Components Of Legal Abortion By Pill Clinic Program

Fetal Demise: This is initiated by injection of the combination of Digoxin andPotassium Chloride (most commonly) into the fetal heart to assure the following:

1. No further fetal pain or discomfort
   • No live birth
   • Helps to prepare the fetus for a normal, safe miscarriage
2. Cervical Preparation: Prostaglandin, normally found in the body at low doses, and increased during initiation of labor, causes uterine contractions and cervical softening. Types of Prostaglandin.

• Prostaglandin E2: High incidence of side effects such as fever, nausea, vomiting, diarrhea, elevated blood pressure, stroke and heart attack
• Prostaglandin F2:  High incidence of live births, cervical tears and retained tissue
• Prostaglandin E1 (Misoprostol) 
  1. Naturally found in the stomach and determined to decrease the incidence of gastric ulcers
  2. Less incidence of side effects
     
     • Laminaria: A naturally occurring seaweed the size of a match stick, which swell within several hours of being inserted into the cervix and slowly become larger. They can be removed and be reinserted several hours later on the same or next day. Laminaria help widely dilate (open) the cervix so that it will be less dangerous to perform the premature delivery. Less pain, incidence of uterine perforation, damage to the bowel or other organs.

1. Oxytocin
   • A hormone that is secreted in the brain, which in high doses is used to initiate labor in women at full term.
   • Several studies around the world have been done to show that Oxytocin can also be used to help prepare the cervix for premature delivery by causing softening and dilation of the cervix.  
2. Intrauterine Instillation Agents
   • Concentrated Normal Saline(20%)
   • Causes initiation of labor within 24 to 36 hours (faster initiation of labor and delivery with use of oxytocin)
   • High incidence of side effects
     1. DIC
     2. Infection
     3. Blood transfusion 
• Concentrated Urea (40 gms)
  1. Side effects include
  2. Infection
  3. Blood Transfusion
3. Premature Delivery
• Time from initiation of Cervical Maturation until delivery is from 2 to 32 hours. The average time is 10 hours.
• Patients are evaluated for pain medication on request. Less than ten percent of patients require pain medication.
4. Stillborn Activity
• Program is designed to be socially, culturally, spiritually, and emotionally in harmony with the variety of situations that our patients bring to us.
• Some women want to bond with their baby once the premature delivery occurs. This is an important step for the patient and her family to help in bringing closure to this devastating crisis. Some couples initially find this a very frightening thought, but we have found that couples who wish to view or hold their child are able to work through the grieving process more effectively. When couples elect not to see their child they may later regret omitting this option. We encourage you to take pictures of the baby alone and with family members. We can arrange for your baby to have an autopsy or other confirmatory studies that must be arranged prior to your arrival with your doctor or geneticist. Cremation or a funeral with burial can be arranged.
• The difficult part after making the decision to have a premature delivery is saying goodbye to the relationship you have had with your baby. We understand that the vast majority of our Fetal Indications patients are experiencing the most difficult situation of their lives. We recognize your decision to come to our center has been both distressing and difficult. You will have a private consultation with our Doctors. All patients and their partners or significant others are encouraged to ask questions and to help support other members that will be in our facility going through a similar crisis.
5. Support and Healing Group
   • You will also be in contact with women that have chosen to have a premature delivery that may be under similar circumstances and reasons why you have chosen this path. There have been patients that exchange phone numbers and talk with each other for months and years later.

How does this premature delivery process work?

1. Arrive during morning
2. Meet with business office
3. Lab and counseling
4. Perform ultrasound
5. Digoxin/Potassium Chloride fetal intra-cardiac injection to stop fetal heart beat
6. Begin cervical preparation process
7. Bond with other patients, families, and staff

Counseling
Women seeking termination of pregnancy at Legal Abortion By Pill have highly individual needs. These needs vary widely; the pregnancy may be highly desired by the woman, and her partner, but cannot be continued because of abnormal development. The pregnancy may be desired, but comes at the wrong time in the woman's life or in her relationship with her partner. She may not have a satisfactory, or even any relationship with the man by whom she became pregnant. Some women do not ever want to have children; many become pregnant when they are not prepared to become a mother or to have another child.

When we use the term counseling at Legal Abortion By Pill, it does not mean that we engage in psychotherapy or intervention. Our first concern is to provide support for the woman seeking our services. In addition, we wish to provide support for her family to the fullest extent possible and appropriate.

A counseling session has several objectives:
To give the woman an opportunity to express and understand her feelings about her pregnancy and her decision to have or not to have an abortion. We want to determine that this is really her decision and that she is not being pressured in any way to end the pregnancy.

