Not only do we strive to keep our abortion prices low in order to serve patients who would find it difficult to access our services if we did not, but we include more services in our price than any other facility in our local community or the State. It is important to us to not only be the facility where safety of the patient is our number 1 priority, but to prevent a repeat of unwanted or unintended pregnancy, and prevent the spread of Sexually Transmitted Diseases and to educate all women about how to maintain their health, to keep them strong and able to maintain independence of their bodies. In order to do so, our abortion price includes lab tests that are needed to confirm a positive pregnancy test, Rh typing, blood count to make sure that the patient is not anemic, state of the art sonogram to determine the length of the pregnancy, counseling to discuss the risks and benefits of the abortion procedure and to make sure the patient is not being forced to terminate the pregnancy, discussion of birth control and emergency contraception (morning after pill, day after pill, post coital contraception, day after contraception, plan b), given a month supply of birth control, and post operative medications which include pain medications and antibiotics. There is an additional fee for patients who require the microgram or Rhogam injection which is for those who are Rh negative. For patients who fill out paper work, go through lab and counseling and have a sonogram performed, and then decide not to have the procedure performed for whatever reason, there is a non-refundable $175.00 fee that will be credited towards the procedure if the patient returns to have the abortion procedure performed.

The price of abortion was approximately one-hundred and seventy-five dollars ($175.00) to two-hundred dollars ($200.00) in the mid seventies. This means that on an inflation basis, abortions should cost approximately one-thousand six-hundred dollars to two-thousand dollars ($1600.00 to $2000.00). Family planning centers have done their best to keep the cost as low as possible in order to be able to have abortion accessible to as many patients that want to have them.

The cost of a pregnancy termination varies according to gestational age and the choice of anesthesia. We strive to offer the highest level of quality care at the lowest possible price. We believe that not only will patients find our fees to be as low and in some areas even lower than those of our competitors, but also that there are more benefits included with the cost of our services. Abortion costs can range from $175.00 to $1200.00 in the first 12 weeks of pregnancy depending on where in the country the procedure is performed.

Abortion Pill (RU486, Mifeprex, mifepristone, medical abortion, non surgical abortion) procedures cost approximately the same or a little more than surgical termination procedures for patients who are 9 weeks or less pregnant. At Legal Abortion By Pill, there is no additional fee charged for a failed abortion procedure (1 to 5% of patients) when a surgical aspiration is required.

Abortion costs can be offset by private donors at times who are dedicated to helping women who are indigent, low income, or many other situations that cause women to not have the full funding for abortion.

We regret that we are unable to provide payment plans. Payment is expected in full on the day of your procedure. For your convenience we accept cash and all major credit cards, but we are unable to accept personal checks.

Some policies do cover elective abortion; however many do not. You will need to contact your insurance company to determine if elective abortion is covered under your plan. If you belong to an HMO or PPO, you will need to ask about your out of network benefits and determine exactly what is available. If you find that abortion is covered under your plan, please let us know and we will be happy to contact your insurance company to obtain verification.

At times abortion funding is available. Please call the Legal Abortion Pill by Clinic office nearest you to inquire about funding or reduction in fees.

With the availability of today’s advanced medications for reducing anxiety, pain and discomfort, there is no reason for any woman to have to experience pain or discomfort during the surgical procedure. Even without an escort a woman who drives herself to and from the facility should not have to experience any pain or discomfort. We offer advanced technology IV sedation medications that are in and out of the body in 30 minutes or less. Less than a decade ago, the majority of patients experienced discomfort because they did not receive any medications for alleviating pain and anxiety, or the medications given were not able to take care of the patient’s discomfort. Even today in the majority of facilities where abortions are performed, the medications given are not the most advanced in achieving a rapid response to decreasing the patient’s pain and anxiety and they can take a very long time to clear the patient’s body that can take up to 2 or 3 days during which the patient is not able to return to her normal duties.

For the patient who does not choose to receive IV medications to relieve anxiety and pain and prefers to undergo only local anesthesia where the cervix is injected with Lidocaine, there will be discomfort that most women describe as mild to moderate cramps very similar to what occurs with their menstrual period. In some cases they may be relatively uncomfortable. If you choose to have IV sedation, you should not feel any cramping that you would not be able to comfortably tolerate. If you choose to have only local anesthesia, you will most likely experience cramping that is more intense and less easily tolerated. IV sedation is recommended for patients who may be nervous and apprehensive, for those individuals with a lower tolerance to pain, or for anyone who desires to have the procedure performed as comfortably as possible. For patients who desire, we also offer IV Deep Sedation which makes them feel that they are asleep and will allow for a pain free abortion procedure.

Regular IV Sedation greatly reduces a patient’s feelings of anxiety, and causes tremendous relaxation. The patient will be able to follow all commands easily. Patients may or may not be aware of what is taking place. Most patients have no recall of the procedure. Patients will need an escort to drive them home.

