Daytime Clinic Same Day Second Trimester/Late Term Abortion Medical Abortion Services

Medical Abortion: Performing Abortions from 3 to 24 weeks. On average, completed within 10 hours with a range from 4 to 24 hours verses a 3 to 4 day procedure.

Medical Abortions: First Trimester, Second Trimester, Late Term Abortion (3 to 24 weeks gestation) No Surgical Instruments Required 94% of the Time. 98% Completion of Abortion in Less than 24 Hours. Average of 10 Hours to Complete Abortion Process.

Introduction 
The majority of facilities that perform late term abortion are often located in areas that are not in close proximity to larger metropolitan cities or where airlines do not have direct flights and may require multiple plane changes or lengthy layovers. Additionally, most clinics can only offer a 3 to 4 day process for completing the procedure due to the cervical preparation methods they utilize. The procedure is no doubt highly effective and safe. We have been performing late term procedures for over 25 years. The procedure technique we use is highly safe and our complication rate is extremely low. The entire process from start to completion of delivery is usually less than 24 hours, with an average of 10. Thus, reducing a great deal of the anxiety, stress, tension, nervousness or worry that patients who are already experiencing feelings of grief and sadness must also endure. Our procedure also reduces the extra time, expense and sacrifice of having to be away from work and family. Most patients and family members want to have the procedure and be able to return home as quickly as possible. Our Orlando, Florida location offers our patients the opportunity to fly in and out in as little as 24 to 36 hours. Our beautiful city is also known for its numerous hotel accommodations, restaurants, and spas which can provide for the opportunity to relax, rest, and regain physical, mental and emotional rejuvenation. 

What is the technique used to reduce second trimester and late term abortion procedures from 3 to 4 days down to only one?
Performing abortions without the use of surgical instruments is becoming more commonly practiced. At the Women's Centers facilities we have been performing abortions with the use of medications for over 16 years. The majority of our abortion procedures at 17 weeks and above are performed using the Non-Surgical technique. Our Physicians are experts at performing the Medical Procedure, and the Dilation and Evacuation (D&E) Surgery for the small percentage of those that may be required. There are three ways to perform the medical abortion procedure: 1) Injecting medication into the intra-amnionic cavity which is the sac surrounding the fetus; 2) Taking medication by mouth or inserting into the vagina; or 3) Giving medications intravenously.  One can also use the combination of two or all three methods.  Each of these methods has their advantages and disadvantages.

In the past, medical statistics reported a higher complication rate associated with the instillation of intrauterine medications such as hypertonic saline (24% NaCl), or Urea to induce labor. Complications associated with the instillation methods can still occur (peritonitis, bowel injury, infections, renal shut down, hypernatremia, extravasation of the hypertonic saline into the maternal blood stream, Disseminated Intravascular Coagulation (DIC) and even death), but due to recent advances in ultrasound technology which now show exact placement of the medication instilled into the uterine cavity the reasons have been diminished tremendously.  Additionally; the length of time it now takes for the patient to deliver has been vastly decreased from an average of 48 hours to less than 24. It is this difference that appears to have reduced the incidence of infection and DIC as the more rapid delivery process reduces the complication rate. The new and improved medical induction methods using medications taken by mouth, inserted vaginally or given intravenously have resulted in this safer, more efficient method. Additionally, another medication may be given to further enhance the delivery process by increasing the sensitivity of the uterus to the medications used to induce labor. In essence, 99% of second trimester and late term abortion procedures at the Women's Centers Abortion Clinic offices are completed within one day using this medical abortion pill, hypertonic instillation induction technique.

Use of Laminaria for cervical ripening and expediting the delivery process.
Laminaria are sterile seaweed similar in appearance to enlarged matchsticks. They are placed within the cervical opening to cause the cervix to slowly open and soften. This helps to reduce the incidence of complications such as cervical tears, retained products of conception, bowel or bladder injury and perforation of the uterus. Additionally, medical literature indicates they help to expedite the delivery process even further. 

Safety and Pain Associated with Medical Abortion Pill Second Trimester Late Term Abortion
This procedure is very safe and highly efficient. Less than 10% of our patients require pain medications. The most common side effects are nausea, diarrhea, and elevated temperature. The advantage of the medical induction procedure is that over 90% of patients do not have to have surgery and the fetal tissue is delivered intact. This is important for the patients and families who may want to see, hold, or say goodbye in their own special way.

For women between 14.5 to 16 weeks gestation who do not want a surgical procedure, having the medical abortion procedure is the best option. However, due to the higher incidence of heavy vaginal bleeding, we require the patient to stay overnight in our medical facility.

Daytime Clinic Same Day Second Trimester/Late Term Abortion Medical Abortion Service
What About Patients Who Cannot or Do Not Wish To Stay Overnight?
Many patients face transportation, family responsibilities, childcare or other issues which prevent them from being away from home over night. Some are more comfortable staying at a hotel with their husbands, significant others or family members. Some may have concerns about Laminaria placement. For those patients, we can offer the Second Trimester and Late Term Daytime Abortion Service. This is not a new method and is performed quite commonly in China, Europe and India. It involves coming to our office generally on a Monday when the patient is given medications that prepare the uterus to go into labor. Nothing else occurs for 36 to 48 hours and when the patient returns early on Wednesday morning, she is put in labor which results in delivery on average of approximately 4 to 7 hours. Thus, the term Daytime Clinic Same Day Second Trimester/Late Term Abortion Medical Abortion Service. Patients generally recover and are ready to leave the Abortion Clinic facility by 5 PM the same afternoon. 

We are the only facility in the United States that performs this efficient, highly effective, and most importantly, safe procedure. 

Risks of Medical Induction
Infection, blood clots in the uterus, heavy vaginal bleeding, laceration or torn cervix, cervical perforation, perforation of the wall of the uterus, pelvic infection, incomplete abortion, delivery of fetus into the posterior vaginal vault, anesthetic related complications, and in rare cases, maternal death are possible risks associated with abortion procedures. Our complication rate has been less than 0.5 percent. It is much safer to have a medical abortion procedure than carrying a pregnancy to term. There have been no deaths associated with abortion in our offices. To reduce the possibility or incidence of a live birth, all patients who are 21.6 weeks pregnant or further will receive an injection of medications into the fetal heart, or be given a fetal intramuscular injection, or medication instilled into the amniotic fluid that will stop the fetal heart beat immediately or within a few hours of injection.

We understand your concerns at this difficult time and how overwhelming all of this information may seem. We’re not only here to perform a highly specialized service, but also to provide the care and understanding you deserve.  

A patient may request an exclusive or private appointment with Dr. Pendergraft by contacting him by E-mail preferable at: Drpendergraft@gmail.com or call him directly at 321-445-2545 or call office location nearest you by clicking locations. Same day appointments can be arranged.

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