There are medical and surgical abortion procedures. The types of abortion that may be available depend on factors such as how far along a woman is in her pregnancy and what kinds of procedures the abortion provider offers.
It may seem like abortion is the solution to moving on with your life or getting back on track. No matter what you choose, to have a baby or to abort, your life is forever changed. This pregnancy will always be part of your story.
Medical abortions use drugs, instead of surgical instruments, to end a pregnancy.
1.) Early Medical Abortion
Up to 10 weeks from the last menstrual period (LMP) “The Abortion Pill” (mifepristone plus misoprostol) is the most common form of medical abortion. It was approved by the Food & Drug Administration (FDA) for use in women up to 10 weeks after LMP. 1 It is even used beyond 10 weeks LMP, despite an increasing failure rate. 2, 3, 4 It is done by taking a series of pills that disrupt the embryo’s attachment to the uterus, and cause uterine cramps which push the embryo out. 5 The abortion pill is not available over the counter. Things to consider: 6
2.) Methotrexate is FDA-approved for treating certain cancers and rheumatoid arthritis, but is used off-label to treat ectopic pregnancies and to induce abortion. 9, 10 Given by mouth or injection, it works by stopping cell growth, resulting in the embryo’s death.
3.) Medical Methods for Induced Abortion — 2nd and 3rd Trimester.11, 12 This procedure induces abortion by using drugs to cause labor and delivery of the fetus and placenta. Drugs may be injected into the fetus or the amniotic fluid to stop the baby’s heart before starting the procedure to avoid a live birth. There is a risk of heavy bleeding, and the placenta may need to be surgically removed. Call us to learn more about these procedures and potential risks.
Surgical abortions are done by opening the cervix and passing instruments into the uterus to suction, grasp, pull, and scrape the pregnancy out. The exact procedure is determined by the baby’s level of growth.
Aspiration/Suction 13, 14 – Up to 13 weeks LMP Most early surgical abortions are performed using this method. Local anesthesia is typically offered to reduce pain. The abortion involves opening the cervix, passing a tube inside the uterus, and attaching it to a suction device which pulls the embryo out.
1.) Dilation and Evacuation 15, 16 (D&E) – 13 weeks LMP and up
Most second trimester abortions are performed using this method. Local anesthesia, oral, or intravenous pain medications and sedation are commonly used. Besides the need to open the cervix much wider, the main difference between this procedure and a first trimester abortion is the use of forceps to grasp fetal parts and remove the baby in pieces. D&E is associated with a much higher risk of complications compared to a first trimester surgical abortion.
2.) D&E After Viability 17, 18, 19 – 24 weeks LMP and up
This procedure typically takes 2–3 days and is associated with increased risk to the life and health of the mother. General anesthesia is usually recommended, if available. Drugs may be injected into the fetus or the amniotic fluid to stop the baby’s heart before starting the procedure. The cervix is opened wide, the amniotic sac is broken, and forceps are used to dismember the fetus. The “Intact D&E” pulls the fetus out legs first, then crushes the skull in order to remove the fetus in one piece. Call us to learn more about your pregnancy options.
NOTE: We offer accurate information about all your pregnancy options; however, we do not offer or refer for abortion services or emergency contraception. The information presented on this website is intended for general education purposes only and should not be relied upon as a substitute for professional and/or medical advice.