  1. Deep IV Sedation will make the patient feel asleep and unaware of what is taking place during the procedure. There are a few patients that still remember and are able to feel the surgical procedure. Patients will need an escort to drive them home.
  2. Advanced Technology IV Sedation. Patients may or may not remember and have only slight discomfort during the surgical procedure. The medications given are generally cleared from the body in less than 30 minutes and therefore an escort is not needed to drive the patient home. There is an additional $25.00 fee for this advanced IV sedation option. For patients who want the ultimate privacy and do not want anyone to know that they are coming to our office to have an abortion procedure performed, this is the option to strongly consider.
  3. General Anesthesia is for the patient who does not want to remember or feel anything during the surgical procedure. For patients who have a lot of anxiety, fear of pain, or have been to another facility and could not have the procedure performed at another facility because of movement, this is the ideal choice.

Patients generally remain in recovery from 20 to 40 minutes after receiving any form of sedation which is the same length of time patients remain if they did not receive any form of sedation.

The actual procedure may take from only 3 to 4 minutes and is safe and pain free.

Although the actual procedure takes only a few minutes, there are various other important aspects to your visit. Upon arrival, you will be asked to complete medical history forms and read a variety of information and consent forms. You will receive laboratory tests which will include an analysis of your blood volume, your Rh factor, and a routine urinalysis which will also include a pregnancy test. Your preoperative vital signs such as temperature, pulse, and respiration will be established. Once your laboratory tests have been completed, you will spend time with a counselor. The counselor will review all of your forms with you to determine that you fully understand all of the information. She will explain the abortion procedure, the risks involved, and inform and discuss with you what you may expect afterwards. After speaking with the counselor, the receptionist will collect your payment, and you will then be escorted to an examination room or a patient waiting area. Once the procedure has been completed, you will be given an appropriate amount of recovery and observation time prior to leaving.

Yes, everything is strictly confidential. We cannot give out any information about a patient without her written permission.

The cervix is anesthetized with Lidocaine, which is similar to Novocaine. The cervix is then dilated to allow for access to the uterus. A hollow plastic tube comparable to a drinking straw is inserted into the uterus and the contents are then removed by suction aspiration.

A chemical abortion is also referred to as an “instrument-free” abortion because surgical instruments are not used. A chemical abortion is performed over a course of three weeks requiring three consecutive weekly visits. During the first visit the physician will perform a sonogram to determine the length of the pregnancy. On this same day he/she will give the patient an intramuscular injection or a medication called Methotrexate or oral form of Methotrexate, RU486, or Tamoxifen which will stop further development of the pregnancy in the majority of cases. The patient will insert a medication called Misoprostol into the vagina approximately 48 to 72 offices after their initial visit to the office. This medication will be in the form of small tablets and will cause the cervix to dilate without the need for surgical instruments. Within 2 to 6 hours after the tablets have been inserted, the patient will experience bleeding and cramping similar to a menstrual period. On the second visit the physician will perform a sonogram to determine that all of the pregnancy tissue has been eliminated. The success rate of a chemical abortion is approximately 94 to 98%. Should the physician find that the procedure was incomplete, a patient has two options: She may have the Misoprostol reinserted to encourage further elimination of the pregnancy tissue, or she may have a vacuum aspiration procedure performed.

This is an individual decision. Some women feel the surgical is better because it is not drawn out over the course of a three week period. Other women feel the chemical (abortion pill, Non Surgical Medical) abortion may be more advantageous because they can do it in the privacy of their home and have their significant other with them during the process if they so choose. Some women also feel the chemical is better because it is less invasive and does not require surgical instruments. Each woman may decide which procedure is best suited for her individual needs.

The Legal Abortion by Pill Clinic Physicians are experts in performing early surgical and medical abortions. We perform early abortions from 3 to 6 weeks gestation using the surgical aspiration procedure or with the use of RU486 (Mifeprex, mifepristone) or Methotrexate with misoprostol or misoprostol alone.

There are several factors that determine what makes an abortion clinic the best and at Legal Abortion by Pill Clinic, we feel that not only do we meet, but that we excel in all of the factors that are mentioned below placing us well ahead of our competitors. In addition, we are the number one facility for Physician referrals which has always been the standard for determining very high marks for an abortion clinic. Our goal has always been patient safety first beyond anything else as this is crucial in assuring a patient’s future fertility and that she have no other complications due to the cervical preparation (laminaria placement, cytotec or misoprostol usage to help dilate the cervix) that occurs.

The level of discomfort varies from person to person because every individual has a different degree of pain tolerance. Most women feel that because the chemical procedure is less invasive, it is therefore less painful.  If you are found to be less than 6 weeks gestation, the early surgical procedure has the advantage of immediate completion. You are able to return to your normal activities and have sex the following day.

There are only a few restrictions a patient must follow after an abortion procedure; however, these limitations are very necessary to achieve full recovery. Patients who are more than 6.5 weeks must not insert anything into the vagina for two weeks after having a surgical abortion. This means no tampons, no douching, and no sexual intercourse. Swimming, tub bathing, heavy lifting, strenuous activity, sun bathing and standing for prolonged periods of time are also prohibited.

After having a chemical abortion, there are very few restrictions. The first week after the procedure the restrictions are the same as the surgical abortion except that patients may engage in intercourse when they feel comfortable.

Most women may return the following day. If your schedule involves heavy lifting or strenuous activity, we will provide a work or school excuse indicating that you must avoid certain activities for a week. Patients less than 6 weeks pregnant and receive no IV Sedation can return to work the same day and resume normal activities.

