2nd Trimester Surgical Abortion ( 13 - 24 Weeks)
Abortion in the second trimester - from 13 to 24 weeks - is generally performed using a procedure called Dilation & Evacuation (D&E). The D&E procedure is different from a 1st trimester abortion in a number of ways.
Later abortion may require a 2 to 3 day process that includes preparations to gradually/slowly dilate or open the cervix before the actual abortion. Later abortion may also require a longer stay in the facility and additional medications.
What to Expect
When making your appointment - expect the staff person to be professional, knowledgeable, and nice.
- All medical appointments begin with paperwork - medical history, information sheets and consent forms. If using healthcare insurance for your medical services, be sure to have your ID and health insurance information with you.
- Laboratory tests will also be part of your day. You may have a pregnancy test, anemia screening, and Rh type. Expect to give a urine and/or blood sample.
- Later abortion requires an ultrasound to accurately date the gestational age of the pregnancy. This is done at the beginning of your appointment process to determine whether you are eligible for an abortion at our facility.
- Expect some private time with a staff person to review your medical history, birth control plan, and other papers. This is also a time for you to ask questions and raise any concerns you may have.
- To minimize strain to your cervical muscle you may undergo gradual dilation that could take a few hours or happen overnight. Your abortion provider has a variety of products to choose from to achieve gradual dilation and will select the one that is most appropriate for your situation.
- Later that day or the next day, your abortion will take place in a sterile procedure room with the physician and an assistant. If you are using (sleep) general anesthesia there will also be a professional administering those medications.
- After the abortion you will have up to an hour to rest and recover with a nurse or medical assistant to take care of you.
- Lastly, you will be encouraged to schedule a follow-up visit within 1 to 2 to 3 weeks. This is a wonderful opportunity to make certain you have healed properly, to continue your birth control plan, and even get a pap test.
- You will be discharged to an escort with prescriptions for antibiotics and pain medications.
- If upon your follow-up visit, the procedure has completed you will be discharged or referred back to your own physician to carry on your regular life.
Remember…we provide quality care - you deserve.