Early-2ndTrimester Surgical Abortions (12 to 14 Weeks) - General Info

A Surgical Abortion is one of the safest outpatient procedures there is. We would like to emphasis that to date we have had NO PATIENT COMPLICATIONS IN OUR OFFICE. We have accomplished this by only using disposable equipment for our procedures, and by emphasizing cleanliness and sterility throughout our office. Our patient’s safety and care is our number one priority.

Early Second Trimester Abortions (12-14 weeks) require more cervical dilation than a first trimester abortion. To accomplish this, dilators (laminaria) must be inserted into the cervical canal early in the morning. 

The abortion procedure will be performed a sufficient time after insertion of the laminaria.  The procedure will be performed using dilation and vacuum curettage, a suction method of emptying the uterine contents.  This procedure is performed by qualified Board Certified Gynecologist under local anesthesia, IV sedation, or general anesthesia.

How Does Laminaria Work?

Laminaria absorbs vaginal fluid like a sponge and slowly helps to stretch, open, and soften the cervix. This is done to avoid rapid dilation and possible damage to the cervix (cervical incompetence), which may adversely affect future pregnancies.

The use of laminaria helps to make the abortion safer and less painful.

	Procedure for the Early 2nd Trimester Abortion

After sufficient time, the laminaria will be removed under general or IV sedation, and evacuation will be performed.  The procedure is performed using dilation and vacuum curettage (suction).  It is performed by qualified Board Certified Gynecologist, with special expertise in abortion and ultrasound.

	Frequently Asked Questions

What is the difference between local anesthesia, IV Sedation (twilight), and General Anesthesia?

• Local Anesthesia is administration of medication to numb the cervix. With this
  method you will feel some discomfort, Like bad period cramps, during the time of
  actual abortion.
  
  
• IV Sedation (Twilight) is the administration of Demerol and Phenergan through
  the IV line which causes sedation and drowsiness. During the procedure, you
  will feel minimal crampiness and discomfort.
  
  
• General Anesthesia is the administration of the medication through the IV,
  which will put you to sleep for the duration of the procedure. During the procedure,
  patients usually feel no pain or discomfort.

  Please Note: Choice of anesthesia will be discussed and determined by patient
  and physician during their initial consultation session.

What to expect at the Time of your Visit:

• Our receptionist will cordially greet you and ask you to fill out a medical
  history form.
  
  
• A laboratory work-up will be done including blood analysis, RH factor,
  urinalysis, urine and/or blood pregnancy test.
  
  
• An ultrasound, using a state-of-the-art computerized sonogram will be
  preformed by your Board Certified physician to determine the length
  of your pregnancy.
  
  
• The physician will explain the abortion procedure, and discuss contraception
  methods with you, answering any questions you may have.
  
  
• The Physician will perform the procedure.
  
  
• After the abortion, you will rest in the recovery room till medications wear off.
  
  
• You are then given antibiotics and detailed instructions before
  you are sent home.
  
  
• Birth control pills are provided for free at the time of your visit.