Surgical Abortion

We offer surgical abortion services to patients in their first or second trimester of pregnancy (up to 21 weeks from last menstrual period). In the first trimester, our physicians perform a vacuum aspiration procedure, which is the most common first trimester abortion procedure. During the second trimester, our physicians use the Dilation and Evacuation (D&E) technique, which is the most common procedure.

What to Expect

Complete paperwork

Ultrasound exam

Lab work: We will perform routine blood tests before the procedure.

Private counseling session: We strongly believe in every pregnant person’s right to choose the outcome of their pregnancy and support them in whatever decision they make. If you are undecided we provide resources and counseling to support you through this time. We will not perform an abortion on a patient who has not made a decision of their own free will or who is not ready to make a decision.  If a pregnant person is firm in their decision then the counselor reviews informed consent, answers questions about the procedure, explores birth control options, if needed, and reviews after care instructions.

Surgical Procedure:

  • First Trimester Abortion (up to 12 weeks from last menstrual period):
    1. After administering anesthesia, this procedure begins with gentle opening (dilating) of the uterus (cervix).
    2. The physician then inserts a small tube connected to an aspirator, a medical instrument that creates a gentle suction, to remove the contents of the uterus.
  • Second Trimester Abortion (12.0 – 16.6 weeks from last menstrual period):
    1. Prior to the procedure, we administer a medication called Misoprostol, more commonly known as cytotec. The patient is required to wait for an average of 2 hours.
    2. The physician then performs the surgery (under anesthesia) by using medical instruments to evacuate the uterus.
  •   (17.0 – 21.6 weeks from last menstrual period): 
    1. For the comfort of our patients, this procedure is performed under anesthesia.
    2. This procedure occurs over two days and our patients are required to remain in the Atlanta area overnight. On the first day, the physician places laminaria, a medically prepared seaweed, into the opening of the uterus (cervix) to gently open it.
    3. On the second day, after the cervix has been sufficiently dilated, the physician performs the surgery (under anesthesia) by using medical instruments to evacuate the uterus.

Follow-up Visit

Although a follow up visit is not routinely needed after a surgical abortion, we recommend that patients set up a visit with our clinic or with their trusted OB/GYN if they desire long term contraception or need a wellness exam. This can be scheduled as early as 1-2 weeks after the abortion. If you have any concerns or abnormal symptoms after your abortion, we can see you for a clinic visit as well.

Aftercare 

Your body will undergo a lot changes due to a dramatic drop in pregnancy hormones. Many patients may experience cramping, bleeding, vomiting or nausea. If so, these symptoms should go away within 24 hours. You will receive specific aftercare instructions at the end of your appointment. You can also read them here. In case of an emergency, please contact us at 404-728-7900 or 1-800-877-6013.

Make an appointment 

Call 404-728-900 or 1-800-877-6013 to make an appointment with us. You can schedule your appointment in Spanish too. Our trained health educators will assist you with setting up an appointment at your convenience and will answer any questions you may have. More appointment information here.