There are some laboratory tests which we will need to perform. For these tests we will need samples of your urine and blood. We will use your urine sample to perform a pregnancy test and we use your blood sample to check your iron count and Rh factor.
If your blood is found to be Rh negative (e.g. , O negative, A negative) you will need an injection of Rhogam after your abortion. Rhogam prevents antibodies from being formed in your blood that would cause problems with future pregnancies. If you are Rh negative, it is important that you receive a Rhogam injection with every pregnancy. Please note that there is an additional fee for all Rhogam injections.
A sonogram is considered the most reliable method of assessing how far you are into your pregnancy. A sonogram is a test that uses sound waves to see your pelvic structures. It is not an X-ray and there is no radiation. A sonogram is done while you lie down comfortably. A gel solution is applied to your abdomen and an ultrasound wand is placed on your abdomen. There is little or no discomfort while the sonogram is being performed. Although you may have had a sonogram elsewhere before coming to our office, we must perform our own sonogram.
It is proper clinical practice to determine the length of pregnancy based on your last menstrual period and not on the actual date of conception. Therefore, if you think you conceived 8 weeks ago, your last menstrual period was probably 10 weeks ago and you would be considered 10 weeks pregnant. Any abortion performed up to 12 weeks of pregnancy is, by definition, a first trimester procedure. If your ultrasound evaluation reveals that you are over 12 weeks of pregnancy, the procedure becomes a second trimester procedure.
You will meet with our patient educator who will go over the abortion procedure, explain how to take care of yourself afterwards and answer any questions you may have about your visit. This is the time to talk about your decision to terminate the pregnancy and any emotional or physical concerns that you might have. Legally, we must obtain your written consent for the abortion. The patient educator will obtain your consent at this time. Please be assured that NY Abortion will not perform an abortion on any woman if she does not want one, regardless of age.
The patient educator will also discuss birth control options with you. If you choose, she will provide you with a method to use following the abortion. She will also schedule your follow-up appointment.
At NY Abortion, 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.
Before the anesthesia of choice is administered, the physician will perform an internal exam to determine the position of your uterus. This is done by inserting two fingers into your vagina and pressing down on your lower abdomen. Next, a speculum is placed inside the vagina to keep the vaginal walls apart. The physician will hold the cervix, the opening to the uterus, with an instrument called a tenaculum. The physician will then insert a series of narrow metal instruments, called dilators, into the cervix to open it slightly. The physician will then use a slender suction cannula to remove the pregnancy from the uterus.
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. The nurse will give you some medication for pain and monitor how you are feeling. You can expect to be in our recovery room for about one hour.
You must have an escort to take you home following any procedure done with anesthesia other than local anesthesia. For your own safety, you may not drive for the remainder of the day.
Proper post-operative care is essential to your well being. We will provide you with clear, written post-operative instructions prior to your procedure. You must have an escort to take you home following any procedure done with anesthesia other than local anesthesia. For your own safety, you may not drive for the remainder of the day. To protect against infection, we will provide you with antibiotics It is essential that you take all medications prescribed by the physician in the manner explained.
> All RH negative patients are given an injection of Rhogam.
> If the physician deems it necessary, you will be given Methergine to help your uterus to contract.
> Our physicians are on-call 24 hours a day for medical emergencies.
You will need to have a post-operative exam two weeks after your procedure. If you were referred to our office by your own OB/GYN, we encourage you to return to your physician for your post-operative care. However, complete post-operative care and on-going gynecological services are available at our office for all patients.
First trimester abortions are one of the safest surgical procedures and are approximately 9-10 times safer than normal childbirth. There are both minor and major complications possible, but most are minor and easily treated. Possible complications include:
> Infection (less than 1%)
> Heavy bleeding (1/2 of 1%)
> Incomplete abortion (less than 1%)
> Damage to the uterus or nearby internal structures (less than 1/2 of 1%)
> Cervical tear (1/2 of 1%)
> Continuing pregnancy (less than 1%)
> Death (1 in 160,000)
To help reduce your risk of complications it is essential that you follow all your aftercare instructions, return for your follow-up examination, and promptly call our office if symptoms of any complications do occur.
Our physicians are on-call 24-hours a day to respond to your medical concerns and to handle any medical emergencies.
At NY Abortion, 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, an ultrasound screening, routine urine and blood testing, the abortion procedure, anesthesia, and recovery room services.
Payment can be made in cash, by money order, or by credit card. For the convenience of our patients, we accept MasterCard, VISA, American Express, and Discover. Medicaid and most insurance plans are also accepted, but must be verified prior to your visit.
Laboratory Fee -- The products of conception removed during the abortion are sent to an off-site laboratory to be examined by a pathologist. The pathologist's examination confirms that a pregnancy has been removed and examines the tissue for certain abnormalities. The fee for this service is approximately $20. Although the off-site laboratory has no relationship to our office, we do collect the fee on their behalf. Therefore, the fee is payable in cash at the time of your procedure. Because of the importance of this laboratory test, it is essential that our office have your correct phone number and address. If, in the unlikely event that the laboratory results indicate that you must return for repeat tests or procedures, we must have a reliable way to contact you. If we cannot reach you by phone, we will send a mailgram. We are very respectful of your need for confidentiality and will only contact you if there is an emergency. There is no additional office fee in the rare event that this occurs.
Medications and Testing -- You may also incur additional fees if the doctor or medical staff find that you need extra medications or testing. These additional needs may include, but are not limited to: injectable antibiotics, an early detection urine pregnancy test, a urine culture, a throat culture, or a Rhogam injection. If you have an Rh negative blood type (e.g. , O negative, B negative) it is absolutely essential that you receive a Rhogam injection.
There are also some medications that you may choose to purchase on the day of your procedure. Methergine tablets (sometimes prescribed by the doctor to help the uterus to contract), Doxycycline tablets (a routine antibiotic) and Depo Provera (injectable birth control) are all available at our office for an additional charge. If you have any questions about the cost of these medications please contact us at 718-793-1943.
If the abortion procedure is not performed due to patient request or physician advice, you will be responsible for payment for any services already rendered such as a pregnancy test, a sonogram and/or any laboratory tests. All other fees will be promptly refunded.