Having an abortion is more than 10 times safer than having a full term labor and delivery. It is unlikely that you would experience any lasting complications from an abortion procedure; however, as with any type of surgical procedure there are always some risks involved.

This will vary from patient to patient. The bleeding will be similar to that of a menstrual period. Patients may expect to have bleeding from one to seven days. Spotting may even be experienced for the duration of a month. The bleeding may be very light to somewhat heavy. Some blood clots may be passed, and this is normal.

No. It is not necessary because we will be performing a pregnancy test along with your other laboratory tests on the day of your procedure.

All of our physicians are licensed medical doctors. Our physicians are extensively trained and highly experienced in performing pregnancy terminations. All of our staff members are experienced and tremendously dedicated to providing the utmost care to our patients. The safety and well-being of our patients is always our first priority. We pride ourselves in providing the highest level of quality healthcare to the women of our communities.

There are certain days and times when there may be several people standing on the public sidewalk. Our privately owned parking lots separate the demonstrators from our patients. Their techniques are to attempt to speak to you, give you pamphlets of literature that discourage you from having an abortion performed, tell you how unsafe the abortion procedure is, they may call you a child murderer, or say and do anything to prevent patients from coming in our offices. The best thing to do is to avoid them, not speak to them, and walk directly into our offices.

Although they can be annoying, loud, inappropriate, and harass patients, they have a legal right to voice their opinion on the public right of way. They are not allowed to step onto our properties. If you have any specific concerns or would like to be escorted to or from your car, please let us know.

All of our offices offer a wide variety of appointment times to meet your needs.  We can arrange early morning or evening appointments.  We will do our best to see you the same day or on the next day of your choosing.

Most patients can go to work and resume normal activities the next day. We ask patients who were over 6 weeks pregnant to avoid long periods of standing, heavy lifting, or pushing. These activities may cause increased bleeding and cramping.

Women have abortions for many reasons. Every woman that is seen has her own unique combination of reasons for having an abortion. There are over 200 million abortions that take place in the world today. It is estimated that over 70,000 women die of an unsafe abortion each year. This means that 1 woman a minute dies of an abortion which represents approximately 13% of maternal deaths. The crux of the problem is the number of unintended or unwanted pregnancies that occur because of lack of access to family planning facilities and education about birth control and prevention of sexually transmitted diseases. Over 50% of pregnancies that occur in the world today are unintended or unwanted. The majority of women believe that they are not able to get pregnant the first time that they have sex or if they are age 40 or greater, they are too old to get pregnant. There are many women who fear using any form of birth control because of the side effects. This leaves only the use of natural planning methods or no method of birth control used for many women. There are women who are victims of rape and incest. Most women have only heard of Emergency Contraception (morning after pill, day after pill, post coital contraception, day after contraception, plan b) which can reduce the incidence of pregnancy by 89% if used within 72 hours of unprotected intercourse. Until women gain the education and knowledge, and have access to family planning facilities to be on long term contraceptive methods and birth control, and learn to prevent themselves from being exposed to unprotected sex which increases the incidence of pregnancy (unwanted) and Sexually Transmitted Diseases, there will be a high rate of abortions that occur even if abortions are illegal and unsafe.

Illegal abortions do not reduce the rate of abortion. It does increase the maternal death rate and morbidity. Prior to legalizing abortion in the U.S., there were 5000 maternal deaths and over 100,000 hospitalizations due to unsafe abortions. The most common reason for maternal death was sepsis (bacteria in blood) and bleeding to death.
The most common reasons women seek abortions are the fact that 1) they are not financially able to afford a child at the moment, 2) they wish not to have any more children, 3) they are trying to advance their career and a child would interfere with doing so, 4) they were using birth control and it failed, 5) they were out of their birth control, 6) they were forced to have intercourse, 7) the partner died or left the mother, 8) maternal illness threatened the mother’s health or life if she continued the pregnancy, 9) severe fetal abnormalities that are not compatible with it living, etc.

No woman wants to have an abortion. The decision to have one includes moral, ethical, religious, family, age, and financial considerations. Women in the U.S. and the world must have access to having a legal abortion performed as this is the only way to assure women equality and the opportunity to maintain their independence and control over their bodies.

Patients in the first trimester (3 to 9 weeks) have a choice of having the abortion procedure safely performed with either the surgical or abortion pill method. Both are very safe procedures with advantages and disadvantages. Patients may choose to undergo the surgical procedure because it is faster and they are able to resume their normal activities the same day. If 6 weeks pregnant or less, patients are able to use tampons or have sex the next day. Bleeding is less with surgical procedures and there is less than a .5% failure rate. The abortion pill procedure takes longer to finish, and bleeding normally lasts 10 to 14 days but can last up to 30 to 69 days. The failure rate is between 1 to 5% and a failed pill procedure requires a surgical aspiration to complete.

