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Second Trimester Abortion 1-DaY
Second trimester abortion 1-DAY Procedure
Abortion 13 to 17 weeks
At our New York Abortion clinics our qualified and experienced physicians offer surgical abortion care in a SAFE and non-judgemental environment. Our compassionate staff are here for you every step of the way.
1 Day Procedure
You probably have many questions regarding a second trimester abortion procedure. This information is designed to address those concerns. Please read the information carefully.
If you are unsure about how far you are into your pregnancy, click on the Pregnancy Calculator towards the bottom of this page.
We’re a member of the National Abortion Federation (“NAF”).
NY Abortion is one of only a limited number of providers that are able to perform second trimester abortions up to 17 weeks in one day.
NY Abortion has specifically developed this expertise out of respect for our patients’ busy schedules and desire to maintain confidentiality.
PRE-OPERATIVE INSTRUCTIONS
You may not eat, drink or chew anything for eight hours before you come in.
Smoking is not advised prior to your appointment.
Please make arrangements for children to be left at home.
When you come to our office payment in full will be collected prior to any services being rendered.
For your convenience our offices accept cash, Visa, MasterCard, Discover, American Express, Apple Pay, Google Pay, and Android Pay. Personal checks are not accepted.
Medicaid and most insurance plans are accepted, but must be verified prior to your visit.
You must have an escort to take you home following your procedure. You may not drive yourself home.
During your visit you will:
- Complete self-medical history and consent forms.
- Leave a urine sample for a pregnancy test.
- Have a sonogram to estimate the length of pregnancy.
- Have a simple blood test by finger stick to determine your blood count and your Rh factor.
- 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 abortion procedures, aftercare instructions and birth control options.
- Have an exam and the abortion procedure while sleeping.
- Have the abortion procedure under general anesthesia.
- Recuperate with the nurse in the recovery room. (Approx. 1 hour)
- You must have an escort to take you home after receiving anesthesia.
LAMINARIA INSERTION
The purpose of laminaria insertion is to dilate the cervix so that the pregnancy can be removed. Laminaria are made from various materials designed to absorb water from the cervix and slowly expand.
As the laminaria slowly expand, they gently dilate the cervix. It takes a few minutes for one or several laminaria to be inserted. They may require a few hours or overnight to effectively dilate the cervix.
They are removed prior to the surgical procedure, once the patient is under anesthesia.
D&E (Dilation & Extraction)
This procedure is used for later 2nd trimester terminations of pregnancy.
The cervix has been dilated with laminaria and/or cytotec over the course of 1 to 2 days depending on the necessary dilation.
Under anesthesia, once adequate dilation is achieved, all products of conception are removed from the uterine cavity. This is done as gently as possible.
The procedure takes 5–10 minutes and is followed by an ultrasound inspection to assure that the cavity is empty.
The patient is taken to the recovery room for approximately 1 hour.
POST-OPERATIVE INSTRUCTIONS
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 available 24 hours a day for medical emergencies.
All patients must have a post-operative exam two weeks after the procedure. We encourage patients to return to their referring physicians. However, complete post-operative care and on-going gynecological services are available to all self-referred patients.
POSSIBLE COMPLICATIONS
Second trimester abortion is a safe surgical procedure and has approximately less complications as normal childbirth.
Complications range from minor to severe, including the very rare event of death. However, deaths that occur during abortions in the second trimester are usually the result of medical 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.
Multiple abortion procedures may result in future pregnancy complications such as cervical incompetence that could lead to preterm birth. However, injury to the cervix occurs in less than 1% of all abortions and is rarely permanent.
Many complications are also a result of NOT taking care of yourself after you leave 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.
PAYMENT
We require full payment prior to your abortion procedure.
Payment can be made in cash, money order, or credit card (MasterCard, VISA, American Express, or Discover), Apple Pay, Google Pay, or Android Pay.
New York State Medicaid and 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. 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 abortion 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.
DISCLAIMER: Your medical history or conditions may alter treatment plan.
Sonogram Guided Abortion
At All Women’s Medical, we do more because we care.
Don’t settle for a blind procedure when your doctor, through sonography, can view the procedure as it is performed.
Your safety is our #1 priority. For that reason, 100% of our procedures are performed under COMPLETE SONOGRAM GUIDANCE.
Unlike a “blind” procedure in which a doctor goes solely on his sense of feel, we use Sonography to give the additional benefit of sight for a gentler and safer procedure. The use of sonography guides our surgeons directly to the pregnancy so the risk of injury or retained tissue is kept at a minimum. Sonography also lowers the amount of time the procedure takes thereby helping the doctors to decrease the amount of time you spend under anesthesia.
No two women are created the same and neither is their uterus. Previous medical conditions such as fibroids, prior cesareans and the number of pregnancies all contribute to the uniqueness of each uterus. With the use of sonography, we are able to see the uterus in three dimensions assuring us that the uterus is empty of products of conception.
Safe Individualized Anesthesia Care — Two doctors are better than one!
Every patient who enters our operating room is greeted by two doctors, a surgeon and an anesthesiologist. Just as no two patients are the same, neither are their individual needs for anesthesia. Our team of physicians discusses the specific needs of each patient before her procedure for maximum safety and comfort. Should you choose to be asleep for your procedure, you may take comfort in the fact that your individualized anesthesia options are tailored specifically for YOU.
You matter
In no uncertain terms, we care about you. Be assured that we will do everything possible to make certain that your experience at our office is as safe and as comfortable as possible.