The abortion care process in the second trimester and later may involve more than one day of care, depending on gestational age, medical history, and individual clinical needs.

         Day 1: Evaluation and Cervical Preparation

• An ultrasound will be performed to measure the pregnancy and assess gestational age.
• Your medical history, physical exam, laboratory testing will be reviewed as part of the clinical evaluation to guide your care plan.
• Cervical preparation may begin using medically appropriate dilation methods.
• Osmotic dilators (such as laminaria) may be placed to support cervical preparation overnight.
• At later gestational ages, a medically indicated injection may be administered under ultrasound guidance prior to completion of the abortion. This step is performed for clinical reasons and is reviewed with the patient during counseling and informed consent.                                                                                                                                                                                                                                                                                                                           Day 2: Induction and Completion                                                               

• Patients typically return to the clinic in the morning the following day as directed by their care team.
• An indwelling IV will be placed to deliver pain medication as needed
• Oral medication is used to further ripen the cervix.
• When clinically appropriate, medications may be used to support comfort during the completion of the procedure.
• Our care team prioritizes patient comfort, safety, and dignity throughout the process.   
• In some cases, the care process may extend into an additional day.