Morning After Pills
Plan B One-Step® is one tablet with a hormone called levonorgestrel. It works by stopping the release of an egg from the ovary. Plan B One-Step® may also prevent the fertilization of an egg (the uniting of sperm with the egg) or prevent the attachment (implantation)of a fertilized egg to the uterus (womb). It should not be used as regular birth control, as it is not as effective1.
Ella (ulipristal acetate) works by delaying or preventing ovulation (the release of an egg from the ovary). It is also possible that Ella works by preventing attachment of a fertilized egg to the wall inside the uterus2.
- https://www.ellanow.com/downloads/ella-brochure.pdf – “How Ella Works” section
We provide free diagnostic services to aid you in your abortion or pregnancy decisions. In order to know which type of abortion you are eligible for, you should have an ultrasound exam to confirm viability and determine the gestational age of your pregnancy. This will determine the type and cost of your abortion. Network Medical does not benefit financially from any choice. We do not perform abortion or place children for adoption. We do provide valuable and important pre-termination services if you are considering abortion. The choice is yours.
The Abortion Pill: RU-486
RU-486 is not a morning after pill3. It is a medical abortion procedure approved by the FDA to use through 7 weeks of pregnancy (49 days), though some abortion clinics use through the 9th week of pregnancy (63 days). (See ‘What are the most common types of abortions’ on this site.)
Questions about abortion:
What are the most common types of abortions?
The most common types of abortion are RU-486 (the abortion pill), suction/vacuum aspiration, and dilation & curettage/evacuation.
What type of abortion am I eligible for if I am up to 9 weeks pregnant?
You are eligible for RU-486: Mifepristone (Mifeprex) and Misoprostol, commonly called the abortion pill. Mifepristone is given orally during your first office visit. Mifepristone blocks progesterone from the uterine lining, causing the fetus to die. This may cause contractions to expel the fetus.Misoprostol tablets are given orally or inserted vaginally during the second office visit which occurs 36 to 48 hours later.You will return home where the misoprostol will start contractions and expel the fetus. This may occur within a few hours or in some cases up to two weeks after taking the misoprostol.
A physical exam is given two weeks later to ensure the abortion was complete and that there are no immediate complications.
Are there any possible side effects from taking the abortion pill?
- The procedure is unsuccessful approximately 8-10% of the time, thus requiring an additional surgical abortion procedure to complete the termination
- Heavy bleeding
- Not advised for women who have anemia, bleeding disorders, liver or kidney disease, seizure disorder, acute inflammatory bowel disease, or use an intrauterine device (IUD)
What does fetal development look like at 5-9 weeks?
- Heart begins to beat, brain and spinal cord develop
- Hands and feet are forming
- Every essential organ has begun to form
- Bones begin to form, muscles can contract
Medical citation: http://www.americanpregnancy.org/unplannedpregnancy/medicalabortions.html
Fetal Development citation: http://www.mayoclinic.com/health/prenatal-care/PR00112
What type of abortion am I eligible for if I am up to 12 weeks pregnant?
You are eligible for Suction Aspiration or Vacuum Aspiration. A patient will lie on her back with feet in stirrups and a speculum is inserted to open the vagina. A local anesthetic is administered to her cervix. Then, a tenaculum [a slender sharp pointed hook attached to a handle, and used mainly in surgery for seizing and holding parts] is used to hold the cervix in place for the cervix to be dilated by cone shaped rods.
When the cervix is wide enough, a cannula, which is a long plastic tube connected to a suction device, is inserted into the uterus to suction out the fetus and placenta.
The procedure usually lasts 10-15 minutes, but recovery may require staying at the clinic for a few hours.
Are there any possible side effects from a suction or vacuum aspiration abortion?
- Nausea & cramping
- Feeling faint
Less frequent side effects include:
- Possible heavy or prolong bleeding
- Blood clots
- Damage to the cervix
- Perforation of the uterus
- Infection due to retained products of conception or infection caused by a sexually transmitted disease (STD) or bacteria being introduced to the uterus can cause fever, pain, abdominal tenderness and possibly scarring
What does Fetal Development look like at 9-13 weeks?