We at Legal Abortion by Pill Clinic have spent many years making the surgical and medical abortion procedure safer. Abortions performed legally in sterile and sanitary facilities by experienced medical staff have less than 1% chance of complications. When abortions are performed in unsafe and illegal facilities, there is increased maternal morbidity and mortality. Legal Abortion by Pill Clinic uses the latest surgical equipment, medications, IV sedation, Deep Anesthesia, General Anesthesia, and state of the art ultrasound (sonogram) machines are used to make abortion procedure in our facilities some of the safest in the country. The rate of complication is less than .2%. We feel that this is due to the precautionary measures that are taken to reduce the incidence of pelvic infection.

An early abortion is performed between 3 and 6 weeks pregnant. There was a time when abortions were not performed before 7 weeks due to lack of sonograms and the fear that there was the possibility of an ectopic pregnancy, or the higher complication rates of uterine perforation, incomplete abortion and cervical tears. With advancements in medical equipment, surgical techniques and new medications, early abortions can be safely performed using our early surgical abortion methods or abortion pill procedure. As long as the pregnancy can be visualized in the uterus by sonogram (ultrasound) it is safe to perform a suction aspiration surgical procedure or non-surgical abortion with minimal complications or side effects.

Patients who become pregnant after having an abortion procedure using cervical ripening agents, advanced new medications and surgical techniques have no problems becoming pregnant, or maintaining their pregnancy. There is no increase in the incidence of infertility, preterm labor, preterm births, ectopic pregnancies, fetal death in utero, or increased incidence of C-section as long as the abortion procedure occurred without complications.

There is no such medical diagnosis as post abortion syndrome and is not recognized by any scientific psychiatric medical society. There is no evidence that abortion can lead to deep depression. Depression can occur at any time to people who are susceptible to it.

Early abortion options available to terminate pregnancies 6 weeks or less are the Abortion Pill (RU486, chemical abortion, non surgical abortion, Mifeprex, mifepristone), Methotrexate (injection or tablets) and cytotec, or the early surgical abortion. The abortion pill procedure regimen requires patients to take the RU486 on the first visit in the office and to take cytotec (misoprostol tablets) which is a prostaglandin that causes uterine contractions 34 to 96 hours after taking the RU486 which leads to contractions and bleeding 4 to 6 hours after taking. A sonogram is done 7 to 14 days after the first visit to make sure that the pregnancy tissue has passed. There is a 95 to 99% of success. Bleeding can last from two days to as many as 69 days. It usually only lasts 10 to 14 days. The early surgical procedure can be done under local anesthesia or with IV sedation. The bleeding usually only lasts for 1 or 2 days. There is minimal cramping associated with the procedure which normally lasts only 5 to 10 minutes. Patients are normally able to return to their normal activities the same day and have sex and insert tampons 24 hours after having the surgical procedure.

The amount of bleeding that occurs during and after an abortion is always a potential concern as sepsis and hemorrhage are common reasons for maternal morbidity and mortality around the world. The number one reason for maternal death in the U.S. is anesthesia complications.

With today’s advanced techniques for priming (softening and opening) the cervix, complications that occurred in the past with cervical tears and lacerations, uterine perforations, bowel and bladder injuries, rarely occurs. Laminaria (sterile seaweed) inserted into the cervix, and cytotec (misoprostol) are used singularly or together to prime the cervix. This leads to less chance of heavy bleeding and hemorrhage when the abortion procedure is carried out.

For patients who are undergoing the medical abortion (abortion pill) procedure, there is less than a .3% chance of requiring a blood transfusion. Heavy bleeding defined as bleeding greater than 2 pads an hour for two hours in a row is rare with medical abortion procedures (less than 1%) but still occurs more often than for patients who undergo a surgical procedure. Even after the ultrasound done at the second visit shows the uterus to be empty, heavy bleeding can occur between 25 and 35 days requiring a suction D&C and at times may require a blood transfusion.

VIP services can be arranged at any of the Legal Abortion by Pill Clinic facilities where an abortion procedure can be obtained and the patient is in and out of the facility in less than two hours. The patient’s escort may stay with the patient in their private room until she goes into the procedure room. After the procedure, the patient may return to the private room with her escort and recover in the same room.

We are glad to offer private abortion services for patients who request our VIP or exclusive treatment services. Our VIP services consist of the patient and her escort being placed in their private exam room and the escort may stay with the patient the entire time except when she goes to the exam room for her procedure to be performed. Our exclusive service consists of the patient being the only patient in the building along with her escort and our medical staff. This allows complete privacy for the patient and her escort. The VIP and exclusive service fees are additional, but are well worth the costs depending on the patients circumstances.

Yes. The Legal Abortion by Pill Clinics are privately owned facilities. The Physicians that work in them have more than 100 years combined experience in performing first, second and late term surgical and medical abortion procedures. Their complication rates are among the lowest in the U.S. and throughout the world.

We do not have an abortion hotline. Patients or potential patients are able to get in touch with Dr. Pendergraft via e-mail or by phone 24 hours a day, 7 days a week. Many people use this service as they find it invaluable to be able to ask a Physician directly about their reproductive health related questions.

Ninety percent of abortion procedures whether medical (abortion pill, Mifeprex, mifepristone or non surgical abortion), or surgical abortion occur in the first trimester which is at 12 weeks or less. Complications occur in less than .5% of surgical abortion procedures. They can include cervical tears or lacerations, perforation of the uterus, damage to the bowel or bladder, retained pregnancy tissue, uterine infection, pelvic infection, perforation of the uterus, sepsis (infection in the blood), or heavy vaginal bleeding (hemorrhage).

