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Second Trimester Abortion 2-DAY

Second trimester abortion 2-DAY Procedure

Abortion 17 to 21 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.

2-Day Procedure - Requires two visits over 2 consecutive days

The abortion method we use, called Dilatation and Evacuation (D&E), is the medically indicated procedure for second trimester abortion.

If you are unsure about how far you are into your pregnancy, click on the Pregnancy Calculator towards the bottom of this page.

NY Abortion is one of only a limited number of abortion providers in the United States that are able to perform second trimester abortions up to 21 weeks. Our experienced staff and physicians are compassionate and non-judgemental. We are here to HELP.

PRE-OPERATIVE INSTRUCTIONS

On Day 1 and Day 2 of your appointment:

  • You may not eat, drink or chew anything for eight hours before you come into the center.
  • Smoking is not advised prior to Day 1 or Day 2.
  • Please make arrangements for children to be left at home.
  • 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, 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.

> An escort is mandatory for Day 1 and Day 2. Due to the fact that you will have received anesthesia.

During your Day 1 visit you will:

  • 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 abortion procedure, aftercare instructions and birth control options.
  • Have an examination and the laminaria insertion.

During your Day 2 visit you will:

  • Be in our office for approximately 4-6 hours
  • Receive Cytotec medication (up to 4 hour wait for medication to take effect)
  • Complete 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 general anesthesia.

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 injection.

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 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.

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 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 (for instance a twin 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.

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 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.

We require your entire procedure fee to be paid before the abortion procedure is begun.

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.

We’re a member of the National Abortion Federation (“NAF”).

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.