To provide the woman with accurate information about the procedure she is requesting; it is important that she know and understand important facts and details in order to give informed consent.
To make sure the woman understands her own reproductive anatomy and physiology. Most women do; however, even highly educated women sometimes have misunderstandings or questions.
To help each woman understand the methods of contraception available to her and her partner following the abortion. As a part of this, we want to make sure each woman has a plan for follow-up care in order to assure she does not experience complications, and that she receives appropriated treatment should they develop. We encourage each patient to see her own physician or other qualified physician in her community for follow-up care; however, we will provide this care if the woman desires.

For couples who come to us with a desired pregnancy which must be terminated for reasons of fetal malformation or genetic disorder, we are prepared to give total support. However, we feel that their most satisfactory, permanent support is likely to be found with their own physician or counselor in their home community.

The individuals who provide counseling and information sessions for patients at Legal Abortion By Pill Clinic are experienced nurses and counselors who are thoroughly familiar with all aspects of abortion. They are fully supportive of women who wish to terminate a pregnancy, and are able to answer most of their questions.

After the patient reviews informational material and meets with her counselor, she will meet with the Doctor. If she has questions that have not been answered by her counselor, she may have them answered at this time. She then signs the consent form indicating that she understands and requests the procedure to terminate her pregnancy. She may bring her partner or other family members with her during this session.
The patient's partner, friends, or family may accompany her during her counseling session, the meeting with the Doctor, and they may even be in the recovery room when appropriate; however, these persons are not permitted in the operating room.

Postoperative Care
Because pregnancy is not a benign condition, and terminating a pregnancy is a surgical procedure, each patient must have excellent post-operative and follow-up care. This is absolutely necessary to prevent complications. No matter how well an abortion is performed, complications can occur. The difference between a safe result with a full return to good health and an undesirable result is often good post-operative care and prompt treatment of complications.

Each patient who has an abortion at Legal Abortion By Pill Clinic is taken from the procedure room into a recovery room where she can lie down, relax, and receive the attention of the recovery room staff as well as her family members and friends. During this time, her blood pressure and pulse as well as other aspects of physical evaluation will be monitored by expert recovery room staff. She will receive information concerning aftercare and her follow-up examination. If she has chosen a method of birth control, she may receive information or, in the case of oral contraceptives, a starting supply. Her vital signs (blood pressure, pulse) will be observed on several occasions after the abortion, before leaving the operating room, upon arriving to the recovery room, and before being discharged. The medical staff makes numerous other observations of each patient such as general status, presence or absence of abdominal pain, amount of bleeding, and state of recovery from pain medications. Follow-up exams at Legal Abortion By Pill Clinic are included in the fee for those who can and wish to return to see the Doctor and medical staff  for the follow-up exam.

Our purpose is to ensure that every woman who comes to Legal Abortion By Pill Clinic for a termination of pregnancy receives the safest possible care and the most compassion and support for the patient and her family. When she leaves, we want her to feel confident that she is returning to good health and is able to live her life as she chooses.

Legal Abortion By Pill Clinic is a professional organization dedicated to providing expert, confidential, and respectful health care services. We maintain a national and international reputation for providing the highest quality abortion services in a safe and caring environment. Kindness, courtesy, and respect are the cornerstones of our patient-provider relationships.

Women and families are intellectually, emotionally, spiritually, and ethically competent to struggle with complex health issues-including abortion - and come to decisions that are appropriate for themselves.

REFERRAL AREAS
Patients have come to us from all parts of the world

MATERNAL MORBIDITY AND MORTALITY
Over 1000 procedures done with our technical procedure

1. No deaths
2. No Hospital Admissions
3. No blood transfusions
4. No C-Sections
5. No Hysterotomies
6. Less than 1% incidence of infections

Extensive review of statistics and reports from the facilities that perform induction procedures show that Legal Abortion By Pill Clinic is one the safest places worldwide to have a premature delivery for Fetal Indication for termination of pregnancy performed

• Patient safety and comfort are our number one priority
• Staff is Caring, and Compassionate

Major hospital is located 0.2 miles from our office. Back up coverage with OB/GYN service is available at all times.

A patient may request an exclusive or private appointment with Dr. Pendergraft by contacting him by E-mail preferable: Drpendergraft@gmail.com or call him directly at 321-445-2545 or call office location nearest you by clicking locations. Same day appointments can be arranged.  

For further information including family planning, please visit our premiere website.

www.womenscenter.com

Legal Abortion By Pill Clinic
Offering Medical and Surgical Abortion
3 to 24 Weeks