Patients who have the abortion pill procedure can expect a higher risk of failure (1 to 5%), retained tissue, pelvic pain while bleeding, uterine infection, hemorrhage, fever, pelvic pain with intercourse, prolonged bleeding, diarrhea, nausea, vomiting and abdominal pain. Bleeding normally lasts from ten to 14 days, but it can last up to 69 days.

Patients who are 6 weeks pregnant or less who have the surgical abortion procedure are able to return to their normal activity the same day and can insert tampons and have sex the next day. Patients who have medical abortions performed are able to have sex whenever they are comfortable in doing so

Patients in the U.S. can commonly undergo a medical abortion procedure with RU486 up to 9 weeks pregnant. There have been several studies done in the U.K. involving pregnant women up to 13 to 14 weeks where undergoing a medical abortion procedure was found to be efficient and safe. 92 to 93% of women had a successful abortion using the combination of RU486 followed by misoprostol given 48 to 72 hours later. There are a few Physicians who will allow medical abortions to be performed up to 12 to 14 weeks if certain criteria are met. Please call the Abortion By Pill Clinic facilities to see if you are a candidate to undergo this procedure if more than 9 weeks pregnant.

Intrauterine devices do not cause miscarriages or abortions to occur. In essence; once implantation of a fertilized ova into the uterine wall occurs an IUD does not cause an abortion. An IUD that is in the intrauterine cavity at the time of pregnancy is associated with an increase risk of second trimester spontaneous abortion due to it causing an increase in intrauterine infection leading to sepsis (bacteria in blood). This is the reason for removal of the IUD as soon as possible in the first trimester of pregnancy even though there is a high incidence of spontaneous abortion (around 50%) after its removal.

Approximately 1.1 to 1.2 million women have abortions performed in the U.S. on a yearly basis which is a decrease from the peak of 1.3 to 1.4 million abortions just a few years ago. This is due to the combination of abstinence and women increasing their use of contraceptive methods (condoms, birth control pills, and injections). The only way to continue to decrease the incidence of abortion is for women to have access to family planning facilities where they can be taught how to prevent pregnancy and become educated on how to use Emergency Contraception (morning after pill, day after pill, post coital contraception, day after contraception, plan b) when exposed to unprotected sex due to failure of contraception, not using contraception, or being forced to have sex.

It has been shown time and time again that whether abortion is legal or illegal the number of abortions taking place does not change. There were approximately 1.1 million abortions performed in the U.S. prior to 1973 when Roe v Wade made abortions legal in the U.S. There were over 5000 deaths and over 100,000 women admitted to hospitals due to botched and illegal abortions in the U.S. before it became legal. There were hospital wards set up in major cities across the U.S. solely for the purpose of admitting women who became septic (bacteria in blood) from pelvic infections and pelvic inflammatory disease (PID). Today, complication rates from abortion procedures are very low. The need for hospitalization following an abortion procedure has become very rare. The incidence of maternal death is 10 times less from an abortion than a patient having a full term delivery due to the advancements in surgical techniques, medications, and medical equipment such as ultrasound used to assure the safety of the abortion procedures.

The definition of abortion removing the fetus from the uterus before it is viable. This includes spontaneous abortion (miscarriage) or induced abortion, in which a layperson, the woman herself, or physician causes the abortion to occur. Before modern methods of abortion, this sometimes meant women going to untrained people in mostly unsanitary conditions where women were given turpentine or rat poison to drink, placing foreign objects like catheters or coat hangers into the uterus attempting to disrupt the placenta and embryo (or fetus), instilling water, bleach or other toxic substances, insertion of wood sticks, glass, or knitting needles so that a miscarriage would result. Jumping off a top flight of stairs and falling, jumping off the top of a roof, or hitting the pregnant woman in the abdomen over the uterus and jumping on her abdomen while she lies on the ground were all common techniques used in attempt to cause an abortion. Although these methods were effective for some patients, they resulted in long term injuries of cervical tears, uterine perforation, bowel and bladder damage, chronic pelvic pain, infertility and death of the woman if her uterus ruptured or if some of the amniotic fluid surrounding the fetus entered her bloodstream, sepsis (bacteria in the blood leading to multiple organ failure), or bleeding to death due to internal injuries.

Today where abortions are legal as they are at Legal Abortion by Pill, abortions are performed surgically or by the medical abortion procedure using modern surgical and medical techniques that make the procedure very safe.

Yes. Abortion is legal in the U.S., Canada, Mexico, Europe, India, China, other parts of Asia, South Africa, Australia, and other developed countries. It is in the undeveloped countries, (South America, other parts of Africa except of South Africa, and other countries) where abortion is illegal. It is in these places that account for most of the illegal abortions in the world where the consequences of maternal morbidity and high maternal mortality consuming a great deal of the GDP of those countries due to the hospitalization costs and the long term consequences of maternal complications of infertility and chronic pelvic pain.

The Abortion Pill was approved in the United States by the FDA in 2000 after many years of delay due to the anti-abortion politics surrounding abortion.

