Early second trimester abortions require one office visit. We use the dilation and evacuation procedure, also known as a D&E. In the early in the second trimester, we use a medication to prepare the cervix instead of stick-like dilators that slowly expand over time.
The fee for this service includes pregnancy testing, admitting, pre-operative history and physical, ultrasound, lab work, cervical preparation, most pre-operative medications, the D&E procedure, RhoGAM (if required), sedation, medications given on the day of the procedure, most post-operative medications and your post-operative care as authorized by us.
When you arrive at the office, you will be asked to complete some paperwork. Many of these forms are available on this website. You can complete them, print them and bring them to your visit if you prefer.
Your vital signs will be taken and we will collect a small sample of your blood to determine your Rh factor and iron level. A clinician will review your medical history and perform a physical examination, including an ultrasound.
An admissions staff member will explain the procedure and assist you in completing additional paperwork. The admissions staff member will escort you to a private area where you will change into a gown that we provide.
You will meet with a clinician and they will provide you a medication which will help to soften and open your cervix. Some patients experience cramping, pressure and stomach upset after taking this medication. After being provided this medication there will generally be a 1-3 hour wait, which gives the medication time to work. Once this time has passed, a medical assistant will escort you to the surgical suite, and an IV will be placed in your hand or arm, in most cases.
You will be in the procedure suite for about 15 – 30 minutes. A licensed CRNA (certified registered nurse anesthetist) will administer sedation and a licensed medical doctor will perform the abortion by removing the pregnancy and aspirating the uterus. All of our physicians have specialized training in abortion care and are involved in training the family planning fellows at a local, prestigious hospital.
Patients are sedated for this procedure, which means that they will not feel any pain or discomfort.
You will be taken to the recovery room after the procedure is complete. Trained medical personnel, including registered nurses and medical assistants will care for you until you are ready to be discharged. Most patients spend about 1 – 3 hours in the recovery room, depending on individual medical assessments. We have tablets that you can listen to music or watch a video on in our second stage recovery area, while having a light snack.
When you are ready to be discharged, our staff will explain your post-operative care and medications.
After you are discharged, you should go home and rest. You may eat and drink normally. If you have nausea or vomiting, we recommend eating something light such as rice, soup or toast.
You are able to go back to work or school within 1 – 2 days, unless the doctor has provided you special instructions. We can provide a confidential doctor’s excuse if needed.
FPA has a designated 24-hour emergency number. We encourage you to call with any questions or to discuss any problems that occur after your visit. You are welcome to return for a free follow-up visit in 2 – 3 weeks, or sooner if needed.