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Abortions to 12 weeks
Abortions over 12 weeks
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Call - 800-370-0049
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Second Trimester Services Information

Abortion Clinic RU486Two-day Abortion Procedure For over 20 Weeks
You probably have many questions regarding a second trimester abortion procedure. This information is designed to address those concerns. Please read the information carefully and if you have questions please call
1-800-370-0049 and speak to a patient educator.

If you are unsure about how far you are into your pregnancy, click here.

A second trimester abortions over 20 weeks requires two visits to our office over two consecutive days. The method we use, called Dilatation and Evacuation (D&E), is the medically indicated procedure for a second trimester abortion.

For more detailed information, click on the following:
Abortion Clinic RU486DAY 1
Abortion Clinic RU486DAY 2
Abortion Clinic RU486PAYMENT

Abortion Clinic RU486 For Day 1 and Day 2 of your appointment, you may not eat, drink or chew anything for four hours before you come in.
Abortion Clinic RU486 Smoking is not advised prior to Day 1 or Day 2.
Abortion Clinic RU486 Please make arrangements for children to be left at home.
Abortion Clinic RU486 When you come to our office on Day 1, payment in full will be collected prior to any services being rendered. For your convenience our offices accept cash, Visa and MasterCard. Personal checks are not accepted. Most insurance plans are accepted, but must be verified prior to your visit.
Abortion Clinic RU486 If you receive general anesthesia or I.V. Sedation you must have an escort drive you home.
During Day 1 you will:
1. Be in our office for approximately 2-3 hours.

Complete self medical history and consent forms.


Leave a urine sample for a pregnancy test.


Have a simple blood test by finger stick to determine your blood count and your Rh factor.


Have a sonogram to estimate the length of pregnancy.


Meet with an intake counselor to discuss your medical history forms and to make your payment in full.


Meet with a patient educator who will discuss the procedures, aftercare instructions and birth control options.


Have an examination and the laminaria insertion.

During Day 2 you will:
1. Be in our office for approximately 4-6 hours.
2. Receive Cytotec medication (up to 4 hour wait for medication to take effect)
Complete the abortion procedure.
Be observed for a brief recovery period with the recovery area staff. (Approx. 1 hour)
You must have an escort to take you home after receiving general anesthesia or I.V. Sedation..

Prior to your procedure you will be given written after-care instructions. Post-operative care is essential to your well-being.

To protect against infection, antibiotics are given routinely. If your blood type is RH negative you will be given Rhogam. If the physician deems it necessary, you may also be given Methergine to help your uterus to contract.

We are On Call 24 hours a day for medical emergencies.

All patients must have a post-operative exam three weeks after the procedure. There is NO additional charge for this exam. If you were referred to our office by your own OB/GYN, we encourage you to return to your physician for your continued care after you have been released from our care. However, complete post-operative care and on-going gynecological services are available to all self-referred patients


Second trimester abortion is a safe surgical procedure and has approximately the same rate of complications as normal childbirth. Complications range from minor to severe, including the rare event of death. However, deaths that occur during abortions in the second trimester are in most cases the result of physical complications present prior to the procedure. Therefore, it is very important that you inform us fully about your medical history and any drugs, legal or illegal, that you are using.

Complications that can occur during or after the abortion include infection, incomplete abortion (where some of the placenta remains in the uterus), injuries to the uterus, cervical tear, heavy and prolonged bleeding, whole body complications such as blood clotting problems, adverse reactions to the drugs, shock, cardiac arrest, amniotic fluid embolism and possible sterility. If you have a multiple pregnancy, the chances of complications increase. There is also the possibility of cervical incompetence which may result in problems maintaining a pregnancy in the future (possible miscarriage, stillbirth, low birth weight, premature delivery). Should any of these complications arise, antibiotic drugs and blood transfusions may be required. Remember, although many types of complications have been listed, the chances of a complication are small.

Many complications are also a result of NOT taking care of yourself after leaving our office. It is essential that you follow the post-operative instructions explained to you. Even though complications are rare, you should call us immediately if there is a problem such as those mentioned on your post-operative instruction sheet. Our doctors are on call 24 hours a day. A complication that is detected early is usually easily treated and corrected before it can become a major complication.


We require your entire procedure fee to be paid before the procedure is begun on Day 1. Payment can be made in cash, money order, or credit card (MasterCard or VISA). Most insurance plans are accepted, but must be verified prior to your visit.

You may also have additional fees if the doctor or medical staff determines that you need extra medications or testing. This may include, but is not limited to: injectable antibiotics, early detection urine pregnancy test, urine culture, throat culture, or Rhogam injection. If you have Rh negative blood it is absolutely essential that you receive a Rhogam injection. Ask the intake counselor if you have questions about the cost of these medications.

There are some supplies which you have the option to purchase while in our office. Methergine tablets or the Depo Provera injection (birth control) are both available for an additional charge. Ask the intake counselor if you have questions about the cost of these medications.

If the procedure is not performed due to patient request or physician advice, you will be responsible for payment for services already rendered such as the pregnancy test, sonogram and lab tests. All other fees will be refunded.

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abortions are legal for women of all ages and no parental or spousal consent is required.

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Abortion Clinic RU486