Pregnancy Termination Clinic California
Published: 2024-06-12 03:47:18

We understand unwanted pregnancy can put a lot of stress on the physical and mental health of a woman. In such situations, Termination of Pregnancy (TOP) or abortion can be a blessing for her. The termination can be safely performed until the end of the second trimester as per state law. There are two types of procedures are available for Termination of Pregnancy.

**● Medical Abortion:**
Use of medicines for termination of pregnancy up to 10 weeks or 70 days.

**● Surgical Abortion:**
Use of surgical methods for termination of pregnancy.

**Abortion Pill**

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When to choose medication abortion/abortion pill?

● If a woman prefers medications over a surgical procedure

● Up to 70 days of pregnancy, it is considered more effective than surgical abortion

● If a woman has a congenital deformity of the uterus or narrowing of the lower part of the uterus (cervix)

● The woman can take some medications at home, which is more convenient

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**Pre-abortion procedures:**
Abortion can be a mentally stressful procedure, so counseling holds an important place in pre-abortion procedures. The main objectives of this counseling are to:

● Help the woman to make an informed decision
● Provide knowledge about the procedure
● Remove the anxiety related to the procedure

This counseling can be performed by a nurse, doctor or an experienced counselor. During counseling, the woman is given pregnancy options counseling and informed consent-related counseling. A woman may have a variety of reasons for opting for an abortion. The counseling helps in making the correct decision without any mental stress. The counseling also gives an opportunity to prepare the woman for possible adverse effects of the medical abortion. Your doctor will have to ascertain a few things before he/she can administer the procedure. These include the following investigations:

● Ultrasound for confirmation of pregnancy and estimation of duration of pregnancy
● Measurement of vital signs (Temperature, Pulse, Blood Pressure, Respiratory Rate)
● Blood grouping
● Lab tests for sexually transmitted diseases


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**How this regimen is used (FDA regimen)**
3 days and at least 2 visits to a clinic are required for this method.

**Day 1**
During the initial visit, history is taken and examination of the woman is done followed by pre-abortion counseling and investigations. Once the consent is obtained and contraindications are excluded, a tablet containing 200 mg of Mifepristone (RU-486) is given orally to the woman and advised to re-visit on day 2-or 3.

**Day 2 or 3**
She is given the second tablet containing misoprostol (800 micrograms) on day 2 or 3 at the clinic. Usually following consumption of the second tablet, there will be bleeding from the vagina and cramps will be felt in the abdomen. This is due to the contraction of the uterus and expulsion of aborted products of pregnancy. Antibiotics may also be given to prevent the infection. A pain killer medicine can be given to alleviate the pain.

**Follow up visit**
She is advised to visit on day 15 for re-examination and to ascertain that the abortion is complete. It also gives an opportunity for a doctor to check the health status of the woman. Call us to find out the contraindications of the regimen.
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