You will receive abortion pills during your examination with instructions on how to use them. This is the safest method of abortion available. There are times in which it could be recommended to wait until weeks to perform any procedure, to reduce the risk of complication such as infection. But this is not generally the case since, according to the CDC , abortions performed in the first trimester are one of the safest procedures one can receive. The risk of complication is less than. It is always best to check state regulations as soon as you make the choice to terminate a pregnancy since there are some regulations that require counseling or waiting periods before procedures.
The majority of abortions may be performed in the first trimester, but there are still plenty of women seeking this service in the second and for many reasons.
The restrictions imposed by many states, and even the lack of available facilities to the number of women seeking abortions in the state, may push the date on when you can receive an abortion into your second trimester. In some cases, the choice to terminate is a medical one. If the mother is at risk from something such as hypertension, which can become severe to the point of causing a heart attack, an abortion may be recommended by physicians.
During the second trimester, a surgical abortion will be chosen since abortion pills will no longer be considered a viable and effective method of abortion for the stage of development. In the earlier stages of the second trimester, Aspiration will likely be the chosen method. It is a gentle procedure and can be performed rather quickly, but will require physicians and, depending on the state, may need to be carried out in a hospital.
After 16 weeks of gestation, dilation and evacuation will be chosen as the method of abortion. Though it carries more risk than the medical abortion, it is still a safe option for those seeking an abortion under 24 weeks of gestation, and still safer than childbirth. While it may be illegal in most states to carry out an abortion in the third trimester, the federal law deems it legal to receive an abortion even in the ninth month of pregnancy, and all states will allow this for certain exceptions such as when it is deemed medically necessary for the life of the mother.
Hypertension was mentioned above, but there are other such medical complications that may bring about the need for an abortion at this stage, such as the development of cancer. Older mothers may experience complications that affect them more severely and becomes a risk to their life, and the life of the fetus. The abortion pill is available up to ten weeks of gestation and is a non-surgical option. The abortion pill is not just one pill, but two separate pills used in coordination to induce a miscarriage and end a pregnancy.
You will be in a private room during your health education session, exam, procedure and recovery. The entire visit will take around three hours if you are less than 12 weeks pregnant. If you are 12 to 14 weeks pregnant, your visit will last five to six hours. In either case, you will need to arrange for someone to drive you home after the procedure. When you check in for your appointment, we will verify your insurance information, collect your co-payment if applicable and ask you to complete some forms, including a medical history.
The UCSF Women's Options Center is integrated into the general Women's Health Center practice; women are not identified in the reception area as desiring pregnancy termination and there are no signs advertising our clinic. This ensures the privacy and safety of our patients and staff. Shortly after you arrive, one of our female health educators will bring you to a private room. You will discuss and learn about pregnancy options, the abortion procedure and various birth control methods.
You may remain fully dressed for this part of your appointment. The health educator will take your blood pressure, pulse and weight. If you brought a support person with you, he or she may stay with you during the health education. Since UCSF Medical Center is a teaching hospital, we may ask your permission to have a doctor-in-training listen in on the health education session, which takes around 20 to 40 minutes.
After your conversation with the health educator, you will meet the doctor. Our doctors are obstetrician-gynecologists with specialized training and interest in abortion provision and family planning.
The doctor will review your medical history, perform an ultrasound exam to determine your pregnancy's gestation, and give you medications. If you are less than 12 weeks pregnant, you will receive oral pain medications, including Vicodin, Valium and ibuprofen, at this time. When you're sure you want to have an abortion, you'll be asked to sign a consent form and the clinic or hospital will arrange a date for the abortion. Abortion services are still open. You can self-refer by contacting an abortion provider directly.
You may be able to have a medical abortion at home, without going to a hospital or clinic, if you're less than 10 weeks pregnant. If you're more than 10 weeks pregnant, an abortion provider can discuss your options with you. In very limited circumstances an abortion can take place after 24 weeks — for example, if there's a risk to life or there are problems with the baby's development.
The medicines are prescribed by the hospital or clinic, and you usually take them 1 or 2 days apart. The pregnancy is passed comes out through the vagina. This usually happens several hours after you take the second medicine. Surgical abortion involves an operation to remove the pregnancy from the womb.
It may be done with:. This must be coordinated with our clinic before your appointment, so please make arrangements as soon as possible. See our frequently asked questions about post-procedure care. Unless you experience complications or have concerns, there's no need to return to the Women's Options Center. We recommend that you see your primary care doctor for regular evaluations.
Second-trimester surgical abortion is one of the safest medical procedures. Although rare, possible complications include a blood clot in the uterus that can cause pain or require a repeat aspiration; infection, which is generally easily identified and treated; a tear in the cervix that can be easily repaired with suture; perforation; retained pregnancy tissue requiring repeat aspiration; and excessive bleeding requiring a transfusion.
Complications from a surgical abortion are considerably less frequent and less serious than those associated with giving birth. UCSF Health medical specialists have reviewed this information. It is for educational purposes only and is not intended to replace the advice of your doctor or other health care provider. We encourage you to discuss any questions or concerns you may have with your provider. Are you considering a medical versus surgical abortion?
Find information here on suction curettage and medical abortions to help in making your decision. Medical abortion, also known as non-surgical abortion, is one way to terminate an early pregnancy using medications. Find more treatment information here. Suction aspiration abortion, can be performed in a one-day procedure if less than 14 weeks have passed since the first day of your last menstrual period. Treatments A-Z. Preoperative Appointment In a private exam room, you will learn about your procedure, undergo an exam and ultrasound , and receive oral medications that may include a pain reliever and anti-anxiety medication for relaxation, if laminaria is required for overnight dilation.
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