If you are facing an unplanned pregnancy, we’re here to help.
We’re here to discuss your options, answer your questions or just to listen. We know you’re going through many different thoughts and feelings, and our staff is ready to help you make a decision that’s best for you.
The abortion pill goes by many names, including medication abortion, RU-486, and Mifeprex/mifepristone. The U.S. Food and Drug Administration have only approved this drug for use up until the 70th day after a woman’s last period; but it’s sometimes used past 70 days against FDA guidelines. If a doctor recommends the abortion pill to you when you’re past 70 days (10 weeks) pregnant, it is best to consult with another physician who takes into consideration your health and well-being.
When choosing the abortion pill option, this procedure will require 3 visits:
Note: The abortion pill will not work in the case of an ectopic pregnancy. (2) This is a potentially life-threatening condition in which the embryo implants outside of the uterus, usually in the fallopian tube. If this condition is not diagnosed early, the tube may burst, causing internal bleeding and in some cases, death.
Emotional and Psychological Impact
After an abortion, many women experience relief. The crisis of pregnancy is over and life returns to its normal state. However, some women begin to experience negative emotions months, and even years, after their abortion. If you are feeling any of these emotions, you are not alone. We are here to help.
People who have experienced abortion may develop any one or a combination of the following symptoms: depression, guilt, shame, regret, and grief. (1)
Depression can be characterized by the following symptoms:
Guilt can be characterized by the following symptoms:
Shame can be characterized by the following symptoms:
Regret can be characterized as believing a different decision would have resulted in a more desirable outcome and dwelling only on negative consequences attributed to the abortion decision. (5)
Unresolved grief can be characterized as engaging in thoughts and behaviors that perpetuate a strong emotional investment in the pregnancy or that prevent the redirection of emotional energy into moving forward with life. (6)
If you or someone you know is experiencing a number of these symptoms, we offer confidential, compassionate support to help women work through these feelings. No matter what decision you choose, you are never alone.
If you wish to begin the healing process from a past abortion or abortions, we offer free individual classes, group classes, and workshops. It may be difficult to seek help, but it will be one of the best decisions you make during this process.
This information is intended for education purposes and is not a substitute for professional counseling and/or medical advice.
(1) Maureen Paul et al., The Clinician’s Guide to Medical and Surgical Abortion (Philadelphia: Churchill Livingsone, 1999), 28.
(3) Lbid., 28-29.
(4) Lbid., 29.
(5) Lbid., 29.
This surgical abortion is performed throughout the first trimester (though some abortion providers may use this technique up to 16 weeks of pregnancy). Depending upon the provider and the cost, varying methods of pain control are offered, ranging from local anesthetic to full general anesthesia. In the first trimester, local anesthesia is most commonly used, while IV (intravenous) sedation is used far less frequently.
Before the abortion can take place, the woman’s cervix must be opened so the instruments may pass through. The clinician does this either by inserting dilators (metal or water-absorbing) into the cervix, or by using a drug administered orally or vaginally. The degree of dilation required depends upon the stage of the pregnancy.
Once the woman’s cervix is dilated, the abortion provider may use either a manual vacuum aspirator or an electric suction instrument to remove the contents of the uterus, including the embryo or fetus (human being in first or second stage of development), placenta and other tissue.
The abortion provider passes the instrument through the cervix and into the uterus. Once inside, the instrument will suction out the uterine contents. After the uterus has been empties, the clinician will remove the suction instrument and inspect the woman’s cervix for bleeding.
To ensure that the abortion is complete and nothing has been left behind, the abortion provider may choose to use sharp curettage (a loop-shaped knife0 and make a final pass with the suction instrument to ensure nothing has been left behind.
After the procedure the woman may be ushered into a recovery room. The amount of time spent in recovery varies. If complications from the procedure have occurred, the woman may notice immediately or up to about two weeks after.
This surgical abortion is done during the second trimester of pregnancy. In this procedure, the cervix must be opened wider than a first trimester abortion because of the size of the growing fetus. This is done by dilating the cervix about one to two days before the procedure.
On the day of the abortion procedure, the dilators are removed. If the pregnancy is early enough in the second trimester, using suction to remove the fetus may be enough. This is sometimes called a suction D&E, and is similar to a first-trimester aspiration abortion.
As the pregnancy progresses to a further state of development, it becomes necessary to use forceps to remove the fetus, which becomes too large to pass through the suction instrument. Before inserting the forceps, the clinician will find the location of the fetus through ultrasound or by feeling the outside of the woman’s abdominal area.
Once the fetus has been located, the abortion provider will insert the forceps into the uterus and begin to extract the contents. The clinician keeps track of what fetal parts have been removed so that none are left inside that could cause infection.
Finally, a curette and/or suction instrument is used to remove any remaining tissue or blot clots to ensure the uterus is empty. After the procedure, the woman will most likely be taken to a recovery room. The length of time spend in recovery varies.
When the abortion occurs at a time when the fetus could have otherwise been delivered, injections are given to cause fetal death. This is done in order to comply with the federal law requiring a fetus to be dead before complete removal from his/her mother’s body.
The medications (digoxin and potassium chloride) are either injected into the amniotic fluid, the umbilical cord, or directly into the fetus’ heart. The remainder of the procedure is the same as the Dilation and Evacuation procedure described previously.
The more passes the forceps must make into the uterus, the more the potential for complications and infections increases. This is why an intact D&E is preferable when the cervix can be dilated far enough to allow for the procedure.
Because the cervix must be opened wider, dilators are usually inserted into the woman a couple of days in advance. Depending upon the age of the fetus, the skull may be too large to pass through the cervix. In this case, the skull must be crushed so it can be removed. To do this, the abortion provider uses forceps to make an opening at the base of the skull in order to suction out the contents. The fetus can then be removed intact using the forceps.
This abortion procedure terminates the pregnancy by causing the death of the fetus and expelling the contents of the uterus.
The cervix may be softened either with the use of seaweed sticks called laminaria or medications at the start of the procedure. Once the cervix is prepared, various combinations of medications are administered, typically a mixture of mifepristone (taken orally) and misoprostol (either oral or vaginal). Mifepristone cause the amniotic sac (containing the fetus, placenta and pregnancy-related tissue) to detach from the uterus, resulting in fetal death, while misoprostol induces labor to deliver the fetus, placenta and other pregnancy-related tissue.
Because some women prefer to begin the abortion with a dead fetus, a variant of this procedure is sometimes done using digoxin or potassium chloride. This medication is injected into the amniotic fluid, umbilical cord, the fetus, or fetal heart prior to the procedure, terminating the pregnancy. Soon after, the woman will receive drugs, usually misoprostol, to cause the uterus to contract and expel the fetus and placenta. If the abortion has not occurred within 3 hours of the last dose of the medication, the procedure will be restarted the next day.
Effective pain regimens for second-trimester medication abortions have not been well-established. Potential complications include hemorrhage, infection, and the need for a blood transfusions, retained placenta and uterine rupture.