If you're considering an abortion, it's important to understand the different types of procedures available and what to expect before, during, and after the process. This guide will provide you with a clear and accessible overview of the most common abortion procedures, as well as information on pain management, costs, and financial assistance.
The type of abortion procedure you undergo will depend on how far along you are in your pregnancy. The most common procedures include:
Medical abortion (mifepristone, also known as RU-486): A prescription pill that can be taken at home during the early part of a pregnancy.
Vacuum aspiration (suction abortion): A procedure typically performed in the first trimester, involving the use of a small tube attached to a suction device to clear out the contents of the uterus.
Dilation and evacuation (D&E): The most common type of second-trimester abortion, involving the dilation of the cervix and the use of forceps, suction, and other medical tools to remove the contents of the uterus.
Dilation and extraction (D&X): A procedure usually reserved for cases with serious fetal abnormalities or maternal medical complications, performed later in pregnancy.
Almost all abortion procedures are outpatient, meaning you won't have to stay overnight in the medical facility.
When you schedule your appointment, your healthcare provider will give you instructions, which may include fasting starting the night before your procedure. Upon arrival at the clinic, you'll fill out paperwork, answer questions about your medical history, and undergo a pre-abortion workup, including a physical examination, pregnancy test, blood test, and screening for sexually transmitted infections.
Your doctor will also discuss pain management options with you. For most in-clinic abortions, you'll receive local anesthesia to numb your cervix, and you may be offered oral medication or IV sedation to help you relax.
The specifics of the procedure will depend on the type of abortion you're having and how far along you are in your pregnancy. In general, you'll lie on an exam table with your feet in stirrups, and your healthcare provider will use medical tools to access and clear out your uterus. The procedure can take anywhere from a few minutes to 20 minutes, depending on the method used.
After the abortion, you'll rest at the clinic under supervision for about 30 minutes before being released. You'll receive a prescription for antibiotics and may experience cramping and light bleeding for a few days to a couple of weeks. Most providers will schedule a follow-up appointment within 1 to 4 weeks to ensure that you've physically recovered and are no longer pregnant.
The cost of an abortion can vary depending on factors such as how far along you are in your pregnancy, the type of procedure, and whether you receive anesthesia or sedation. Prices can range from around $300 to over $2,000. However, there are organizations that can provide financial assistance, including:
If you have Medicaid or private insurance, your abortion may be partially or fully covered, depending on the rules of your state and insurance plan.
Remember, if you experience severe pain, a high fever, or heavy bleeding after your abortion, contact your healthcare provider or the emergency contact they provided immediately.
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