Yes, abortion is legal is the USA. It has been legal in the United States since the Roe v Wade Supreme Court decision in 1973. Since that time there has been a lot of uproar by conservative groups and right wing politicians to make abortions illegal due to their position that abortion is murder. The only way to make it so is to give a fetus all the rights of personhood and not allow a woman to have the right to make the decision to carry or not to carry her pregnancy to term. From an ethical and moral point of view, a woman should have the right to decide to carry a pregnancy as being pregnant is something that can cause physical harm to the individual woman including death from numerous reasons (sepsis, hemorrhage, eclampsia, preeclampsia, hypertensive emergency, uncontrollable seizures, pulmonary embolism, amniotic fluid embolism, uterine perforation, etc.)

Abortions date back over 5000 years. Throughout history there has been controversy about abortion. What most people do not know is that in the 1500’s the Catholic Church agreed with abortion before quickening (when the mother felt fetal movement) occurred. More than 70,000 women die every year mostly due to botched or back ally unsafe abortions where pregnancy terminations are illegal. Yet Anti-Abortion groups are against abortion because they feel that abortion is murder, unethical, immoral, unreligious, improper, and wrong. So it is not unethical, immoral, unreligious, improper and wrong that 70,000 women die each year and leave over 200,000 children without their mothers due to unsafe or botched abortions. Never mind the 5000 maternal deaths that occurred in the U.S. every year or over 100,000 women who were admitted to hospitals due to back ally or botched, unsafe and illegal abortions. These are also the same people who disagree with meals on wheels, feeding the poor, health care for all people in America, a health care public option, and agree with the government for being able to write them a check to get a $100,000.00 car and call it a tax incentive refund, who do not support family planning clinics that educate patients not only about abstinence, but long term birth control and emergency contraception (morning after pills, post coital contraception, day after contraception, plan b) that are all used to prevent unwanted pregnancies. Anti- abortion groups do not believe that women who become pregnant as a result of rape or incest should have the right to abortion. Nor do they believe that women should have the right to terminate a pregnancy even when there is a fetal abnormality that is known to be incompatible with life.

Due to state of the art ultrasound equipment, abortions can take place before the patient misses her first period through 24 weeks on an elective basis and beyond that if the pregnancy poses a threat the mother’s life or health. Each state has its own criteria for the number of weeks the abortion can occur, where it can occur, the number of physicians required to agree if the abortion procedure is necessary, etc. Unfortunately; most hospitals do not allow abortions due to their being purchased or managed by religious organizations or for political reasons. Even if a hospital allows an abortion to be performed, one must find a physician and medical staff that agree to perform the abortion procedure which is very in the U.S. as medical personnel can object to participate without repercussions. Most women who are pregnant and have a medical indication for abortion are not aware of the complexity of this problem until the abortion services are needed. Therefore; late term abortions are being forced to be performed mostly on an outpatient basis and are provided in only a very small number of facilities in the U.S.

Abortion is legal in the United States in all 50 States since the Roe v Wade decision was decided by the U.S. Supreme Court in 1973.

Prohibiting abortion does not stop abortion. If a woman feels that it is necessary to have a termination of pregnancy procedure performed, she will find a way to do so even if she knows she is going to a place that is dangerous and could be detrimental to her health or her life. Prior to the legalization of abortion, women were desperate and treated as if they were criminals. Making abortion legal protected women’s lives and their overall health from the long term sequel of botched abortions (incomplete abortions, perforation of uterus, bowel or bladder problems, uterine perforation, sepsis, heavy bleeding, infertility, and maternal death) which although not completely abolished, but dramatically decreased to less than .5%.

Yes. Legal abortion is threatened in the United States as it is alleged that four of the nine judges that sit on the U.S. Supreme Court presently (Scalia, Alito, Thomas and Roberts) do not believe that the U.S. Constitution protects women’s rights to have abortion on demand as found in the 14th amendment under the right of privacy. Thus we are only one vote away from abortion being declared illegal and once done it would be left to the individual States to decide the question of legality of abortion. There are already 13 states where abortion would automatically become illegal if the Supreme Court rules it is as such.

Patients are able to undergo an elective termination of pregnancy up to the point of viability in the U.S. and this point must be determined on an individual basis as there are many complex issues in determining when a fetus is able to sustain its life independently from the mother. Abortions are able to be performed after viability (normally between 24 and 26 weeks, but again there are complex issues that may change the age of viability) if the mother’s life or health is endangered by the pregnancy. Severe diabetes where the mother may lose her eye site, severe hypertension that can lead to the mother suffering a severe stroke, or preeclampsia with severe liver disease or life threatening seizures occurring, severe heart abnormalities that can lead to over 50% incidence of maternal death if pregnancy continues are just a few of the life threatening situations that can occur.

Late term abortion does not have a specific definition. It is defined anywhere from 16 weeks to 26 weeks pregnancy. Most people define late term abortion as occurring after 20 weeks gestation. The Supreme Court has ruled in Planned Parenthood vs. Casey that patients are allowed to have an abortion electively up to the point of fetal viability without placing an undue burden on the patient. After the point of fetal viability, the state has a high interest in protecting the life of the fetus. It is only then that the patient’s life or health (mental or physical) being in danger must take precedence and this allows a medical indication for the termination of pregnancy.

