If you are 12 to 14 weeks pregnant, your visit will last five to six hours. In either case, you will need to arrange for someone to drive you home after the procedure. When you check in for your appointment, we will verify your insurance information, collect your co-payment if applicable and ask you to complete some forms, including a medical history. The UCSF Women's Options Center is integrated into the general Women's Health Center practice; women are not identified in the reception area as desiring pregnancy termination and there are no signs advertising our clinic.
This ensures the privacy and safety of our patients and staff. Shortly after you arrive, one of our female health educators will bring you to a private room.
You will discuss and learn about pregnancy options, the abortion procedure and various birth control methods. You may remain fully dressed for this part of your appointment. The health educator will take your blood pressure, pulse and weight. If you brought a support person with you, he or she may stay with you during the health education.
Since UCSF Medical Center is a teaching hospital, we may ask your permission to have a doctor-in-training listen in on the health education session, which takes around 20 to 40 minutes. After your conversation with the health educator, you will meet the doctor. Our doctors are obstetrician-gynecologists with specialized training and interest in abortion provision and family planning.
The doctor will review your medical history, perform an ultrasound exam to determine your pregnancy's gestation, and give you medications. If you are less than 12 weeks pregnant, you will receive oral pain medications, including Vicodin, Valium and ibuprofen, at this time.
If you are 12 to 14 weeks pregnant, you also will receive a medication called misoprostol, which softens your cervix to make dilation easier. This portion of the visit takes about 20 minutes.
If you are less than 12 weeks pregnant, the oral medications need 45 to 60 minutes to be most effective. You will be awake, but well relaxed. You may stay in your room or wait in the reception area. We have magazines and portable stereos; you may want to bring something to read or a CD to occupy your wait time, which will be 45 to 60 minutes.
If you are 12 to 14 weeks pregnant, the misoprostol needs two to three hours to work. We will page you when it is time for you to return to the clinic. Immediately after the procedure and during the recovery period, you may experience some side effects.
Common side effects of surgical abortions include:. Once your healthcare provider ensures that your health is stable, you will be discharged home. Most women experience vaginal bleeding and cramping similar to a menstrual cycle for two to four days.
Some side effects are symptoms of potentially emergent conditions. You should call your clinic or seek immediate medical attention if you experience the following symptoms:.
Your period should return four to eight weeks following your abortion. Ovulation can occur without noticeable signs or symptoms, and often before you resume normal menstrual cycles, so you should always use contraception. You should wait to have sex for at least one to two weeks after the abortion, which can help reduce the risk of infection.
You also should wait for this period of time to use tampons, or insert anything into the vagina. While abortions are typically extremely safe and most women have no complications outside of common side effects, the likelihood of complications increases slightly as the gestational period increases.
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Already, clinics in…. Paying attention to changes in your body and cycle can help you recognize early signs of pregnancy while you have time to end the pregnancy, if you…. The Department of Justice sued Texas on Sept. Health Conditions Discover Plan Connect. The female reproductive system and surgical abortion The female reproductive system is made up of the: vagina — a muscular canal that leads to the entrance neck of the uterus, known as the cervix uterus womb fallopian tubes — tubes that extend from the uterus, one on each side.
They both open near an ovary, and carry the eggs ova from the ovaries to the uterus ovaries — two small glands that contain your eggs ova. When you become pregnant, a fertilised egg lodges in the lining of the uterus the endometrium. Expect to be at the clinic for at least two hours. Bring sanitary pads, your referral letter, your blood group card, your Medicare card and any health care card you have. Arrange for someone to drive you home. Anaesthetic for a surgical abortion The clinic you go to for an abortion will tell you about what type of anaesthetic it can offer you, and how you should prepare for it.
Anaesthetic choices may include: general anaesthetic — this makes you completely unconscious. Any operation involving a general anaesthetic carries risk. This operation takes less than 15 minutes. Surgical abortion after 12 weeks gestation For a termination of a pregnancy after 12 weeks gestation, for instance in the second trimester, the procedure is similar to that of a first trimester abortion, but your cervix is prepared differently.
This can involve: Hormone-blocking tablets may be used to help soften your cervix. These tablets may be taken by mouth or inserted into your vagina. They take about two hours to take effect. The abortion is then performed using suction and instruments to remove the pregnancy. Your cervix opening may be widened a little, and then have a special device inserted. This device swells over several hours until the cervix is opened wide enough to allow the abortion to occur.
Medications may also be used. The abortion is usually performed one or two days later. Complications of surgical abortion Complications occur in around three per cent of surgical abortion cases. Complications of surgical abortion can include: haemorrhage — bleeding after an abortion should be similar to a menstrual period.
If heavy bleeding occurs the abortion may not be complete. Sometimes, treatment for this is to do a suction curettage of the uterus. Blood transfusion is rarely required infection — a fever high temperature may indicate that you have an infection. This can be caused by an incomplete abortion or a sexually transmitted infection.
Sometimes, women can develop a chronic infection called pelvic inflammatory disease PID. Treatment for infection is with antibiotics injury to the uterus — the walls of your uterus are muscular but soft. In rare instances this can cause an abdominal infection peritonitis and severe blood loss. This complication is very rare and, if it occurs, will usually be recognised and treated straight away injury to the cervix — the cervix is stretched during an abortion.
If you have multiple procedures the cervix can weaken — this is sometimes called an 'incompetent' cervix. After a surgical abortion Be guided by your clinic as to how to care for yourself and reduce your risk of infection after a surgical abortion.
Generally, the following suggestions apply for two weeks after your procedure, or a few days after bleeding has stopped : Shower instead of taking a bath.
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