13 weeks to 24 weeks - Second Trimester Abortion
When you call for an appointment our nurse will ask you for the first day of your last normal menstrual period. This date lets her estimate the number of weeks you have been pregnant. If you are 13 to 24 weeks pregnant, you are in the Second Trimester of your pregnancy. Second Trimester Abortions performed during the second trimester of a pregnancy are called dilation and evacuation (D&E).
A second trimester abortion is performed in two consecutive days. On the first day, cervical dilators will be inserted into the cervix to gently and comfortably dilate the cervix through the night.
We ask that you remain with a 50 mile radius from our office after the laminaria have been inserted. Please remember that you must have an escort accompany you home on both days. You will return to our Bronx Office the next morning at 7:30am.
On the second day of your Second Trimester Abortion, you will be attended by our experienced counselors, anesthesologists, nurses and doctors will monitor your vital signs and provide you with anesthesia. For the second day procedure, you will be asleep for approximately 5-15 minutes. Once asleep, the pregnancy tissue will be removed. The surgeon will insert a speculum in the vagina to improve access to the cervix. The cervical dilators will be removed and the pregnancy tissue will be removed from the uterus via the dilated cervix. The surgeon will apply gentle suction to the lining of the uterus to ensure that all pregnancy tissue was removed. Finally, the surgeon will massage your uterus to control bleeding and help the uterus contract to its normal size.
All second trimester abortion patients receive prescriptions of medications to take at home. You will take antibiotics to prevent infection. You will also take medication to help your uterus return to its pre-pregnant size.
You may return to the office for your free postoperative appointment within 2-3 weeks. A female counselor will discuss birth control with you at that time and answer any other questions you may have about your female reproductive health.