- Genitals have formed
- Baby can make a fist
- Buds for baby teeth appear
Medical citation: http://americanpregnancy.org/unplannedpregnancy/surgicalabortions.html
Fetal Development citation: http://mayoclinic.com/health/fetal-development/PR00113
What type of abortion am I eligible for if I am up to 15 weeks pregnant?
You are eligible for D&C: Dilation & Curettage. Dilation and curettage is similar to suction aspiration, except that it uses a curette: a long, looped shaped knife that scrapes the lining, placenta and fetus away from the uterus. A cannula may be inserted for a final suctioning.
This procedure usually lasts 10 minutes with a possible stay of 5 hours.
What does Fetal Development look like at 14-16 weeks?
- Fingerprints have developed & baby begins sucking
- Patient can feel baby start to move (fluttering)
What type of abortion am I eligible for if I am up to 21 weeks pregnant?
You are eligible for D&E: Dilation & Evacuation. In most cases, 24 hours prior to the actual procedure, the abortion provider will insert laminaria or a synthetic dilator inside the patient’s cervix.
Cone-shaped rods of increasing size are used to continue the dilation process.
The cannula is inserted to begin removing tissue away from the lining. Then using a curette, the lining is scraped to remove any residuals.
If needed, forceps may be used to remove larger parts.
The procedure normally takes about 30 minutes and is usually performed in a hospital setting because of the greater risk for complications.
Are there any possible side effects from a dilation & evacuation abortion?
- Bleeding, nausea and cramping may occur for two weeks following the procedure.
- Infection due to retained products of conception or infection caused by an STD or bacteria being introduced to the uterus can cause fever, pain, abdominal tenderness and possibly scarring.
- Although rare, damage to uterine lining or cervix, perforation of the uterus, and blood clots are additional risks related to dilation and evacuation.
What does Fetal Development look like at 17-20 weeks?
- Nails growing on fingers and toes & eyebrows and eyelashes grow
- Patient feels baby’s movements more strongly
Medical citation: http://americanpregnancy.org/unplannedpregnancy/surgicalabortions.html
Fetal Development citation: http://mayoclinic.com/health/fetal-development/PR00114
What is Post Traumatic Stress Disorder (PTSD)?
Post Traumatic Stress Disorder is a stress reaction experienced after having an abortion.1
Who gets Post Traumatic Stress Disorder and what are some of the possible symptoms?
PTSD Symptoms may include:
- Suicidal Thoughts
- Depression, numbness
- Flashbacks to Abortion
What are some of the factors that may contribute to a woman experiencing Post Traumatic Stress Disorder?
- A crisis situation surrounding her pregnancy and/or urgency she feels when making the decision to have an abortion
- Absence of a support system
- Obligation to keep her pregnancy a secret
- Denial about recognizing and resolving her sense of loss
How can adoption be good for me and my baby?
Can I choose a family for my baby?
How much contact can I have with my baby after birth and after adoption?
How soon after birth can my baby go to the parents I choose?
The timing of your child’s placement depends on three factors:
- Your preference for the time of placement: Many birthmothers want their baby placed with the adoptive family directly from the hospital. Some women prefer to place their baby in temporary care while they consider their adoption decision. Your agency can help with either option.
- Legal aspects of adoption, which may vary from state to state
- The cooperation of the birthfather
How much will my child know about me?
Does the birthfather have any rights?
Can my child find me if he/she wants to search someday?
How can I be sure my child will be well cared for?
Do I need an attorney or do I pay my agency to assist me with the adoption?
Does the agency offer assistance with medical and living expenses while I am making an adoption plan?
Health Insurance, medical care, material aid, financial aid, and housing may be available to you should you decide to parent. During your first appointment, Network Medical will provide you with a list of resources based on your needs.
The Guttmacher Institute states that fifty-one percent of women who have abortions had used a contraceptive method in the month they got pregnant, most commonly condoms (27%) or a hormonal method (17%).* Network Medical does not provide birth control, as it is not 100% effective against unwanted pregnancy or sexually transmitted disease. Factoring individual circumstances, we will refer patients to consult with their family physician for contraceptives.
*Guttmacher Institute – July 2014 – Who has abortions?