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Surgical abortion, also known as suction aspiration abortion, can be performed in a one-day procedureif less than 14 weeks have passed since the first day of your last menstrual period. Theprocedure is done in the doctor's office with local anesthesia and oral pain-relieving medications.Surgical abortion procedures can differ depending on length of pregnancy and personal circumstances.What to expect during your visitThough surgical abortions only take several minutes to complete,patients should expect a stay of 3-5 hours to allow time for paperwork, lab work, ultrasound,and a counseling session (before your abortion), and a post surgical recovery period (afteryour abortion). Those opting for twilight or general anesthesia should have a ride home.Depending upon a woman's needs and/or medical history, other pre or post procedure medicationsmay be administered. During your surgical abortionYou will firstlay on an exam table like you would for a regular gynecological exam. Most patientswill then receive IV sedation/twilight anesthesia (or general anesthesia where available) atthis time. Patients opting for twilight anesthesia are mildly awake, but should feel no morethan slight (if any) discomfort, and usually have little to no memory of the procedureafterwards. Where available, patients opting for general anesthesia will be totally asleepfor their abortion. Just as with a pap smear, the doctor will use a speculum to hold thevaginal walls open, and then begin the procedure by using a series of dilation instrumentsto open the cervix. The pregnancy tissue and contents in the uterus are then removed witha gentle vacuum aspirator. The entire process takes about 5-8 minutes.After your abortionWhen your surgery is complete, you'll rest in the recovery room for 30 ormore minutes before leaving. The recovery room nurse and staff will offer medicationsto help with
possible cramping, monitor your heart rate & blood pressure, and provide asnack and drink. In addition, you'll receive your aftercare instructions and medications,including birth control (if you've opted to begin taking it). Post-procedure counselingis available if you decide you'd like it. Women may experience bleeding or spottingand cramping for up to a week following the procedure. Most women feel ready to returnto work and other daily activities within the next few days. Make sure to take yourantibiotics as directed and please do not douche, take a bath or swim for at least aweek. Do not have sexual intercourse or insert a tampon for at least 2 weeks after the procedure.Benefits to choosing surgical abortionMost women who choose surgical over medical abortionsdo so because of timing and effectiveness. Because the anticipation of an abortion canbe difficult, many women choose surgical abortions because they are safe, effective, and do notrequire additional steps at home for completion. With the exception of a required follow-upvisit 2-3 weeks later, surgical abortion patients leave our office confidently knowing thatthey are "done", and feel ready to return to work or other daily activities within afew days.What complications may occur? If you experience any of the following symptoms:Fever over 100 degrees or chills, excessive bleeding (soaking one pad per hour for 3 straighthours) or bad cramping unrelieved by Ibuprofen or Tylenol, or prolonged abdominal pain, pleasecall Professional Gynecological Services to talk to a doctor or a nurse.We highly recommendthat you return to our office in 2-3 weeks for a quick follow-up visit.718.875.4848http://www.thewomenschoice.com/one-day-abortion/
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