Abortion services

This page shares frequently asked questions and resources related to abortion care. Find more resources and information from an ob-gyn who offers abortion care: How I Talk With My Patients About Abortion Care and Access.

We will perform a pregnancy test and an ultrasound scan will be carried out to verify that the pregnancy is located within your uterus and that you are between 5 to 9 weeks. (63 days). If you are 6 weeks or over, an abdominal (external) scan is usually only required. If this external scan does not clearly show a pregnancy or if you are very early, (5 to 6 weeks), an internal scan will be required.

Start with these security and privacy tips from the Electronic Frontier Foundation. These tips may help prevent your internet history and mobile phone from being tracked. This advice is especially important if you are looking for information about abortion and you live in a state where abortion care is not legal.

The Truth About Abortion

Abortion Care

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Medication abortion can be provided safely and effectively by telemedicine with a high level of patient satisfaction, and telemedicine improves access to early abortion care, particularly in areas that lack a health care practitioner 81 82. Telemedicine involves the use of video and information technology to provide a medical service at a distance. Medication abortion through telemedicine has been evaluated in observational studies and found to be equally effective as an in-person visit 33 83 84 85. In an analysis of nearly 20,000 medication abortions, adverse events were rare (0.3% overall) and did not differ between those who choose telemedicine or in-person services 33 84. Patients who choose telemedicine medication abortion are significantly more likely to say they would recommend the service to a friend compared with those who have an in-person visit (90% versus 83%) 83. Telemedicine also may help reduce the rate of delays to care because of barriers in access to abortion care in remote areas 82. After medication abortion through telemedicine was introduced in Iowa, a significant reduction in second-trimester abortion was reported, and patients in remote parts of the state were more likely to obtain a medication abortion 82. Despite this evidence, some states have passed legislation that bans the use of telemedicine to provide medication abortion 86.

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Clinical Considerations and Recommendations

Abortion laws vary based on the state you live in. Abortion is legal in some states but is illegal or heavily restricted in many states. Your current state laws may change in the future. The website AbortionFinder.org has a state-by-state guide with the current abortion laws in each state. Visit the Resources section below for more websites that can help you understand your options.

The routine use of prophylactic antibiotics is not recommended for medication abortion 6. Following concern about serious, rare, and deadly infection with clostridial bacteria in patients undergoing medication abortion, it has since become evident that no specific connection exists between clostridial organisms and medication abortion 87 88. Uterine infection with medication abortion is uncommon, and published data do not support the routine use of prophylactic antibiotics in medication abortion. In a systematic review of 65 studies of heterogeneous design (prospective, retrospective, and randomized), the overall proportion of diagnosed or treated infection after medication abortion was 0.9% in more than 46,000 patients 89. In these studies, as in most studies of abortion by uterine evacuation, the diagnostic criteria for infection were variable, leading to possible overestimation of infection.

In addition to physicians, advanced practice clinicians, such as nurse–midwives, physician assistants, and nurse practitioners, possess the clinical and counseling skills necessary to provide first-trimester medication abortion 70. Randomized trials in Mexico, Nepal, and Sweden have consistently found that patients randomized to receive medication abortion under the care of a nurse or nurse–midwife had a statistically equivalent risk of complete abortion compared with those under the care of a physician, without increased risk of adverse events 71 72 73. In some U.S. states, advance practice clinicians can provide medication abortion; however, many states require that a physician perform an abortion and prohibit provision of medication abortion by nonphysician clinicians 2.

What does a baby look like at 12 weeks abortion pill

If you are in a relationship, you might want to talk to your partner about your options. You may want to consider your circumstances together. However, even if your partner is the person who you became pregnant with, that doesn’t mean they can tell you what decision to make. It’s your body and your choice.

Mifepristone is an anti-progesterone, which blocks the action of progesterone, a hormone essential for the establishment and development of a pregnancy. It also changes the uterine lining, causing the pregnancy to detach. This is taken during the initial visit to the clinic, after the doctor has confirmed the age and location of the pregnancy with an ultrasound scan.

Total out-of-pocket costs are higher.

First Trimester Abortion

About a third of women in the UK will have an abortion by the time they are 45.

The second medication is called Misoprostol and is taken at home, 24 – 48 hours after taking mifepristone. This is a synthetic prostaglandin, a hormone-like drug which causes your uterus to contract and encourages the pregnancy tissue to be expelled.

Must remain with 1 hour drive from a hospital for 3 weeks. Must not travel overseas.

The Abortion Pill: Side Effects & Symptoms to Expect

Human Fetus

Procedural abortion in the first trimester is typically done with vacuum aspiration (also called suction curettage). Abortion with vacuum aspiration is usually offered up to 13 weeks of pregnancy.

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Possible Risks and Side Effects Expand All

A surgical procedure is not usually required

Some states require all patients to have an ultrasound exam before an abortion. Many states limit when during pregnancy an abortion can be done. (Read “What types of abortion laws should I know about?” below.)

