How to Deal With Unexpected Pregnancy?

A couple who has been desperately trying to conceive and become parents, it’s a moment of joy when they find out they are expecting a baby. However, when the pregnancy is unplanned (and unwanted), it may come as a shock, and the emotions associated with it tend to be quite different. Dealing with an unexpected pregnancy needs a lot of emotional strength and support from the partner and the immediate family. Read on to know what are the causes of an unwanted pregnancy and how you can (or help someone) deal with an unwanted pregnancy!

Causes of Unintended Pregnancy

In an unplanned pregnancy, the couple is not prepared for a baby, and such news can come as a shock to many people. An unwanted pregnancy can be the result of a “spur-of-the-moment” act, the wrong use of a contraceptive, and more. Let us explore a few of these causes of unintentional pregnancy in brief:

• Wrong Use of Contraceptives: If you and your partner use contraceptives but do not follow the instructions mentioned for a particular contraceptive, it can prove to be a costly mistake. If birth control pills are your preferred choice of contraception, and you miss the pill one day, it could result in an unwanted pregnancy. Taking the pills every day at the same time is essential as it will lower the chances of pregnancy to the minimum. Similarly, while using a cervical cap or a diaphragm, if the cervix is not covered entirely before intercourse, it could be a mistake you will regret. Condoms are though quite reliable as a contraceptive method, but they, too, need to be used properly (7).
• Wrong Calculation of Safe Days: An unplanned pregnancy can happen if the calculation of the fertile period is wrong. You will have to be sure about the safe period of the month to rely completely on this method.
• Irregular Use of Contraceptives: Contraceptive methods like diaphragms, condoms, and cervical caps should be used every time during sex. If a woman forgets to take the birth control pills or the morning-after pill once, it can result in pregnancy (8).
• Non-Availability of Emergency Contraceptive Pills: Emergency contraceptive pills are a popular method of contraception for women. However, the pills often may not be available off-the-counter, and at times, a prescription may be necessary. This could lead to a delay in consuming it and could result in pregnancy.
• Lack of Knowledge: Women are often unaware of their bodies and do not know which sexual act will lead to pregnancy. If there is inadequate knowledge of sex and its consequences, this could be a major cause of pregnancies, especially in teens.
• Failure of Contraceptive: One of the primary causes of an unwanted pregnancy is contraceptive failure. Statistics have shown that around 53% of unwanted pregnancies happen in women who use contraceptives. This is a common cause for all ages, whether a teenage girl or an older woman (3).

What About the Physical and Emotional Effects of an Unplanned Pregnancy?

A woman may have to deal with physical and emotional changes when the pregnancy is an unplanned one. There can be long-term adverse effects on a woman’s health. Most couples are unprepared for such an emergency and can face major upheavals in their orderly lives. Since most women are not mentally ready for such a surprise, it could lead to sleepless nights, arguments and emotional upsets. There can be feelings of regret, and there can be chances of severe complications like depression, too. In case of negative feelings about the pregnancy, it can lead to a feeling of detachment from the baby, and bonding can suffer in a major way (1).

Termination of an Unintended Pregnancy

If you and your partner decide not to proceed with the pregnancy, ensure this decision is mutual and not forced on either of you. Any doubt or indecision can blow this delicate subject out of proportion and impact your relationship. If you decide to terminate it, you will want to know how to get rid of an unwanted pregnancy. However, before that, you must be prepared for the physical and emotional changes you could undergo. Apart from physical uneasiness and anxiety, feelings of guilt and sadness are common, and many women are unable to cope with it. Share your deepest fears with your partner or a friend, and, if required, take the help of a counsellor.

Induced Abortion

Abortions that are caused by medical or external interventions are known as induced abortions. If yours is an unplanned pregnancy, you will have to go through it. The foetus will be expelled from the uterine cavity through a saline digoxin or potassium chloride injection. The injection will be inserted into the amniotic sac that covers the foetus. Prostaglandins like misoprostol will be used to soften the cervix and induce uterine contractions. The medicine will be inserted vaginally. To induce contractions, Pitocin or oxytocin is injected intravenously. However, these methods of abortion are generally opted for in the second trimester of pregnancy (4).

Risks Associated With Induced Abortion

You should be aware of the potential risks associated with induced abortion when various medicines are injected into the amniotic sac (5):

• Excessive bleeding
• The uterus could be damaged due to the injection method.
• Infection to your internal organs
• Extreme pain and subsequent soreness
• Saline can enter the mother’s bloodstream, which can be dangerous.

How to Terminate an Unwanted Pregnancy?

The type of procedure used for aborting a child from an unwanted pregnancy will depend on how far a woman is into her pregnancy. There are two methods of abortion, namely, medical abortion and surgical abortion. Early medical abortion is carried out if a woman is nine weeks pregnant or less. But if a woman has crossed her seven-week pregnancy mark, a separate procedure will be followed for abortion.

Surgical abortion includes vacuum aspiration (for 8-12 weeks of pregnancy) and surgical dilation. After 15 weeks, it is a mid-trimester abortion. Abortion after 20 weeks is not common, and it is also not allowed in India (6). 

Carrying With an Unintentional Pregnancy

If you have decided to go ahead with an unintentional pregnancy, there are many things to think about carefully. Giving birth to a baby and bringing a new life into the world can be a daunting feeling for most women. You will be nervous about the huge responsibility that will come upon you. Getting overly stressed and reacting to the situation negatively will not help. It could also hurt you and the baby. You will have much time to consider the future and plan parenthood as the pregnancy progresses. Meet a doctor and understand all that there is to your pregnancy. Discuss your fears and anxiety with your partner, who will play a critical role during this period. Plan your finances and check the impact this pregnancy will have on your immediate and future financial goals.

