What to do if you accidentally get pregnant

Aug 01, 2025 Source: Cainiu Health

Dr. Zhang Lu

Introduction

In general, an unintended pregnancy refers to an accidental pregnancy. Accidental pregnancy can be managed by maintaining emotional stability, seeking support, consulting with a healthcare professional, engaging in appropriate physical activity, and maintaining healthy lifestyle habits. When facing an unintended pregnancy, it is important to enhance sex education and knowledge about contraception, and to take effective contraceptive measures to prevent unintended pregnancies.

　　In general, accidental pregnancy refers to unintended pregnancy. Unintended pregnancy can be managed by maintaining emotional stability, confirming the pregnancy status, evaluating the feasibility of continuing the pregnancy, engaging in appropriate exercise, and maintaining good lifestyle habits. Specific strategies are as follows:

　　1. Maintain Emotional Stability

　　Unintended pregnancy often brings strong emotional reactions such as shock, fear, and anxiety. These emotions may affect judgment and lead to impulsive decisions. Staying calm helps in rationally analyzing the situation and making decisions that better align with one's long-term interests.

　　2. Confirm Pregnancy Status

　　First, use a home pregnancy test or blood HCG test to confirm pregnancy, and then undergo an ultrasound at 6-8 weeks of gestation to determine whether it is an intrauterine pregnancy and establish the gestational age. This step helps rule out ectopic pregnancy, prevents delays in management due to misdiagnosis, and serves as the foundation for subsequent decision-making.

　　3. Evaluate the Feasibility of Continuing the Pregnancy

　　If you intend to continue the pregnancy, visit an obstetrics and gynecology clinic early to establish prenatal records, and complete baseline tests such as blood count, liver and kidney function, and thyroid function to assess maternal health. Additionally, take folic acid supplements, avoid exposure to tobacco, alcohol, toxins, and radiation, maintain regular sleep patterns, and attend regular prenatal checkups to ensure the safety of both mother and baby.

　　4. Medical Abortion

　　If you do not wish to continue with the pregnancy and are within 49 days of gestation with a confirmed intrauterine pregnancy, you may, under a doctor's guidance, use mifepristone in combination with misoprostol to terminate the pregnancy. Medical abortion does not require surgery but may cause side effects such as nausea, vomiting, and abdominal pain. In some cases, incomplete abortion may occur, requiring a secondary evacuation of the uterus, and there is also a risk of excessive bleeding. This procedure must be performed at a medical facility equipped for emergency care.

　　5. Surgical Abortion

　　Surgical abortion is suitable for intrauterine pregnancies within 10 weeks of gestation and involves removing the embryonic tissue from the uterus using a vacuum aspiration device. This method is quick, involves minimal bleeding, and has a lower risk of incomplete abortion. However, it is an invasive procedure and may carry risks such as uterine perforation, infection, or intrauterine adhesions. It should be performed by a qualified physician, and contraindications such as inflammation or severe medical conditions must be ruled out before the procedure.

　　In response to unintended pregnancy, individuals should focus on enhancing sexual education and knowledge of contraception, adopt effective contraceptive measures to prevent unintended pregnancies, and also prioritize emotional stability and protection of personal privacy.

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