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In most cases, these negative feelings will subside as time passes. However, a previous history of mental health problems, or experiencing a sense of isolation m ay indicate a higher risk of depression. 9

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Have a Conversation with Someone Who Cares

An estimated one in four women in the United States will have an abortion in her lifetime. In 2017, an estimated 60% of abortions in the United States occurred at or before 10 weeks of gestation and medication abortion comprised 39% of all abortions 2. Between 2006 and 2015, there was a shift in the timing of abortion, with abortions taking place at earlier gestational ages; this is likely due, in part, to availability of medication abortion 3. From 2014 to 2017, the number of nonhospital facilities that provided medication abortion increased by 25% 2. A recent survey of American College of Obstetricians and Gynecologists (ACOG) Fellows and Junior Fellows found that 14% had provided medication abortion in the prior year 4.

Also known as the Abortion Pill or Medical Abortion i s an option from up to 11 weeks since your last menstrual period ( LMP ) . It is a combination of two medications, Misoprostol and Mifepristone, which, together induce a miscarriage. Patients who choose this option must be willing to provide a mailing address, have a support network outside of the clin ic, stay within 2 hours of a hospital, and return if a required follow-up appointment is necessary.

Abortion services

FDA expands abortion-pill access in states seeking limits

Antibiotics: Drugs that treat certain types of infections. Birth Control Implant: A small, single rod that is inserted under the skin in the upper arm. The implant releases a hormone to prevent pregnancy. Bladder: A hollow, muscular organ in which urine is stored. Cervix: The lower, narrow end of the uterus at the top of the vagina. Cesarean Birth: Birth of a fetus from the uterus through an incision (cut) made in the woman’s abdomen. Complications: Diseases or conditions that happen as a result of another disease or condition. An example is pneumonia that occurs as a result of the flu. A complication also can occur as a result of a condition, such as pregnancy. An example of a pregnancy complication is preterm labor. Depression: Feelings of sadness for periods of at least 2 weeks. Dilation and Curettage (D&C): A procedure that opens the cervix so tissue in the uterus can be removed using an instrument called a curette. Dilation and Evacuation (D&E): A procedure that can be used after 12 weeks of pregnancy. The cervix is opened and the contents of the uterus are removed using instruments and a suction device. Ectopic Pregnancy: A pregnancy in a place other than the uterus, usually in one of the fallopian tubes. Epidural Block: A type of pain medication that is given through a tube placed in the space at the base of the spine. Hemorrhage: Heavy bleeding. Induced Abortion: An intervention to end a pregnancy so that it does not result in a live birth. Infertility: The inability to get pregnant after 1 year of having regular sexual intercourse without the use of birth control. Intrauterine Device (IUD): A small device that is inserted and left inside the uterus to prevent pregnancy. Intravenous (IV) Line: A tube inserted into a vein and used to deliver medication or fluids. Menstrual Period: The monthly shedding of blood and tissue from the uterus. Miscarriage: Loss of a pregnancy that is in the uterus. Obstetrician–Gynecologist (Ob-Gyn): A doctor with special training and education in women’s health. Regional Anesthesia: The use of drugs to block sensation in a region of the body. Sexually Transmitted Infections (STIs): Infections that are spread by sexual contact. Infections include chlamydia, gonorrhea, human papillomavirus (HPV), herpes, syphilis, and human immunodeficiency virus (HIV, the cause of acquired immunodeficiency syndrome [AIDS]). Speculum: An instrument used to hold open the walls of the vagina. Trimester: A 3-month time in pregnancy. It can be first, second, or third. Ultrasound Exam: A test in which sound waves are used to examine inner parts of the body. During pregnancy, ultrasound can be used to check the fetus. Uterus: A muscular organ in the female pelvis. During pregnancy, this organ holds and nourishes the fetus. Also called the womb. Vacuum Aspiration: Removal of the contents of the uterus using a suction device. Vagina: A tube-like structure surrounded by muscles. The vagina leads from the uterus to the outside of the body.

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What happens during my initial appointment?

In most cases, the bleeding will be quite heavy for two to three days before settling down. You may experience cramps for which you can take painkillers at home.

When a patient obtains in-person follow-up after medication abortion, transvaginal ultrasonography is commonly used, although it is not required 5. Incorrect interpretation of ultrasound examination results can lead to unnecessary interventions such as an unneeded uterine aspiration 5. If an ultrasound examination is performed at follow-up after medication abortion, the sole purpose is to determine whether the gestational sac is present or absent. The measurement of endometrial thickness or other findings do not predict the need for subsequent uterine aspiration 113. In research trials, when a transvaginal ultrasound examination shows no evidence of a gestational sac 1 week after mifepristone use, only 1.6% of patients needed subsequent uterine evacuation 113.

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