How to Safely Terminate a 19-Week Pregnancy

A 19-week pregnancy falls within the second trimester. Terminating at this stage is possible and can be safe — but it requires specialized care, trained professionals, and clinical supervision.

At Women for Women Kenya, we’re here to guide you with accurate, judgment-free information so you can make the best decision for your health and life.

❓ Why Do Some Women Seek Abortion at 19 Weeks?

While many abortions happen earlier, second-trimester abortions may happen due to:

  • Delayed discovery of pregnancy.
  • Health risks to the woman.
  • Severe fetal abnormalities.
  • Sexual violence.
  • Change in life circumstances (financial, relationship, etc.).

We understand that every woman’s story is different. And every woman deserves care — not judgment.

⚖️ Is It Legal in Kenya?

Yes — Article 26(4) of the Kenyan Constitution permits abortion when:

  • A trained health professional determines the pregnancy endangers the life or health (including mental health) of the woman.
  • There is a medical emergency.
  • There are fetal abnormalities.

We work with professionals who follow the law and put your safety first.

🩹 What Are the Safe Methods at 19 Weeks?

There are two main options, depending on your situation:

1️⃣ Dilation and Evacuation (D&E) – Surgical Abortion

  • What it is: A procedure done by a trained provider under sterile conditions.
  • How it works: The cervix is gently dilated, and instruments plus suction are used to remove the pregnancy.
  • Pain relief or sedation is provided.

✅ Most preferred method for 15–24 weeks
✅ Quick (15–30 minutes)
✅ High success rate, short recovery

2️⃣ Medical Abortion Using Pills (Misoprostol ± Mifepristone)

  • Used when surgical care is not accessible, or if the provider recommends it.
  • How it works:
    • Mifepristone 200 mg orally (optional)
    • Followed by Misoprostol 400 mcg every 3 hours, vaginally or under the tongue
    • This causes labor-like contractions to expel the pregnancy.

🔺 Takes longer (12–48 hours)
🔺 More physically and emotionally intense
🔺 Must be done in a clinic or hospital, not at home

⚠️ Do Not Attempt Self-Abortion at 19 Weeks

Using abortion pills alone at this stage is dangerous.

It can lead to:

  • Heavy bleeding.
  • Incomplete abortion.
  • Infection or sepsis.
  • Uterine rupture.
  • Death.

If you or someone you know is pregnant at 19 weeks and needs help, please seek professional care. Do not take misoprostol alone without supervision.