Legalizing abortion without question was the right thing for the U.S. Supreme Court to do. Women need to have control of their bodies in order to gain their independence, freedom, and ability to truly be equal to men. Women die from back ally and botched abortion every minute of each and every day around the world. That is, a total of over 70000 women die every year from illegal abortions. When abortion was illegal in the U.S., there was much pain and suffering requiring hundreds of thousands of hospital admissions and thousands of maternal deaths as women will seek out back alley abortions in order to not have an unwanted or unintended child.

In order for abortion to be safe and rare, it must become legal and available to all women who choose to terminate a pregnancy. When abortion is legal, there is no need to go to individuals that are not experienced and who expose women to unsanitary and unhealthy conditions which can lead to patients having a higher incidence of infection and complications from the abortion procedure. In order for abortion to become rare, there must be preventive measures in place besides abstinence that are able to decrease the incidence of unwanted or unintended pregnancy which includes condoms, birth control pills, birth control injections, and emergency contraception (morning after pill, day after pill, post coital contraception, day after contraception, plan b). Without these methods of prevention which means women need to have access to family planning facilities at little to no expense for those who cannot afford to access the medical system, there will always be a high incidence of unwanted pregnancy which means a high incidence of abortion. In places where abortion is illegal this translates into high maternal morbidity and mortality due to botched abortions.

Second trimester abortion (generally 12.5 to 24 to 26 weeks) can be performed on an elective basis with states having an interest in intervening due to “maternal safety” issues only. Though second trimester abortions are very safe when performed by experienced medical personnel, some states continue to pass laws that are only political in nature and have nothing to do with making the procedure safer such as requiring a 24 hour delay. This increases the time patients have to spend away from work and their families. It adds to the extra transportation costs and babysitting fees. It may prolong the length of their pregnancy and possibly even prevent some patients from having their abortion due to the surmounting costs.

Third trimester abortions (after fetal viability which is generally 24 to 26 weeks) are only legal in the U.S. if there is a threat to the mother’s life or health (physical or mental).

The diagnosis of a severe abnormal fetal abnormality that is incompatible with life may not be evident on sonogram until late in pregnancy. A woman may develop a severe medical problem such as preeclampsia, eclampsia, serious liver, kidney or heart disorders, or medical conditions such as severe diabetes which may cause a patient to loose her vision, have severe connective tissue problems and other disorders causing the mother’s life or health to be in danger. Anencephaly, body stalk anomaly, severe pulmonary hypoplasia (absence of growth of lungs), renal agenesis (absence of fetal kidneys) are just some of the abnormalities that can lead to the need for a third trimester termination of pregnancy defined as fetal age greater than 24 or 26 weeks of pregnancy by most medical personnel.

Abortion was made legal when a combination of events occurred. Women were exposed to thalidomide that caused severe birth deformities in the early 60’s. There were over 15,000 women between 1963 to 1965 who were exposed to German Measles which resulted in seriously deformed children. These women were not able to choose to have a legal abortion performed. Physician saw thousands of women dying every year and hundreds of thousands of others being hospitalized due mostly to pelvic infections, sepsis, and severe bleeding. Politicians and lawmakers became aware of the necessity to legalize abortions not only tosave women’s lives and decrease maternal morbidity, but to achieve equality for all women in the U.S. It may be difficult for some young people to understand the history of abortion in the U.S. which is why I emphasize it at this time. Physicians younger than 52 years old would not have had any exposure to patients who underwent an illegal abortion, so they might not be an advocate for or have a thorough understanding of keeping abortion legal and safe. This is why it is so very important to make the history of illegal abortion information known.

In the State of New York when abortion became legal in the early 70’s there was an immediate reduction in the maternal mortality rate by 50% the first year and it continued to decrease each year thereafter. The same occurred all over the country when abortion became legal in the U.S. by the Roe v Wade decision of 1973. Abortion clinics opened throughout the country and since then Physicians with the knowledge and expertise of how to operate clean and sterile facilities were able to continue to improve their complication rates making abortion one of the safest surgical procedures performed in the United States at this time.

Partial birth abortion is the lay term for the medical term Dilation and Extraction (D&X) procedure that was presented at the National Abortion Federation conference in 1992. As soon as the meeting was over, there was movement from the conservative party to outlaw the abortion procedure because it was felt that piercing the posterior portion of the cranium of the fetus was not a humane way for a fetus to succumb after half of its body is removed up to its umbilicus before the skull piercing was performed. After numerous State legislatures passed laws to make it illegal and counter federal lawsuits to prevent the laws from taking effect, the Carhart vs. Stenberg and then Cahart vs. Gonzales cases where brought to the Supreme Court. The first case was ruled 5 to 4 against the procedure being illegal because it did not include an exception to the mother’s life as a reason that the surgical procedure could be performed. In the Cahart vs. Gonzales ruling, it was concluded that the Dilatation and Extraction procedure was illegal due to the inhumane way that the abortion procedure was carried out. Though the D&E (dilation and evacuation) procedure may not be as safe for the mother, it was declared safe enough to be used in the performance of the abortion procedure method to terminate second trimester and late term abortion procedures even though there were many experts who testified the D&X procedure was the safest procedure for the mother. The argument of undue burden was rejected because the alternative procedure is the D&E procedure which was not being declared illegal.

