✅ Medical Evaluation

• Pregnancy test to confirm pregnancy
• Ultrasound to confirm gestational age
• Blood tests: Rh factor, hemoglobin (if your pregnancy over 12 weeks or you have a history of anemia)
• Informed consent: you will review the procedure and sign a consent form

🥼 You may also receive:

• Antibiotics to prevent infection
• Pain medication or sedation (oral, IV, or local anesthesia)
• Medications to dilate the cervix, especially if you're in the second trimester

First Trimester: Manual or Vacuum Aspiration

• A speculum is inserted into the vagina
• The cervix is gently dilated (if needed)
• A suction device removes the pregnancy tissue
• Procedure takes about 5–10 minutes

Second Trimester: Dilation and Evacuation (D&E)

• May require cervical preparation that may take 2-4 hours
• Similar steps, but instruments may be used to assist with removal
• Procedure may take 10–30 minutes

Options may include:

• Local anesthesia (numbing the cervix, you are awake during the procedure)
• Moderate sedation (You remain arousable but may have limited memory of the procedure, with the goal of providing comfort, pain relief, and anxiety reduction during certain medical procedures).

You will discuss what’s appropriate and safe based on your health and gestational age.

Normal symptoms:

• Cramping (similar to period cramps)
• Vaginal bleeding for up to 2 weeks (light to moderate)
• Emotional reactions: relief, sadness, or mixed feelings

Recovery:

• Rest for the remainder of the day
• Most return to work/school in 1–2 days
• Avoid tampons, douching, and sex for at least 1 week (or as advised)