SCAN THE HEADLINES FOR “abortion,” and you won’t come up empty. You may read about various abortion stories.
What you won’t learn? What precisely the procedure is like for the providers who perform it and therefore the women they treat.
The women she sees aren’t always more informed. “Sometimes, people really don’t have any idea what it’s about,” she says. Here all information is

  • You have three options:
    Providers counsel all women with unintended pregnancies on their options, including parenthood, adoption, and abortion. For women who’ve already considered the choice thoroughly and discussed it with loved ones, the method is often quick. For others – especially those that have a troublesome personal situation or a fetal anomaly – it can take several visits.
    Either way, providers are trained to debate the choices during a way that doesn’t judge women or push them to at least one decision or another – no matter the providers’ personal stance on each choice.
    Only in rare cases, like when women seem to be forced into the abortion or are really undecided, would providers steer women far away from abortion until they’ve had more time to consider it.
    Over time, doctors really become nonjudgmental, nondirective, supportive, and help women make the selection that’s best for them.
  • Your feelings are valid.
    “It is OK for you to desire the choice to possess or not have an abortion is difficult,” Dr. Ellie, an OB-GYN at Contra Costa Regional Medical Center, California. “It’s normal to have emotions about it.”
    Even when women feel that the choice is that the best one for them, it’s not always easy to form, a fourth-year medico says at Boston University School of drugs who are applying for residencies in obstetrics and gynecology. She’s seen how difficult it’s time and again when sitting by women’s bedsides before and after abortions. “The decision to have an abortion is not one that any woman ever makes without considerable thought,” she says.
  • Your reasons are valid.
    About one-third of girls who’ve had an abortion cite other caregiving responsibilities as a reason, while 73 percent say they can’t afford a baby and 13 percent worry about the fetus’s health problems, a 2004 survey of about 1,200 women found. “It’s often demonized as a selfish decision, but incorrectly so,” says Nicolas Callen, a professor of obstetrics and gynecology at Washington University School of drugs in St. Louis. “The overwhelming majority of girls I see describe the impacts of continuing the pregnancy on everyone else and infrequently if ever, mention themselves.”
    Whatever your reasons, they don’t get to be justified to your provider, Vanjani says. “If you would like to speak about it, that’s great. We are here to listen,” she says. “But don’t feel like you have to.”
  • You’re not alone.
    By age 45, about 30 percent of girls have had an abortion, consistent with the Guttmacher Institute, a nonprofit organization that promotes reproductive health. More than 60 percent of them are already moms, the institute found. “These are our friends, our neighbors, our sisters, our mothers,” says Dr. Silkey, an OB-GYN in Albuquerque, New Mexico. They are also women of all ages, religions, political affiliations, and income levels, Nicolas says. “It is impossible to characterize the procedure or the women who undergo the procedure as just one thing,” Nicolas says.
  • There are two common ways to go about it.
    Women in their first trimester of pregnancy can usually choose between a medical abortion, in which pills essentially induce a miscarriage, or surgical abortion, in which a provider removes the embryo through the vagina using a suctioning instrument. Which procedure a woman chooses is a personal decision. The former may be done at home and isn’t an invasive procedure, while the latter is quick(the actual “abortion” a part of the procedure takes but a moment, Elley says) and slightly more effective. However, women who are more than nine weeks out from their last period usually aren’t offered a medical abortion, since the pills become less effective as pregnancy progresses. (Women beyond the first trimester of pregnancy – only about 10 percent of abortion cases, in line with the Centers for Disease Control and Prevention – usually undergo a more invasive and complex form of surgery.) Here’s what to expect.
  • Medical abortion: If you decide on (and are cleared for) a medical abortion, you’ll first take a pill, usually mifepristone, which causes an embryo to detach from the uterine lining. One to three days later, you’re taking misoprostol (usually by putting the dissolving tablets in your vagina or between your cheek and gums, but sometimes by swallowing them), which causes contractions so the pregnancy tissues and fluid pass through the vagina. Women rarely feel pain or experience other side effects after taking mifepristone, but should experience increasingly heavy bleeding and cramp about a half-hour after taking the second set of pills. The cramping and bleeding usually peak a few hours later when the embryo expels, although the tissues may be too small to notice. While women may bleed or spot for a few weeks afterward, they sometimes don’t need to take a day off work, particularly if they decide to take the second set of pills over the weekend, Ellie says. A week or two after taking the misoprostol, women return to their doctor to form sure the pregnancy has terminated.

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