A surgical abortion in the first trimester (3 to 12 weeks) is done by a suction process that removes the gestational tissue from the uterus. The procedure normally takes 5 to 10 minutes. The opening of your cervix is gently stretched open with dilators which allow the tissue to be removed safely.The stretching can feel like menstrual cramps.
When the opening of the cervix is sufficiently dilated, the contents of the uterus are removed gently by suction. Some women may feel a small amount of pressure during this process.
After the procedure, patients are taken to the Recovery Room. A medical staff person will be with patients at all times. Vital signs will be monitored along with other measures to assure that patients are recovering without any problems. Patients should expect mild cramping, and some women experience mild dizziness, and nausea. Most women are able to leave the office in 30 minutes or less.
IN ORDER FOR YOU TO TAKE BETTER CARE OF YOURSELF, REMEMBER THE FOLLOWING INSTRUCTIONS:
- Take your temperature at bedtime every day until your follow-up visit. Record your temperature.
- You may use Ibuprofen, Advil, or Aleve as needed for cramps. We advise you to take the Senokot tablets or similar stool softeners to prevent constipation. Dulcolax suppositories may also be used if needed and are available over the counter.
- Do NOT drink alcohol or use Aspirin AT ALL for 2 weeks, as this will increase the chance of excessive bleeding or hemorrhaging.
- Do NOT put anything in the vagina for the next 2 weeks. This means no intercourse, no douching, and no tampons, as these things can cause vaginal infection. Keep these things out of the vagina to allow your body time to heal.
- Do NOT run a pregnancy test as it will come out positive for up to 30-40 days until the pregnancy hormone clears from your system.
- YOU NEED TO COME IN FOR YOUR FOLLOW-UP EXAMINATION. THE FOLLOW UP EXAM INCLUDES A REPEAT PREGNANCY TEST, PELVIC EXAM AND VAGINAL ULTRASOUND DONE BY THE PHYSICIAN, AND DISCUSSION OF FURTHER CONTRACEPTIVE MEASURES.
- PLEASE WATCH FOR THE FOLLOWING DANGER SIGNS:
- Recorded temperature higher than 100.4°F.
- Severe abdominal pain or cramping
- Bleeding heavier than a normal period
- You may also pass a few blood clots. Do not be alarmed; this is normal.
- Unusual vaginal discharge or odor
- Allergic reaction such as skin rash or severe respiratory difficulty