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Voluntary Termination of Pregnancy

Verified 03 March 2022 - Legal and Administrative Information Directorate (Prime Minister)

Surgical abortion: role of midwives

Published on 3 March 2022

Act No. 2022-295 of 2 March 2022 to strengthen the right to abortion provides that midwives will be able to perform IGV surgery in a health facility.

However, this new jurisdiction will only be possible when an order is issued.

Pending the publication of this decree, the information presented on this page remains valid.

A pregnant woman, including a minor, who does not wish to continue a pregnancy may request an interruption. The practice of abortion is regulated and several steps must be followed before and after the intervention. During the consultation, the pregnant woman must be informed about the abortion methods and has the right to choose one freely.

It exists 2 methods IVG:

  • Instrumental GVI (surgical) must be performed in a health facility (hospital or clinic). Under certain conditions, it may take place in an authorised health centre that has established a cooperation agreement with a health facility.
  • Drug GVI is practised in a health facility (hospital or clinic), a town hall, a planning centre or a health centre.

The abortion technique used depends on your choice and the term of your pregnancy.

This choice can be made with the help of the doctor or midwife at the 1re or 2e medical consultation.

Not all public or private health facilities perform the 2 abortion techniques, so it is important to get information as soon as possible.

FYI  

the offence of obstruction to abortion is punished with 2 years imprisonment and €30,000 fine.

There is no age requirement to respect.

If you are a minor, you can choose to seek the consent of your parents or legal representative and be accompanied in your approach to abortion.

However, if you wish to keep it secret, the abortion is performed at your request only. In this case, you must have a major of your choice accompany you in your process.

Timeouts depend on the method chosen:

  • Surgical abortion can be practised until the end of the 14the pregnancy week, 16 weeks after the last rules start.
  • Drug GVI is practised until the end ofe pregnancy week, or not more than 9 weeks after the beginning of the last rules.

2 medical consultations are mandatory before an abortion.

1st consultation

For 1re you can contact a doctor, a midwife of your choice or a family planning or education centre.

Who shall I contact

During this consultation:

  • You make your request for an abortion
  • You receive oral information and a guide on abortion
  • The doctor or midwife offers you a psycho-social interview (this is mandatory if you are a minor).

This consultation results in the issuance of a medical consultation certificate.

2nd consultation

During 2e consulting:

  • You receive 2e medical consultation certificate
  • You confirm your abortion request in writing to your doctor or midwife.

Instrumental GVI

The instrumental technique (surgical) consists of suction of the egg, preceded by dilatation of the cervix. Opening the cervix can be facilitated by the administration of a drug.

The procedure can be performed under local or general anaesthesia. You choose with the help of the doctor the method of anaesthesia best suited to your situation.

Hospitalisation usually lasts a few hours, but the intervention itself lasts about ten minutes.

Psycho-social counselling is routinely offered after abortion. It allows you to talk about your situation if you feel the need.

Drug GVI

The medication technique consists of taking 2 medications (the 1to to terminate the pregnancy andnd to cause the egg to be expelled).

The 2 medications are issued by the doctor or the midwife.

1to medicine can be taken in the presence of the doctor or midwife during a 1re consultation or home.

Taking 2nd medication takes place between 36 and 48 hours after taking the 1to in consultation or at your home.

This method does not require anaesthesia or surgery.

FYI  

in the context of teleconsultation (IVG in hospital or in town), medicines are prescribed by the doctor or midwife and delivered by a pharmacy of service designated by the woman. This pharmacy guarantees confidentiality.

IVG is supported 100% as part of a flat rate with total waiver of advance fees. This avoids disclosing this information in refund documents.

Surgical IVG

The cost of a surgical abortion is reimbursed by Health Insurance 100% on the basis of a variable flat rate.

This rate is between €463.25 and €664.05 depending on the health care facility (hospital or clinic), the type of anaesthesia (local or general) and the duration of the hospitalisation.

Drug GVI in Health Care

The cost of a drug-induced abortion in a health facility (hospital, clinic) is reimbursed by the Health Insurance 100% on the basis of a flat rate fixed at €282.91.

Medical IVG in City Medicine

The cost of a medical abortion in the city (medical practice, health centre, family planning and education centre) is reimbursed by the Health Insurance 100%, with prices established by every step.

The doctor or midwife who performs the whole of an abortion charges each of his steps for a lump sum payment that represents between €187.92 and €193.16.

One inspection visit shall between 14e and 21e day after surgery or medication.

It ensures that there is no complication.

During the check-up, the doctor or midwife checks that you have a contraceptive method adapted to your situation.

The doctor or midwife offers you to have a psycho-social interview following the abortion, if you wish.