Abortion Education

If you are thinking about abortion please contact us before you make a final choice. We are here to help you sort through all of your questions and concerns. There is a lot to educate yourself on before you make a decision, and we are here to help you every step of the way.  If you are experiencing an ectopic pregnancy, a life-threatening condition where the fetus is developing outside of the uterus, abortion procedures will not be effective at removing the fetus from your body.  Our Free and Confidential Ultrasound Scanning can determine if the fetus is properly located in the uterus.

Know your options, make an informed choice. More information on abortion can be found here.

Methods of Abortions

Medical Abortion: Abortion by pill or Chemical Abortion

Before you consider Abortion by Pill, you should understand what it is, how it works and how it might affect your health. The abortion pill, also knows an RU 486 is actually a combination of pills, one type taken in a clinic, and the second taken at home without supervision.

The first pills are given orally during an office visit. The initial chemical, (generic name is Mifepristone) (200 mg) blocks your natural progesterone from sustaining the pregnancy, thereby ending an early pregnancy. See Mifiprex Medication Guide link)[1]

The second chemical, Misoprostol (800 mcg) is taken 48 hours later. The misoprostol, (a prostaglandin) is meant to be taken orally causes strong contractions to expel the remains. This does not occur in the medical office and may occur within a few hours or up to two weeks after taking the second pill.

An exam by the health provider should be done 7 to 14 days later to insure the abortion was complete and to check for early complications. Incomplete abortions or unrecognized ectopic pregnancy are serious health risks to the woman seeking abortion.

RU486 will not work in the case of an ectopic pregnancy. This is a potentially life-threatening condition in which the embryo lodges outside of the uterus, usually in the fallopian tube. If not diagnosed early, the tube may burst, causing internal bleeding and in some cases, the death of the woman.

Risks and Side effects:

The procedure is unsuccessful:

5.3 % from 57-63 days and 7.3% from 63-70 days gestation.[2]

  • Major adverse events requiring going to the emergency room occur for about 3.7% (about 1 in 25) of the patients between 47-63 days and 4.6% (about 1 in 20) of the patients between 64-70 days gestation.[3]
  • According to the Mifeprex website: (2-7% of women will need a surgical procedure to end the pregnancy or stop heavy bleeding).[4]
  • Cramping, heavy bleeding, nausea, vomiting, diarrhea, infection and in rare cases, death.
  • Medical abortion is not advised for women who have anemia, acute inflammatory bowel disease, bleeding disorders, liver or kidney disease, seizure disorder, use an intrauterine device (IUD), or are unable to return for the follow-up visit.

Abortion Pill Reversal

You may still have a choice

Have you taken the RU 486 pill within the last 24-48 hours and wish to reverse the effect? If you have taken the first dose of the abortion pill, but changed your mind, it may not be too late to reverse the effect. There has been some success with reversing the effect of RU 486.

There is a protocol called the abortion pill reversal. For more information go to the Abortion pill reversal website developed by Dr. Delgado at www.abortionpillreversal.com, or call their hotline at 877-558-0333.

This website, and its associated telephone hot line, will serve as a means to rapidly and efficiently connect women who have taken the abortion pill, mifepristone (RU 486), and regret their decision, with medical providers who can attempt reversal of the drug with progesterone.

[1] U.S. Food and Drug Administration (2016). “Mifeprex Medication Guide.” U.S. Department of Health. Retrieved from http://www.fda.gov/downloads/Drugs/DrugSafety/UCM088643.pdf

[2] Mifeprex Label (2016), Table 4.

[3] Winikoff B, Dzuba IG, Chong E, Goldberg AB, Lichtenberg ES, Ball C, et al. (2012). “Extending outpatient medical abortion services through 70 days of gestational age.” Obstet Gynecol, 120(5): 1070-6. 1 Mifeprex Label (2016), Table 4.

[4] Retrieved from: http://www.earlyoptionpill.com/what-can-i-expect

Surgical Abortion: Suction Dilation and Currattage: between 7 and 24 weeks after LMP

In Virginia, ultrasound is required before abortion as part of informed consent. (You can schedule a free ultrasound here.)

The Pregnancy is confirmed by an ultrasound.

Local anesthesia, numbing of the cervix or less commonly, general anaesthesia can be administered. The doctor inserts a series of dilators through the cervix to enlarge the canal. A cannula, a hollow plastic tube is attached to a suction machine and inserted into the uterus. The suction is turned on and suction continues until the pregnancy and placenta are removed. The uterus is then scraped with a loop-shaped instrument called a curette to ensure the uterus has been emptied completely.

Antibiotics are given, and if the woman is Rh negative, a Rhogam shot should be given to the woman.

Risks and side effects:
-Cramping and nausea
-Less frequent side effects include possible heavy or prolonged bleeding, damage to the cervix
-Infection

Ultrasound is required as part of informed consent in Virginia, before abortion. The ultrasound establishes the gestational age which is necessary to assess risks for the woman before a method of abortion is considered. See our free Ultrasound services.
Abortion procedures may have various side effects including bleeding, infection, incomplete abortion, uterine scarring (which raises the risk of future infertility), and damage to cervix or uterus. Abortion has been associated with preterm birth, and emotional and psychological impact. For more information please contact the Front Royal Pregnancy Center so that you can make an informed decision.

The Front Royal Pregnancy Center offers confidential and accurate pregnancy testing, ultrasound, and options education; however, we do not offer or refer for abortion or provide birth control.

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