Scared writes: Hannah I have a question if I think I’m pregnant and I can’t have a baby right now what are my options to terminate it?? I know it sounds horrible but I just can’t right now it’s not an option :(
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The different abortion procedure options available to you will depend on how far along you are with your pregnancy. If you are still in your first trimester, then you’ll have the option of either a surgical procedure or a medical (i.e. drug/pharmaceutical) procedure. I would definitely recommend you obtain an ultrasound to accurately determine how far along you are with your pregnancy as well as if the pregnancy is viable (i.e. the pregnancy is taking place in your uterus and is a non ectopic pregnancy).
OptionLine.org has a listing of places across the US, the UK and other countries where there are not for profit community pregnancy resource centers, some of which may offer free ultrasounds. My advice would be to see if there is a location near you, take advantage of their free ultrasound services, and then make your decision after that.
Below are the basic abortion procedure options typically offered.
First Trimester Abortion Procedures
What abortion procedures are used during the first trimester?
Most abortion providers offering abortion services during your first trimester will have available both surgical procedures and medical (pharmaceutical) procedures, and they may let you choose. Pharmaceutical abortion procedures are typically only effective up through 9 weeks gestation.
Methotrexate & Misoprostol (MTX): This pharmaceutical procedure is typically used up to 7 weeks of pregnancy.
Mifepristone and Misoprostol: This is your classic RU-486, also known as Mifeprex or the Abortion Pill. This pharmaceutical procedure is typically effective up to 7-9 weeks of pregnancy.
Suction Aspiration: Surgical Aspiration, also known as Vacuum Aspiration or Suction Curettage, is a surgical procedure which terminates a pregnancy that is between 6-12 weeks gestation.
Second Trimester Abortion Procedures
Note: Abortion procedures which rely on medications (e.g. RU486) are no longer effective once you are in your second trimester.
Your options for having an abortion during your second trimester include the following:
Induction Abortion: This is surgical abortion procedure may be done during the second trimester, but this procedure is quite rare. Probably in some countries, induction abortions are still taking place. With an induction abortion, salt water, potassium chloride or urea are injected into the amniotic sac (the sac in which the fetus develops). The abortion provider will insert prostaglandins into the vagina (which will begin the “labor” process) and inject pitocin intravenously (which will trigger contractions).
Dilation & Curettage (D&C): D&C is also referred to as Vacuum Aspiration as well as Suction Curettage. D&C is a surgical procedure that terminates a pregnancy which is between 13-15 weeks gestation.
Dilation & Evacuation (D&E): D&E is a surgical procedure that terminates a pregnancy which is between 15-21 weeks gestation.
Third Trimester Abortion Procedures
Note: Abortion procedures which rely on medications (e.g. RU486) are not effective on you are in your third trimester.
Not many abortion providers offer abortion during the third trimester. Your options for having an abortion during your third trimester may include the following:
Dilation and Extraction: This is a surgical procedure which is used to end a pregnancy (after 21 weeks of gestation). Dilation & Extraction may also be referred to as Intrauterine Cranial Decompression, D&X, Intact D&X or Partial Birth Abortion.
Induction Abortion: This is another surgical procedure which may be done during the third trimester. As I mentioned earlier, induction abortions are rare. Salt water, potassium chloride or urea are injected into the amniotic sac (the sac in which the fetus develops). The abortion provider will insert prostaglandins into the vagina (which will begin the “labor” process) and inject pitocin intravenously (which will trigger contractions).