Procedure For 12 - 19 Weeks
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 NY Abortion at
MATTER and speak to a patient educator.
If you are unsure about how far you
are into your pregnancy, click
NY Abortion is
one of only a limited number of providers
that are able to perform second trimester
abortions up to 19 weeks in one day.
NY Abortion has specifically developed
this expertise out of respect for
our patients' busy schedules and desires
to maintain confidentiality. For more
detailed information, click on the
||You may not eat,
drink or chew anything for eight
hours before you
||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,
and American Express. Personal
checks are not accepted. Medicaid
and most insurance plans are accepted,
but must be verified prior to
||You must have
an escort to take you home following
your procedure. You may not drive
yourself home due to the fact
that you will have received anesthesia.
During your visit you will:
medical history and consent
Leave a urine
sample for a pregnancy
to estimate the length of
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
Meet with a
educator who will discuss
the abortion procedures, aftercare
instructions and birth control
Have an examination
and receive the cytotec
medication (which takes
up to 4 hours to work.)
Have the abortion
procedure under general
the nurse in the recovery
room. (Approx. 1 hour)
You must have
an escort to take you home after
the day of your abortion, you
can plan to be in our office
for approximately 5-7 hours.
During this time you will:
|THE ABORTION PROCEDURE
you're asleep a speculum is placed inside
the vagina to keep the vaginal walls apart.
The doctor will determine if there has been
sufficient dilation. The doctor will hold
the cervix, the opening to the uterus, with
an instrument called a tenaculum. The physician
will then insert several narrow metal rods,
called dilators, into the cervix to further
open it. The physician uses a slender suction
cannula and other specialized instruments
to remove the pregnancy form the uterus.
The entire process can take 10-20 minutes.
The purpose of laminaria insertion is to
dilate the cervix so that the pregnancy
can be removed. Laminaria are made from
various materials whose purpose is to absorb
water from the cervix and slowly expand
- thereby gently dilating the cervix. It
takes a few minutes for the physician to
insert one or several laminaria and they
may require a few hours or overnight to
effectively dilate the cervix. They are
removed prior to the surgical procedure
when the patient is under general anesthesia.
D&E (Dilatation & 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 general
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 - 1 ½ hours.
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 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 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.
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.
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.
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).
New York State Medicaid and
most insurance plans are accepted,
but must be verified prior to
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.
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.