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Effective 9/14/2022

The lower Hamilton Court of Common Pleas has issued a temporary retraining order against SB23 for 14 days. Preterm is now able to see patients through 21 weeks.

Medication Abortion


We offer medication abortion (sometimes called the “abortion pill”). We use a combination of 2 drugs, mifepristone and misoprostol.


Mifepristone causes changes in the lining of the uterus. Misoprostol then causes the uterus to contract and expel the pregnancy.

Notice: If you need a medication abortion, you will have to make an in-person appointment at Preterm. Though the FDA has announced that it will allow patients to receive medication abortion pills by mail, these updates to the FDA label have not been made yet and Preterm is unable to provide medication abortion services without in-person appointments. 


What to Expect

Ohio law requires at least 2 visits to the clinic to get an abortion. The first visit will last 3–4 hours. On your first visit, you can expect:


Day 1 Visit

  • Fill out medical history paperwork

  • Ultrasound exam

  • Finger prick to take a small blood sample to check for anemia and to see whether you’re Rh positive or negative

  • Private counseling session

  • Private consultation with a physician


Day 2 Visit

During your second appointment, the doctor will give you an oral dose of mifepristone and a dose of misoprostol to take at home 24 to 48 hours later.


Once you take the misoprostol you may experience cramping in as little as 20 minutes. You'll have cramping and bleeding, and the pregnancy will be expelled. Most people pass the pregnancy in 24 hours, but it could take up to 48 hours. We’ll give you prescriptions to manage any pain or nausea you may experience.


1 Week After Your Visit

About 1 week after your 2nd visit, we will call you to ask some questions to make sure the abortion has been completed. If the abortion is not complete, we'll talk to you about your options. You may need another dose of medication. Under the guidance of your treating physician, you may be eligible for a surgical abortion at no additional charge.


Symptoms + Side Effects

Most people will experience cramping and bleeding similar to a normal heavy period. You may see blood clots and tissue that come from the uterus. This is an expected part of ending the pregnancy.


Bleeding or spotting lasts an average of 9–16 days and may last for up to 30 days. In rare cases (1% of the time), bleeding can be very heavy and may need to be stopped by a surgical procedure.


Common side effects include nausea, abdominal pain, fatigue, fever, dizziness, and diarrhea.


A nurse is available to talk to around the clock if you have any medical concerns.


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