1. How much will I bleed?

2. Will the procedure hurt?

3. Is the procedure risky?

4. What is the difference between a surgical and a nonsurgical (medical) abortion?

5. Will I be able to have children in the future?

6. Can I have all of my services in 1 day?

7. Can I bring someone with me?

8. When will I get my next period?

9. What do I need to bring with me to my appointment?

10. My doctor did an ultrasound and blood work. Can I bring the results with me and save some money?

11. Do my parents have to know?

12. What's the difference between the "abortion pill" and the "morning after pill?"

 


 

1. How much will I bleed?

After a surgical abortion some women don't bleed at all. Some spot or bleed lightly. Others bleed more heavily, similar to having a period. Bleeding can last from just a few hours to as long as 3 to 4 weeks. It can remain constant or start and stop. All of these variations are usually normal.

If you're having a medication abortion, you can expect heavy bleeding (similar to or heavier than a normal heavy period) for 1 to 12 hours followed by light bleeding for up to 3 to 4 weeks.

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2. Will the procedure hurt?

There's no simple answer because everyone experiences it differently. For surgical abortions, we offer 4 pain relief options. Every patient has local anesthesia to numb the cervical area. If you choose this option only, as about half our patients do, you can expect to feel some uncomfortable pressure and menstrual-type cramping during the procedure. As an option, you can have oral sedation to help relieve anxiety and discomfort. If you choose to have conscious sedation, we'll administer medication through an IV that will help you relax and lessen any discomfort. If you choose anesthesia, also administered through an IV, you'll be asleep during the procedure and won't feel anything. Please be aware that if you choose conscious sedation or anesthesia you'll have eating and drinking restrictions. If you choose oral sedation, conscious sedation or anesthesia, you'll need someone to drive you home.

If you choose to have a medication abortion, you should be prepared for strong menstrual-type cramping for 4 to 12 hours. We'll give you a prescription for a pain reliever.

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3. Is the procedure risky?

Every medical procedure has certain risks and possible complications. However, complications are rare (our complication rate is only one quarter of one percent), and most of them are easily remedied. In fact, abortion is far safer than childbirth and safer even than a tooth extraction. You'll have an opportunity to discuss the procedure and its risks prior to your abortion.

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4. What is the difference between a surgical and a medication abortion?

A surgical abortion involves a procedure in which the doctor numbs the cervix and uses instruments to remove the pregnancy from the uterus. The procedure usually takes from 5 to 15 minutes. In a medication abortion you terminate your pregnancy by taking a combination of two drugs. The physician gives you the first drug at your appointment. You take a second drug at home. It makes your uterus cramp and causes bleeding to expel the pregnancy. We perform medication abortions from 4 to 9 weeks.

For more information on these options, see surgical abortion and medication abortion.

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5. Will I be able to have children in the future?

Generally, an abortion will not affect your ability to have children. This is true even if you've had more than one abortion. A complication of the surgery could affect this, but Preterm's complication rate is less than one percent.

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6. Can I have all of my services in 1 day?

No. Because of an Ohio law that went into effect in September 2005, an abortion requires at least two visits, no less than 24 hours apart. If your pregnancy is 17 weeks or more, you'll need to make three visits.

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7. Can I bring someone with me?

You're welcome to bring a support person with you. If you're having oral sedation, conscious sedation or anesthesia, you must have a responsible adult driver with you. We cannot accommodate children so please make other arrangements for their care while you're here.

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8. When will I get my next period?

Expect to get your regular period 4 to 6 weeks after the abortion. If you're taking birth control pills, they may affect when you get your period. Please be aware that if you're not using birth control, you could become pregnant even before your next period begins.

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9. What do I need to bring with me to my appointment?

Make sure you bring the following:

Valid photo I.D. that states your date of birth.

Payment in the form of a money order, credit card (Visa, MasterCard, or Discover), or debit card. The credit card holder must be present.

Insurance card if you're using insurance.

If you're under 18 years old, there are some additional requirements. Please call us for further information.

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10. My doctor did an ultrasound and blood work. Can I bring the results with me and save some money?

No. To make sure we provide the best medical care possible, we do our own in-house lab work, medical screening, and ultrasound.

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11. Do my parents have to know?

Under current Ohio law, there are two options if you want to have an abortion and you're under age 18: 1) you can get the signature of a parent or legal guardian, or 2) you can obtain a judicial bypass from juvenile court. Our appointment center staff can explain the judicial bypass process.

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12. What's the difference between the "abortion pill" and the "morning after pill?"

The abortion pill, also called RU-486, mifepristone, and Mifeprex™, is a drug used in medication abortions to end an early pregnancy. The morning after pill, more commonly called emergency contraception or EC, is a drug used to prevent unintended pregnancy up to 120 hours after a woman has had unprotected sex. Both the abortion pill and morning after pill are available at Preterm.

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