Abortion Methods: Chemical, Medical And Instrument Free.
The method of abortion to be used is dependent on the gestational age (how far along the pregnancy is) and the woman’s physical condition. More than 90% of all abortions are performed in the first trimester of pregnancy (the first 14 weeks after a woman’s last menstrual period).
Early Non-surgical Abortion
(Up to 9 weeks LMP, 7 weeks conception)
Medical abortion, chemical abortion, instrument free abortion (RU486, mifeprex, mifepristone, abortion pill, early option pill, french pill, methotrexate, tamoxifen, cytotec, misoprostol)
Approximately 2 to 5% of abortions performed by this method fail and a vacuum aspiration must then be done to remove the embryo. Patients may resume sexual activity, including intercourse as soon as they wish.
Early Surgical Abortion
(3 to 6 weeks LMP, 1 to 4 weeks conception)
Patients may undergo a surgical abortion procedure prior to missing a period. Minimal pain and discomfort. IV Sedation is not necessary. May return to normal activities the same day. May have sex 24 hours after the surgery.
First Trimester Abortion by Vacuum Aspiration
(Up to 14 weeks LMP, 12 weeks conception)
Local anesthetic (numbing medicine) is injected into or near the cervix. Intravenous medication may be administered to ease discomfort. The opening of the cervix is gradually dilated, and a tube attached to a suction machine is inserted into the uterus.
The uterus is emptied by suction. After the suction tube is removed, a curette (a spoon-like instrument) is used to gently scrape the walls of the uterus to be certain it has been completely emptied of the fetus and other products of conception.
The procedure takes approximately 2 to 3 minutes.
Second Trimester Abortions by Dilatation and Evacuation
(17 to 24 weeks LMP, 15.5 to 22 weeks conception)
Laminaria/Dilapan (small, tapered segments of absorbent material which expand as they become moist and slowly open the cervix) may be placed into the cervix for several hours or overnight. Intravenous medication may be given to ease discomfort.
A local anesthetic is injected into or near the cervix. If expansion is incomplete, the cervix is carefully opened with a succession of dilators. The fetus and other products of conception are removed from the uterus with instruments and suction curettage.
The procedure takes about 10-30 minutes.
Second and Third Trimester Abortion by Induction
(17 weeks and beyond LMP, 15 weeks and beyond conception)
The cervix is softened and becomes dilated over a period of hours with the use of Misoprostol and Laminaria. Fetal demise is accomplished with an injection of medication into the fetal heart.
Drugs are administered which help the uterus to contract and expel the fetus. The time from the beginning of the procedure to delivery varies greatly.
At Orlando Women’s Center most women complete the procedure on average of 20 hours (range: 4 to 36 hours).
Following delivery and removal of the placenta, the patient is observed in the recovery room to make certain the uterus is well contracted and bleeding has been controlled.
In rare cases where the induction method fails or cannot be used, an extraction procedure (similar to an abortion by D&E or a hysterotomy is performed to remove the fetus. A hysterotomy is similar to a caesarean section delivery and carries the same risks.
The Fort Lauderdale Women’s Center is Offering The One Hour Abortion Pill Procedure – 3 to 14 Weeks. Patients who qualify may receive a significant discount in the price of the procedure if they meet certain criteria.
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