All patients experience the stimulus of surgical manipulation differently. Most patients will experience some cramps during dilation. The use of a manual aspiration syringe makes this a gentler procedure than with an electrically driven aspiration machine. However, many patients benefit from the use of conscious sedation. Abortion, unlike other surgical procedures, is not emotionally neutral.
Many complex issues confront a woman undergoing abortion in a very short period of time.
It is our objective to provide comfort without being judgmental. We often encourage patients to take advantage of intravenous sedation if they feel they can benefit from it. This happens all the time. Medical abortion, either with Mtx or RU-486 appear to be less efficacious. Patients are given routine postoperative instructions, prophylactic antibiotics, contraceptive advice and, whenever appropriate, Micrhogam.