Voluntary Termination of Pregnancy (IVG)

It exists 2 methods abortion:

• Instrumental (surgical) abortion must be practiced in a health facility (hospital or clinic). Under certain conditions, it can take place in an authorized health center that has established a cooperation agreement with a health facility.
• Drug abortion is practiced in a health facility (hospital or clinic), a city office, a sexual health center, or a health center.

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.

Here you can find the places and professionals who can practice abortion:

Know the places and professionals who can perform abortion

There's no no age requirement to be respected.

If you are a minor, you can choose to seek the consent of your parents or legal representative and be accompanied in your abortion process. However, if you wish to keep it secret, abortion is carried out at your sole request. In this case, you must be accompanied in your approach by an adult of your choice.

Timelines depend on the method chosen:

• Instrumental (surgical) abortion can be practiced until the end of 14^e pregnancy week, which is 16 weeks after the last menstrual period starts.
• Drug abortion is practiced until the end of the 7^e pregnancy week, which is a maximum of 9 weeks after the start of the last period.

When you want to have an abortion, you should make an appointment with a doctor (general practitioner or gynecologist) or a midwife practicing in:

• A health facility (hospital or clinic)
• A town hall
• A health center
• A sexual health center (formerly a family planning and education center).

You can request an appointment in-person or remotely if your healthcare provider offers it.

If the consulted doctor or midwife does not perform abortions, he or she must inform you immediately and communicate to you the names of professionals performing abortions.

All public health facilities licensed in obstetrics-gynecology or surgery must perform abortion.

2 times are mandatory before performing an abortion.

1^er time: consultation of information

During this 1^er time:

• You're asking for an abortion
• You receive oral information and a guide on abortion that includes on the different methods of abortion, the locations of execution and in particular the choice you have, but also on the risks and possible adverse effects
• The doctor or midwife offers you a psycho-social interview (this is mandatory if you are a minor and must be carried out before obtaining your consent).
  This interview takes place in an EVARS (emotional, relational and sexual living space), in a sexual health center or in an approved organization.

2^nd time: consent collection

During this 2^nd In time, you give your written consent to request an abortion to the doctor or midwife.

instrumental abortion

The instrumental (surgical) technique consists of aspiration of the egg, preceded by dilation of the cervix. Opening the cervix may be facilitated by administration of a drug.

The procedure may be performed under local or general anesthesia. You choose with the help of the healthcare professional the mode of anesthesia best suited to your situation.

Hospitalization usually takes a few hours, but the procedure itself takes about 10 minutes.

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

Drug abortion

The drug technique involves taking 2 drugs (1^er to terminate the pregnancy and on the 2nd^nd causing the egg to be expelled).

The 2 medicines are delivered by the doctor or midwife at the consultation or by the pharmacist in case you have carried out a teleconsultation.

The 1^er This medicine can be taken in the presence of the doctor or midwife during a consultation or at your home.

Taking the 2^nd This medicine takes place between 36 and 48 hours after taking 1^er in consultation or at your home.

This method therefore requires neither anesthesia nor surgery.

For all women insured (adults or minors), abortion and all related acts (consultations, ultrasound scans, blood tests...) are taken care of at 100% by Health Insurance.

There is no advance fee.

Instrumental (surgical) abortion

The cost of an instrumental abortion is reimbursed by the Health Insurance at 100% on the basis of a flat rate.

This rate is between €579.06 and €830.06 depending on the health facility (hospital or clinic), type of anesthesia (local or general), and length of hospitalization.

Drug abortion in a health care facility

The cost of a medicated abortion, in a health facility (hospital, clinic), is reimbursed by the Health Insurance 100% on the basis of a flat-rate fixed at €353.64.

Drug-induced abortion in city medicine

The cost of a city medical abortion (medical office, health center, sexual health center called before family planning and education center) is reimbursed by the Health Insurance to 100%, with rates fixed by order at every stage.

One inspection visit must intervene between 14^e and 21^e day after instrumental or drug abortion.

It helps ensure that there are no complications and that the pregnancy has been terminated.

During the check-up, the doctor or midwife makes sure that you have a contraceptive method suitable for your situation if necessary.

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