Antenatal Check-ups

A primary drawback of an unintentional pregnancy is that you will miss out on preconception health. The mom-to-be’s health before conception is checked and monitored during this period. Therefore, you will have to take additional care of yourself, as lack of care can have a direct impact on the pregnancy. Antenatal check-ups include monitoring areas like receiving balanced nutrition, taking multivitamins, maintaining a regular exercise schedule, and avoiding the intake of tobacco and alcohol, drugs. One should also be careful of contracting sexually transmitted diseases and should keep health conditions like diabetes, hypertension and obesity at bay (9).

How to Avoid Unwanted Pregnancy?

We all hate unpleasant surprises, especially those that can potentially disrupt our lives. Unwanted pregnancies find a mention pretty high on this list of nasty surprises. If you want to avoid unwanted pregnancies, take the following precautions:

• Avoid penetrative sex if you are still in your teens. Wait till the time you are capable of handling the responsibility with maturity.
• If you have plans to get sexually active, be prepared with all available options of contraception. Ask your partner to use a condom every time you have sex or use birth control pills (2).
• Use an emergency contraceptive if you are unsure of the birth-control methods used.
• The morning-after pills are to be used in case of emergencies only, so do not make a habit, or your health may be affected.

Coping With an Unplanned Pregnancy

An unplanned pregnancy can throw your life in complete disarray. But this doesn’t mean it is the end of the road for you. You can cope with the situation by giving yourself time to recover from the initial shock. Here are a few pointers that can help dealing with an unexpected pregnancy:

• Don’t Panic: Remember, an unwanted pregnancy is not a life-threatening moment. Of course, it is an emergency, but it can worsen if you panic in the first instance.
• Think Rationally: The first emotion to hit a couple when they are faced with an unplanned pregnancy is guilt and shame. You may feel cheated by your partner if he does not take responsibility. The key is to think rationally and let go of the guilt.
• Seek Support: Reach out to trusted friends, family members, or support groups. Having a support system can provide emotional and practical assistance during this time.
• Gather Information: Educate yourself about your options, including parenting, adoption, and abortion. Understanding each option can help you make an informed decision that aligns with your values and circumstances.
• Learn From It: Once you have experienced this situation, you must ensure you do not have to repeat a similar time. Use proper contraception every time you have sex, and be prepared for emergencies.
• Take Responsibility: Do not play the victim card when dealing with this surprise. By taking responsibility for your actions, you will feel in better control of the situation.

FAQs

1. What should I do first if I find out I’m unexpectedly pregnant?

The first step is to confirm the pregnancy with a healthcare professional. Once confirmed, process your emotions and consider reaching out to your partner, a trusted friend, family member, or counsellor for support.

2. How can I manage the emotional stress of an accidental pregnancy?

Managing emotional stress involves acknowledging your feelings, seeking support from loved ones or professionals, and practising self-care. Counselling or therapy can also be beneficial in helping you navigate your emotions and make decisions.

An unwanted pregnancy can be a trying time for both individuals involved. Though it is an emotionally draining experience for most, it can help you build a stronger relationship with your partner if handled maturely and sensibly.

References/Resources:

1. Yazdkhasti. M, Pourreza. A, Pirak. A, Abdi. F; Unintended Pregnancy and Its Adverse Social and Economic Consequences on Health System: A Narrative Review Article; PubMed Central; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4449999/

2. Klima. C. S; Unintended pregnancy. Consequences and solutions for a worldwide problem; PubMed; https://pubmed.ncbi.nlm.nih.gov/9871381/

3. Askew. I; Causes and Consequences of Unintended Pregnancy in Developing Countries; https://assets.publishing.service.gov.uk/media/57a08a6ded915d3cfd000766/2012ICCR_Askew.pdf

4. Stubblefield. P. G, Carr-Ellis. S, Borgatta. L; Methods for induced abortion; PubMed; https://pubmed.ncbi.nlm.nih.gov/15229018/

5. Abortion; NHS; https://www.nhs.uk/conditions/abortion/

6. Abortion Care; American College of Obstetricians and Gynecologists; https://www.acog.org/womens-health/faqs/induced-abortion

7. Tanne. J. H; Problems with contraception play big part in unplanned pregnancies, study says; PubMed Central; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2386600/

8. Birth Control Pill Fact Sheet; University Health Services; https://uhs.fsu.edu/sites/g/files/upcbnu1651/files/docs/Birth%20Control%20Pill%20Factsheet_a.pdf

9. Antenatal checks and tests; NHS; https://www.nhs.uk/pregnancy/your-pregnancy-care/antenatal-checks-and-tests/

Also Read:

How to Prevent Pregnancy?
Natural Home Remedies for Abortion
How to Terminate Pregnancy After 1 Month?
Abortion Procedures for Termination of Pregnancy

Our Editorial Policy

Parenting is a huge responsibility, for you as a caregiver, but also for us as a parenting content platform. We understand that and take our responsibility of creating credible content seriously. FirstCry Parenting articles are written and published only after extensive research using factually sound references to deliver quality content that is accurate, validated by experts, and completely reliable. To understand how we go about creating content that is credible, read our editorial policy here.