To complete your pre-abortion and begin abortion services in one appointment, you must pay your complete quoted fee

If you are only able to pay the pre-abortion services fee of $250, you may choose to only receive those pre-abortion services and receive the abortion at a separate appointment. The remaining fee would be due at the later abortion appointment

​Your fee will depend on:

• What point you are at in your pregnancy

• What type of sedation you choose

• Financial aid you may receive

• Private insurance coverage, if any

Please refer to our Scheduling & Fees page for an overview of possible costs

​You should have gotten your specific fee over the phone when you scheduled this appointment.

Please call us at 216-991-4000 if you have any questions about your fee, financial aid, or private insurance 

 For payments we can accept: 

✔️ Cash  

✔️ Credit or debit card

 We cannot accept: 

 ❌ Personal checks 

 ❌ American Express 

​If someone else is going to help you pay and use their credit or debit card, they must come to the appointment with the card and photo ID or complete a form ahead of time

A copy of the form and instructions can be found on our Scheduling & Fees page

If you are in the second trimester of pregnancy and you have a negative blood type, you will need a medication called Rhogam to protect the health of future pregnancies

If you have a positive blood type, you will not need this medication

If you do not know your blood type, you can:

1. Check your medical records by consulting with your doctor or checking in your MyChart

2. Get your blood type tested before your appointment by:

1. Go here to purchase the Blood Type Test on the LabCorp website

2. Print out the proof of purchase lab orders

3. Schedule an appointment with the nearest LabCorp location

4. Bring the results to your Preterm appointment

If you have a negative blood type we can provide the Rhogam medication after your abortion

If you are unable to confirm your blood type before the abortion, you have up to 72 hours after the abortion to receive the Rhogam medication if you find out that you need it or if you want to receive it just in case

For more information on Rhogam, see the manufacturer’s website 

Restrictions

✔️ You must meet medical safety guidelines. For example, your blood iron levels need to be high enough 

✔️ There must be enough room left in the schedule 

​We recommend wearing loose pants or a skirt or dress and full underwear as you will have a pad after the dilator insertion

What to Expect

At this appointment you will be receiving required pre-abortion services:  

• Routine medical screening  

• Ultrasound to establish age and location of pregnancy  

• Counseling/information session  

We will review the different pain management options and assess if you will be able to begin the abortion process at this appointment. If you begin the abortion process at this appointment, we will outline the rest of the steps for the day as follows:

​Your abortion will begin today with the doctor inserting cervical dilators. This process typically takes 5 – 10 minutes. This will begin the abortion process by slowly opening your cervix during the day and overnight.  One brand of cervical dilator is Dilapan.

You can find more information about how Dilapan works on their website. Dilator insertion can cause bleeding and it is uncommon but possible that your water may break

​​You may also receive a medication called misoprostol as a part of the preparation of your body for the abortion. This medication comes in the form of pills that will dissolve in your mouth or vagina. They will help to prepare your cervix for the abortion procedure. Some people have cramping, bleeding, nausea, chills and aches like with a fever

​🕓 The dilator insertion typically takes 5-10 minutes  

💢 You will feel cramping and pressure during the insertion 

 👀 You will be completely awake and aware during your care  

💊 Ibuprofen or Acetominophen can be provided and may reduce the discomfort 

 Your abortion procedure will be performed the following day and you will receive the time, restrictions, and requirements before you leave. You will choose between two types of pain management described below 

​Conscious Sedation 

💢 You may feel cramping and pressure 

🌟 Fentanyl and Versed reduce pain and make you feel deeply relaxed, while still being able to respond to directions 

💡 You may not have a clear memory of the procedure 

OR 

Anesthesia 

🌟 Propofol will put you completely asleep during the abortion 

💡 You will not remember anything that happened during the procedure 

​For one week after the abortion, we recommend you take it easy and rest. You will receive a complete explanation of what to expect during and after the abortion before you start the procedure ​