taken the first tablets. If you have a serious pre-existing condition or a blood coagulation disorder, termination may involve health risks and you may require another method.

Vacuum aspiration is carried out in the operating room/day surgery unit under general anesthesia. You will be able to go home after a few hours of monitoring if someone can take you home.