Terminations of pregnancies are done in our office in a two to three hour visit. During this time our patients are first requested to provide us with important medical history. Once all the information is collected, the patient will be provided with an individualized session in where the procedure will be explained and questions will be answered.
To ensure your safety on the day of your appointment, you will go through a series of pre-operative assessments with the medical and counseling staff. You will have:
• History and Physical: An individualized session in where one of our trained staff members will review your medical history, current physical state and birth control options.
• Counseling: During your medical/physical assess ine the length of
pregnancy or gestational age.
• Billing: At Professional Gynecological Services, we require your entire fee to be paid before the abortion is performed. The basic fee for the procedure includes: a review of your pertinent medical history, an educational counseling session, ultrasound screening, routine urine and blood testing (If requested by your physician), the abortion procedure, anesthesia, and recovery room services. (Please be aware that if you are paying cash an additional fee for the Rhogam injection will be required for those patients that are NEGATIVE RH TYPING).
• Payment can be made in cash, or by credit card. For the convenience of our patients, we accept MasterCard, VISA, American Express, and Discover. (We do not accept any Debit Cards). We accept most private insurances including MEDICAID- HMO’S plans.
ONE DAY ABORTION:
Right after your pre-operative assessment has been completed; you will be prepared for the surgery and escorted to the operating room for the procedure. During the surgery there will be approximately about 3-5 medical staff in the operating room with you (depending on your individual needs).
The procedure will begin with the Ob/Gyn physician performing an examination. During this examination, an ultrasound will be performed to determine the length of the pregnancy. You will then have the choice of anesthesia; including General Anesthesia, or Local anesthesia. The procedure takes about 8-10 minutes. Ultrasound is used throughout the entire procedure to ensure both completion and safety of the termination.
Following the abortion you will be transferred to our recovery room. If you have had general anesthesia this is where you will awaken. You will probably have some cramps and bleeding at first. This is expected since the uterus must return to its normal size after the pregnancy is removed. One of our staff members will give you some medication for pain and monitor your vitals and how you are feeling. You can expect to be in our recovery room for about one hour until you are medically cleared to return home.
Most of our patients can return to work or school the day after the procedure. We encourage our patients to return to the office in two weeks for a follow-up visit. Contraception will be discussed at the time of the visit. Our staff is available seven days a week for any emergencies or questions you may have.
PGS specializes in second trimester termination of pregnancy. In general, this procedure requires a two-day visit to our office. A second trimester surgical abortion is performed in a similar manner as a first trimester abortion; however, the patient’s cervix must be dilated, or opened, several hours or days prior her surgery. Since the dilation process is different for every woman, a second trimester abortion surgery may be performed on the same day as the dilation progress or up to One or Two days afterwards.
Our general protocol is that pregnancies between 14 weeks LMP and 20 weeks LMP will require a “Two-Day” second trimester procedure. Depending on your medical and pregnancy history, the physician may determined that, for your safety, a pregnancy earlier than 15 weeks will require a “Two-Day” procedure. Prior starting any second trimester procedure, you will go through the pre-procedural assessment as all other abortion patients.
Prior to second trimester abortion , the cervix is dilated through the insertion of laminaria/lamicel insertion. Laminaria are made of sterilized seaweed and look like tiny tampons. Lamicel are similar, but made of synthetic material. If Laminaria or lamicel is necessary to complete dilation, they must be inserted into the patient’s cervix by the physician prior the abortion procedure. The Laminaria/Lamicel acts like sponges by absorbing the moisture in the patient’s vagina and expanding to gently open the cervix. This method of dilation prevents damage to the cervix by mimicking the gradual manner in which the cervix opens naturally.
The physician will perform the surgical abortion after dilation of the cervix is complete-this may take several hours or overnight. You will be escorted to the operating room, and the procedure will begin after the anesthesiologist administer anesthesia to completely sedate you.
Once you are as asleep, the physician will perform the surgical abortion. In addition, an ultrasound will be used during the entire surgery to ensure both completion and safety of the procedure. The surgical procedure takes about 10-15 minutes. After surgery, you will be taken into the recovery room, where our staff will monitor you for approximately 45 minutes. All patients are encouraged to return to the office in two weeks for a follow-up visit and discussion of contraceptives.
There are several reasons why women terminate pregnancies in the second trimester. Many patients are referred to our office because there is something wrong with the fetus and terminating the pregnancy is in the best interest of the patient. Doctors refer their patients to us because they are confident that these patients will get supportive care in a nonjudgmental environment.
At PGS, we offer you the opportunity to select the type of anesthesia that is right for you. You can choose to be awake or asleep for the procedure. Your anesthesia options are described in more detail below.
Local Anesthesia — Local anesthesia involves the injection by the physician of pain-stopping medication into your cervix. You will be fully awake during the procedure, but your cervix will be numbed. You can expect to have moderate cramping during the procedure.
General Anesthesia — General anesthesia is administered by injecting medication into your vein. This medication will allow you to sleep for the duration of the procedure. The medication is given by an Anesthesiologist, a physician specially trained in anesthesia or by a Nurse Anesthetist.