All Women's Health Center
1135 NW 23rd Avenue Ste. N
Gainesville, Florida 32609
(800) 869-0440
(352) 378-9191
www.FloridaAbortion.com/locations/gainsville.shtml

SERVICES - FIRST TRIMESTER ABORTION

When you come to our office for a first trimester procedure, we will try to make your stay with us as comfortable and as brief as possible. You can expect to be in our office for 3-5 hours.

Prior to coming to the office we will explain to you the pre-operative instructions.

LAB TESTING
There are some laboratory tests which we will need to perform. For these tests we will need samples of your urine and blood. We will use your urine sample to perform a pregnancy test and we use your blood sample to check your iron count and Rh factor.

If your blood is found to be Rh negative (e.g. , O negative, A negative) you will need an injection of Rhogam after your abortion. Rhogam prevents antibodies from being formed in your blood that would cause problems with future pregnancies. If you are Rh negative, it is important that you receive a Rhogam injection with every pregnancy. Please note that there is an additional fee for all Rhogam injections.

LENGTH OF PREGNANCY
A sonogram is considered the most reliable method of assessing how far you are into your pregnancy. A sonogram is a test that uses sound waves to see your pelvic structures. It is not an X-ray and there is no radiation. A sonogram is done while you lie down comfortably. A gel solution is applied to your abdomen and an ultrasound wand is placed on your abdomen. There is little or no discomfort while the sonogram is being performed.

It is proper clinical practice to determine the length of pregnancy based on your last menstrual period and not on the actual date of conception. Therefore, if you think you conceived 8 weeks ago, your last menstrual period was probably 10 weeks ago and you would be considered 10 weeks pregnant. Any abortion performed up to 12 weeks of pregnancy is, by definition, a first trimester procedure. If your ultrasound evaluation reveals that you are over 12 weeks of pregnancy, the procedure becomes a second trimester procedure.

PATIENT EDUCATION
You will meet with our patient educator who will go over the abortion procedure, explain how to take care of yourself afterwards and answer any questions you may have about your visit. This is the time to talk about your decision to terminate the pregnancy and any emotional or physical concerns that you might have. Legally, we must obtain your written consent for the abortion. The patient educator will obtain your consent at this time. Please be assured that we will not perform an abortion on any woman if she does not want one, regardless of age.

The patient educator will also discuss birth control options with you. If you choose, she will provide you with a method to use following the abortion. She will also schedule your follow-up appointment.

ANESTHETIC CHOICES
We offer you the opportunity to select the type of anesthesia that is right for you. You can choose to be awake or asleep for the procedure. Your anesthesia options are described in more detail below.

Local Anesthesia - Local anesthesia involves the injection by the physician of pain-stopping medication into your cervix . You will be fully awake during the procedure, but your cervix will be numbed. You can expect to have moderate cramping during the procedure.

General Anesthesia - General anesthesia is administered by injecting medication into your vein. This medication will allow you to sleep for the duration of the procedure. The medication is given by a Certified Registered Nurse Anesthetist (CRNA) who is specially trained in anesthesia. General Anesthesia is not available at all locations. If you choose this option, we will refer you to a location where general anesthesia is provided.

I.V. Sedation Intravenous (I.V.) sedation provides a tranquil effect and helps to relieve the anxiety that women who undergo an abortion sometimes experience.

PROCEDURE
Before the anesthesia of choice is administered, the physician will perform an internal exam to determine the position of your uterus. This is done by inserting two fingers into your vagina and pressing down on your lower abdomen. Next, a speculum is placed inside the vagina to keep the vaginal walls apart. The physician will hold the cervix, the opening to the uterus, with an instrument called a tenaculum. The physician will then insert a series of narrow metal instruments, called dilators, into the cervix to open it slightly. The physician will then use a slender suction cannula to remove the pregnancy from the uterus.

RECOVERY
Following the abortion you will be observed for a brief recovery period with the recovery area staff. You will probably have some cramps and bleeding at first. This is expected since the uterus must return to its normal size after the pregnancy is removed. The recovery staff will give you some medication for pain and monitor how you are feeling.

ABORTION INFO
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