Surgical abortion, also known as suction aspiration abortion, can be performed in a one-day procedure if less than 14 weeks have passed since the first day of your last menstrual period. The procedure is done in the doctor's office with local anesthesia and oral pain-relieving medications. You will be in a private room during your health education session, exam, procedure and recovery.
Abortion, in general, is legal under California state law and throughout the United States. However, California law places some limits on when a pregnant woman can terminate her pregnancy. Specifically, a woman can get an abortion up until her fetus becomes viable. And only qualified medical providers are allowed to perform legal abortions.
Second-trimester surgical abortion is performed for elective abortion, miscarriage management and for pregnancy termination due to fetal anomalies and maternal health conditions. During the second trimester, 15 to 23 weeks after your last menstrual period, abortions are typically performed over a two-day period but don't require an overnight stay in the hospital. This visit will take about two and a half hours. This visit will take about four to five hours. In some cases, the procedure can be performed in one day for pregnancies 18 weeks or less, depending on the circumstances.
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Cervical softening and dilating is performed with medication and small dilating weeks, called laminaria or Dilapan, that may be placed in the cervix, depending on the term of the pregnancy and your medical history. Laminaria are thin sticks made from a special seaweed material that widen as they absorb moisture from your body. Dilapan are synthetic sticks that work in the same way. The laminaria will stay in your cervix overnight and prepare your body california the next day's surgical procedure.
In a private exam room, you will learn about your procedure, undergo an exam and ultrasoundand receive oral medications that may include a pain reliever and anti-anxiety medication for relaxation, if laminaria is required for overnight dilation.
If you're given medications, it's important that you follow the instructions provided by your doctor. During the laminaria insertion, you'll be awake. If someone accompanies you, he or she can remain in the abortion room, if you wish. The doctor will:. After the procedure, you will rest for a few minutes.
You may experience cramping and spotting. You may get dressed when you feel able. We will give you detailed instructions on how to take care of your body overnight and how to prepare for the next day's procedure.
Someone must drive you home if you take anti-anxiety medications. Rest at home until the medications wear off.
The latest point in pregnancy you can get an abortion in all 50 states
Continue reading. Don't eat for at least eight hours before your operating room procedure. You may drink clear liquids such as water, broth or tea up to three hours before your procedure. The next day, you'll check in at the hospital reception area of UCSF Medical Center at Mount Zion, then go to the preoperative area, where you'll meet your doctor.
1. what is an abortion?
Medication will be administered intravenously IV in your arm to induce anesthesia or loss of consciousness. Most women fall asleep and don't remember the procedure.
After you're well relaxed, the doctor will remove the laminaria and use suction and gynecological instruments to empty your uterus, with ultrasound guidance. You'll be in the operating room for about an hour, but the procedure may take from 15 to 45 minutes.
In the recovery room, nurses will monitor you for about two hours. You may have some cramping and spotting. Before you return home, you'll receive antibiotics to prevent infection and instructions for postsurgical care.
Because of medications administered, you shouldn't drive until the medications wear off. Please make arrangements ahead of time for someone to take you home directly.
If you don't have anyone to accompany you home, contact Accessa women's health rights organization that may have a pro-choice volunteer driver to assist you. This must be coordinated with our clinic before your appointment, so please make arrangements as soon as possible.
See our frequently asked questions about post-procedure care. Unless you experience complications or have concerns, there's no need to return to the Women's Options Center. We recommend that you see your primary care doctor for regular evaluations. Second-trimester surgical abortion is one of the safest medical procedures. Although rare, possible complications include a blood clot in the uterus that can cause pain or require a repeat aspiration; infection, which is generally easily identified and treated; a tear in the cervix that can be easily repaired with suture; perforation; retained pregnancy tissue requiring repeat aspiration; and excessive bleeding requiring a transfusion.
Complications from a surgical abortion are considerably less frequent and less serious than those associated with giving birth. UCSF Health medical specialists have reviewed this information.
It is for educational purposes only and is not intended to replace the advice of your doctor or other health care provider. We encourage you to discuss any questions or concerns you may have with your provider.
Are you considering a medical versus surgical abortion? Find information here on suction curettage and medical abortions to help in making your decision.
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Medical abortion, also known as non-surgical abortion, is one way to terminate an early pregnancy using medications. Find more treatment information here.
Suction aspiration abortion, can be performed in a one-day procedure if less than 14 weeks have passed since the first day of your last menstrual period. Treatments A-Z. Preoperative Appointment In a private exam room, you will learn about your procedure, undergo an exam and ultrasoundand receive oral medications that may include a pain reliever and anti-anxiety medication for relaxation, if laminaria is required for overnight dilation.
The doctor will: Place a speculum to view inside your vagina.
Clean the cervix with gauze soaked in soap. Apply numbing medication local anesthesia to the cervix. Insert laminaria or Dilapan into your cervix, the opening to the uterus. The laminaria insertion takes about five to 10 minutes. Continue reading Surgical Appointment Don't eat for at least eight hours before your operating room procedure. Recovery In the recovery room, nurses will monitor you for about two hours. The procedure and recovery period at the hospital takes about five hours in total.
You can expect to return to normal activities, such as work and school, the next day. Follow-Up Visits Unless you experience complications or have concerns, there's no need to return to the Women's Options Center. Safety and Effectiveness Second-trimester surgical abortion is one of the safest medical procedures.
Clinics we work with. Recommended reading. Medical Versus Surgical Abortion Are you considering a medical versus surgical abortion? Related treatments.
Medical Abortion Medical abortion, also known as non-surgical abortion, is one way to terminate an early pregnancy using medications. Surgical Abortion First Trimester Suction aspiration abortion, can be performed in a one-day procedure if less than 14 weeks have passed since the first day of your last menstrual period.