Although Choices Clinic of Laurel does not provide or refer for abortions, we empower women by educating on different types of abortion, risks, and possible side effects. Once receiving a free ultrasound, we are able to better determine what type of abortion would be needed. To schedule an appointment to speak with a nurse or client advocate about your pregnancy options, call 601.428.4357 or text 601.340.5927.
Abortion Pill (RU-486)
Commonly called the “abortion pill” a medical abortion to end an early pregnancy is actually a series of medications and requires multiple visits with the physician. According to the Food & Drug Administration (FDA), the medical abortion approved usage includes:
- must be no more than 10 weeks pregnant (post last menstrual period)
- series of 2 medications (1st dose Mifeprex, 2nd dose misopristol) taken 24 to 48 hours apart
- follow up with physician 7-14 days after taking Mifeprex
Side effects, including cramping and bleeding, are expected due to the expulsion of pregnancy, but contact your doctor right away or go to the nearest emergency room if you experience heavy bleeding, fever, severe abdominal pain, or “feeling sick”. In 2-7 out of 100 cases, the medical abortion does not completely end the pregnancy (“incomplete abortion”). If this happens, a surgical abortion may be necessary. (3)
First Trimester Surgical Abortion
First trimester surgical abortions are the most common type of abortion. According to the American Congress of Obstetrics & Gynecology (ACOG), surgical abortions
- can be performed up to 13 weeks gestation
- include dilating the cervix either before the procedure with medication OR during the procedure with surgical tools
- remove pregnancy by a suction or vacuum-like device attached to a thin plastic tube which is inserted into the cervix
If needed, a curette (scoop-like tool) is used to scrape the lining of the uterus to ensure no fetal parts or blood clots are left behind. (Sources: 4,5)
Second Trimester Surgical Abortion or D&E (Dilation & Evacuation)
A second trimester abortion (between 13 and 24 weeks) includes a procedure called Dilation & Evacuation. This procedure is similar to a D&C except more involved due to the larger size of the fetus. The cervix is dilated manually with instruments or prior to the procedure with medication, then surgical tools (usually forceps) are used to remove the fetus from uterus. Vacuum suction is also used to remove amniotic fluid, fetal parts, and tissue. Last, a curette is used to scrape the walls of the uterus to ensure no blood clots or tissue are left behind. (Sources: 4,5)
Each of these abortion types carry physical and emotional risks. It is very important that you have an ultrasound done to verify an intrauterine pregnancy and gestation (how far along) before proceeding with an abortion.
To learn more about these abortion options and to find out more about your pregnancy, make an appointment today at Choices Clinic of Laurel to talk to a medical professional about your options.
- US Food & Drug Administration (2016). Mifeprex (mifepristone) Information. Retrieved on November 17, 2016 from http://www.fda.gov/Drugs/DrugSafety/PostmarketDrugSafetyInformationforPatientsandProviders/ucm111323.htm
- US Food & Drug Administration (2016). Medication Guide. Retrieved on November 29, 2016 from http://www.fda.gov/downloads/Drugs/DrugSafety/UCM088643.pdf
- ACOG (2015). FAQ: Induced Abortion. Retrieved November 30, 2016 from https://www.acog.org/-/media/For-Patients/faq043.pdf?dmc=1&ts=20161130T1505173403
- WebMD. Abortion-Choices: Surgical Abortion. Retrieved November 30, 2016 from http://www.webmd.com/women/tc/abortion-choices-surgical-abortion