
MTP, D & E Services

What are MTP, D & E Services?
Medical Termination of Pregnancy (MTP) and Dilation & Evacuation (D&E) are safe, legally approved healthcare procedures designed to terminate an unplanned pregnancy or clear retained tissues following an incomplete miscarriage. Receiving these services under registered medical supervision is essential to ensure complete uterine safety and preserve future reproductive health.
At Dr. Deepika Lalwani (Nagwani)'s Clinic in New Kalyani Nagar & Wadgaon Sheri, Pune, we provide strictly confidential, safe, and legally compliant reproductive care in accordance with the MTP Act of India. Led by Dr. Deepika Lalwani (MBBS, DGO Mumbai) with over 10+ years of dedicated clinical experience, our practice offers non-judgmental counseling, ultrasound safety checks, and attentive post-procedure follow-ups.
Consultations, baseline ultrasounds, and medication protocols are managed in our private, confidential clinic. Minor surgical evacuations are performed by Dr. Deepika Lalwani in sterile, certified partner tertiary hospital suites in Pune under gentle sedation.
Medical vs. Surgical Abortion: Method Comparison
Depending on gestational age and medical history, Dr. Deepika Lalwani will guide you to select the safest and most suitable method under the MTP Act.
Medical Abortion (MTP Pills)
Non-Surgical • Early Gestation
Suitable for early pregnancy up to 7 to 9 weeks of gestation.
Non-invasive; involves taking prescribed DCGI-approved oral tablets.
Induces natural uterine cramping; tissue passes naturally at home with pain meds.
Follow-up ultrasound on Day 14 is essential to confirm 100% complete clearance.
Surgical Abortion (D&E / Suction)
Minor Daycare Procedure • Instant Results
Performed up to 12 weeks of pregnancy in a certified hospital theatre.
Gentle manual vacuum aspiration (MVA) or electrical suction evacuation.
Takes 10 to 15 minutes under gentle sedation; painless and discharged in 2 to 3 hours.
Provides immediate, complete clearing of the uterine cavity with minimal bleeding.
Key Safety & Legal Safeguards
Your physical safety, emotional well-being, and legal rights are strictly protected under registered medical frameworks.
Strict Patient Anonymity & Privacy
We guarantee 100% confidentiality. Medical consultations and records are held strictly private with Dr. Deepika Lalwani in a non-judgmental atmosphere.
Legally Compliant with MTP Act
All medical and surgical procedures strictly adhere to the Medical Termination of Pregnancy (MTP) Act of India with registered clinical compliance.
Dangers of OTC Abortion Pills
Unsupervised over-the-counter pills risk incomplete evacuation, dangerous internal hemorrhage, and severe pelvic sepsis requiring emergency interventions.
Ultrasound & Ectopic Ruling
A mandatory baseline pelvic ultrasound confirms precise gestational age and rules out life-threatening tubal ectopic pregnancies before initiating care.
Our Pre-Procedure Preparation & Safe Guidelines
Follow these safety preparation principles to prevent clinical complications and ensure smooth uterine restoration.

Blood Profiling & Rh Factor Check
Testing complete blood counts and maternal Rh blood group (administering Anti-D immunoglobulin if Rh-negative to safeguard future pregnancies).
Fasting & Sedation Protocol
For minor surgical evacuations, maintaining a 6-hour nil-by-mouth fasting window ensures complete safety under short intravenous sedation.
Post-Procedure Recovery Care
Resting for 24 to 48 hours, taking prescribed prophylactic antibiotics, and avoiding tampons or intercourse for 2 weeks to promote uterine healing.
The Confidential Protocol Step-by-Step
We manage each step in strict compliance with legal, clinical, and safety standards, keeping you supported and informed.
Every treatment and procedure at our clinic is performed with the highest standards of safety, compassion, and clinical expertise. Dr. Deepika Lalwani ensures each step of your journey is carefully monitored and optimized for the best possible outcomes.
Expert Guidance
From your initial consultation through recovery, our dedicated team is here to support you with personalized care, ensuring your comfort and peace of mind at every stage.
Step 1: Private Gynaecological Consult & Ultrasound
A discreet evaluation with Dr. Deepika Lalwani including a high-resolution transvaginal ultrasound to verify gestational weeks and uterine location.
Step 2: Method Selection & Informed Consent
Reviewing clinical options (medical pill kit up to 7–9 weeks vs. gentle daycare suction aspiration up to 12 weeks) and completing standard MTP documentation.
Step 3: Supervised Medical or Surgical Care
Administering regulated DCGI-approved medication protocols or performing a 10-minute sterile suction evacuation under gentle sedation in a certified theatre.
Step 4: Day-14 Follow-Up & Clearance Scan
A mandatory follow-up ultrasound scan at 14 days to confirm complete endometrial clearance and discuss suitable future contraception options.
Why Choose Dr. Deepika Lalwani's Clinic for MTP & D&E Services?
- Absolute Confidentiality & Non-Judgmental CareDr. Deepika Lalwani (MBBS, DGO Mumbai) ensures a safe, private space where your reproductive choices are respected with dignity.
- 10+ Years of Registered Gynecological AcumenExtensive clinical experience adhering strictly to DCGI protocols, minimizing bleeding risks, and preventing pelvic complications.
- Sterile Hospital Theatres & Sedation SupportSurgical evacuations are performed in partner premier tertiary hospital operating suites in Pune with certified anesthesiologists.
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Frequently Asked Questions
In Pune, a complete medical abortion package—including initial gynaecological consultation, pelvic ultrasound to rule out ectopic pregnancy, DCGI-approved medication kit, and day-14 clearance scan—typically ranges from ₹3,500 to ₹6,500. A gentle daycare surgical suction evacuation (D&E/MVA) under intravenous sedation ranges from ₹12,000 to ₹25,000, covering pre-procedure blood tests, OT charges, sedation, and post-procedure recovery.
Under the Medical Termination of Pregnancy (MTP) Amendment Act of India, pregnancy termination is legally permitted up to 20 weeks for all women (including unmarried women) with the opinion of one registered gynecologist, and up to 24 weeks for specific eligible categories.
Medical abortion uses prescribed oral tablets (Mifepristone and Misoprostol) to induce natural uterine contractions, suitable for early pregnancies up to 7 to 9 weeks. Surgical evacuation (suction aspiration/D&E) is a gentle 10 to 15-minute clinical procedure under light sedation, suitable up to 12 weeks of gestation.
Self-medicating with unprescribed pills carries life-threatening risks, including unrecognized ectopic pregnancy rupture (causing rapid internal bleeding), incomplete tissue expulsion leading to severe pelvic infection, and uncontrolled hemorrhage without clinical support.
No. When performed legally and safely under registered medical supervision by an experienced gynecologist like Dr. Deepika Lalwani, an MTP does not harm your uterus or affect future fertility. In Rh-negative mothers, Anti-D injection is administered to protect future pregnancies.
We uphold strict medical confidentiality. Consultations are scheduled privately by prior appointment in our New Kalyani Nagar clinic with no crowded lobbies, ensuring your personal identity and records remain entirely confidential.