Choices

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There are no easy choices when you’re experiencing an unplanned pregnancy.

You may feel incredibly overwhelmed – people pressuring you from all sides. That’s why we’re here. Not to pressure. Not to push. Just to inform, support and walk with you.

Every woman facing an unplanned pregnancy has three options: parenting, adoption & abortion. While you may have a thousand things flying through your head right now, it’s important to know all the facts before you decide. For more information on the procedures listed below, or to schedule an appointment, click here.

The Choices is Yours. Choose to Know. Make a Choice you can live with.

 

Abortion Pill (RU-486): Up to 7 weeks after last period

This non-surgical option is the medication commonly called the “abortion pill.” While the term “abortion pill” seems to indicate a single dose, this process is designed to involve several pills and multiple office visits, according to the Food & Drug Administration (FDA).

FDA-approved usage:

First Visit: RU-486 pill(s) are given at the abortion clinic. This pill blocks the pregnancy hormones that support the embryo.

Second Visit: Two days later, the woman returns for the second medication, which will cause the uterus to cramp and expel the pregnancy.

Third Visit: The woman returns a few weeks later to confirm that the abortion is complete. If the abortion is incomplete, RU-486 may be given again or a First Trimester Surgical Abortion may be completed. This happens in 5-8 out of 100 cases.

The above process is how the FDA approved the use of the abortion pill. However, many clinics give both sets of pills at the first visit and eliminate the second visit. So, the woman is most commonly at home with no medical supervision when the cramping and bleeding begin. (Sources: 2, 3, 4, 5, 7, 8, 15)

 

First Trimester Abortion: 6 -14 weeks after last period

This surgery starts like a pelvic exam, with a speculum inserted into the vagina. Then, the cervix – the opening to the uterus or womb – is opened with instruments. Next, everything inside the uterus is suctioned out with either a syringe or a suction machine. If needed, a curette (a scoop-shaped instrument) is inserted into the uterus and scraped along the walls to ensure all fetal tissue is removed. (Sources: 1, 5, 9, 12)

 

Second Trimester Abortion: 14-24 weeks after last period

Due to the size of the pregnancy, this surgical procedure is usually a two-day process. Day 1 involves insertion of sponge-like laminaria that force the cervix open by absorbing moisture and expanding. On day 2, the laminaria are removed. If the fetus is too large to pass through an inserted suction tube, forceps may be used to remove the fetus by smaller pieces before suctioning occurs. The curette (a scoop-shaped instrument) may be used to scrape the walls to ensure no fetal parts or tissue are left behind. (Sources: 5, 9, 12)

 

Late Term Abortion: 24 weeks or more after last period

These procedures may take 2 or 3 days, depending on how long it takes to open the cervix to the desired width. A medication or saline solution is injected into the amniotic sac to stop the heart of the fetus. Medications may then be given to contract the uterus and expel the fetus. If the fetus is not expelled by the contractions, the procedure described in the Second Trimester Abortion is used. (Sources: 5, 9, 12, 13)

Common Physical Side Effects for Abortion Procedures: There are certain symptoms that a woman can expect to occur with an abortion, including

• Cramping

• Tenderness or Pain

• Bleeding

• Nausea

• Vomiting

• Diarrhea

(Sources: 4, 5)

To discuss these options further, click here to schedule an appointment with one of our medical professionals. For more information on how these could affect your health and safety, click here.

Sources:
Early Options (2014). SofTouch Step by Step Procedure. Retrieved February 8, 2015 from http://www.earlyabortionoptions.com/softouch/step-by-step-procedure.
Early Options (2014). Abortion Pill. Retrieved February 8, 2015 from http://www.earlyabortionoptions.com/abortion-pill/abortion-pill.
Early Options (2014). Early Pregnancy. Retrieved February 8, 2015 from http://www.earlyabortionoptions.com/early-pregnancy/early-pregnancy.
US Food & Drug Administration (2011). Medication Guide: Mifeprex. Retrieved February 8, 2015 from http://www.fda.gov/downloads/drugs/drugsafety/ucm088643.pdf.
American College of Obstetrics & Gynecologists (2011). Induced Abortion. Retrieved February 8, 2015 from http://www.acog.org/Patients/FAQs/Induced-Abortion.
Sitt, D., Rothschild, A.J., Creinin, M.D., Hanusa, B.H., and Wisner, K.L. (2007). Psychiatric outcomes following medical and surgical abortion. Human Reproduction, 22(3), 878-884. Retrieved February 8, 2015 from http://www.acog.org/Patients/FAQs/Induced-Abortion.
American Pregnancy Association (2013). Surgical abortion procedures. Retrieved on February 11, 2015 from http://americanpregnancy.org/unplanned-pregnancy/surgical-abortions.
Aronoff, D.M., Hao, Y., Chung, J., Coleman, N., Lewis, C., Peres, C.M., Serezani, C.H., Chen, G.H., Flamand, N. Brock, T.G., Peters-Golden, M. (2008). Misoprostol impairs female reproductive tract innate immunity against Clostridiium sordellii. Journal of Immunology, 180(2), pp. 1-21. Retrieved February 11, 2015 from http://www.ncbi.nlm.nih.gov/pubmed/18523288.
Stubblefield, P.G., Carr-Ellis, S., & Borgatta, L. (2004). Methods for induced abortion. The American Congress of Obstetricians and Gynecologists, 104(1), pp. 174-185. Retrieved February 11, 2015 from http://www.ncbi.nlm.nih.gov/pubmed/15229018.
US Food & Drug Administration (2011). Mifeprex (mifepristone) information. Retrieved February 11, 2015 from http://www.fda.gov/drugs/drugsafety/ postmarketdrugsafetyinformationforpatientsandproviders/ucm111323.htm.
Borgatta, L. Burnhill, M.S., Tyson, J., Leonhardt, K.K., Hausknecht, R.U. & Haskell, S. (2001). Early medical abortion with methotrexate and misoprostol. The American Congress of Obstetricians & Gynecologists, 97(1), pp. 11-17. Retrieved February 11, 2015 from http://www.ncbi.nlm.nih.gov/pubmed/11152899.
Kaufmann, K. (1997). The abortion resource handbook. New York, NY: Fireside.
Hern, W.M. (2010). Second trimester abortions. Boulder, CO: Boulder Abortion Clinic. Retrieved February 11, 2015 from http://drhern.com/en/abortion-services/second-trimester-abortion.html.