The alternatives to abortion are adoption or to keep the pregnancy. When patients come to the Legal Abortion by Pill Clinic all of the benefits and risks of the abortion procedure are discussed as well as the alternatives to abortion. Besides making sure that the patient is not being coerced (forced) into terminating her pregnancy, the alternatives to abortion are very important for the patient to understand.

It has always been assumed that most women died at the hands of a back alley abortionists, but most women died of a self-induced illegal abortion. Women inserted catheters that were not sterile through their cervix and even used turpentine, lysol, bleach, liquid rat poison, and other caustic poisonous agents to attempt to induce an abortion. This caused tearing of the cervix, perforation of the uterus, burning and destruction of the uterus to the point of severe pelvic infection, pelvic inflammatory disease, bowel and bladder damage and infertility. Other methods used were glass, knitting needles, coat hangers, and different forms of forceps in order for the woman to attempt to remove the pregnant tissue herself. Many times women would end up with severe maternal morbidity and death.

There are different procedural methods used for terminating a pregnancy. This involves selecting a method that is determined by the length of gestation of the pregnancy and the individual preference of the pregnant woman. There are fewer options available for terminating pregnancy the further along the gestation. Early abortions are able to be performed in several ways. The most crucial distinction between methods is surgical versus medical abortion. Surgical abortion involves the surgical removal of the contents of the uterus by the medical provider while a medical abortion involves induced expulsion of the contents of the uterus following the administration of abortifacients vaginally or orally. Surgical abortion is faster, more certain, and under the direct control of the abortion provider. The disadvantage is that as a surgical procedure it oresents the slight risk of cervical tears and laceration, uterine perforation, bowel and bladder injury, bleeding, incomplete abortion and infection. Medical abortion is less invasive and more private and for most people it seems more natural like a spontaneous miscarriage. The disadvantages is that it sometimes takes weeks after administering the abortifacient medication, it is less predictable in that it has a higher chance of failure, there can be excessive bleeding, and the chance of incomplete abortion with retained pregnancy tissue in the uterus. Descriptions of how first, second, late term, and third trimester abortions both medical and surgical are described elsewhere in the Legal Abortion by Pill Clinic website.

Over 80% of abortions are performed at 8 weeks or less and over 90% at 12 weeks or less. Less than 1.5% of abortions occur after 21 weeks gestation. The further along in pregnancy a woman is, the more technical and more difficult the procedure becomes along with higher risk and potential complications unless the Physician is highly skilled and understands how cervical preparation must be performed in order to achieve a safe and successful abortion procedure.

Birth control is made up of hormonal or mechanical barriers that prevent pregnancy from occurring and do not actually cause abortion. Birth control pills, Depo-Provera, Intrauterine Device (IUD), hormonal pellets that can be placed under the skin, Emergency Contraceptives (morning after pill, day after pill, post coital contraception, day after contraception, plan b), are frowned on by the Catholic Church, religious groups, and other conservative groups because of the possibility that some of the hormonal or mechanical barriers mentioned may not prevent fertilization from taking place, but may inhibit implantation of a fertilized ovum on a theoretical basis. After extensive studies, there is no evidence that birth control pills, IUD, or emergency contraceptive pills inhibit implantation into the uterine wall of a fertilized egg from taking place. A patient does not meet the criteria from being pregnant until the pregnancy is embedded into the uterine wall. Any mechanism (surgical or medical) that causes the disturbance of a viable pregnancy that was embedded in the uterine wall and causes its removal is an abortion. Thus by definition birth control methods do not cause an abortion.

Abortion Physicians in the U.S. are becoming very rare. This is because most of the Physicians that have been dedicated to providing this much needed service for women are retiring, dying or leaving the profession because of threats to themselves or family members, or for fear of being killed. Since 1992, there have been 7 Physicians murdered by people who feel they have the obligation to protect the unborn at any cost. They have no understanding or appreciation for the thousands of women who died through their attempts to self induce abortion. Over 70,000 maternal deaths occurred every year due to illegal and unsafe abortion. Over 220,000 children a year were left without a mother because illegal or self induced abortion. Physicians who perform legal abortions are needed in order to allow the abortion procedure to be carried out safely. Legal abortion saves women’s lives and allows them to be able to choose when, how and where they have other children if they want to do so. All family planning facilities where abortions are performed will say that the greatest threat women face for access to safe abortion is the fact that there is a shortage of Physicians who will perform the procedure. If women cannot go to a facility where the abortion procedure can be carried out in a safe, supportive, clean, and comforting environment, they may eventually be forced to going back to self induced methods which will once again lead to the disastrous consequences as seen prior to legalization At Legal Abortion by Pill, we have Physicians that are available 6 to 7 days a week to terminate pregnancy. We are proud to be able to help women in one of the most difficult times in their lives.

The risks of undergoing an abortion whether medical or surgical are associated with far less complications than delivering at full term. The maternal death rate is ten times higher with carrying a pregnancy to term. Medical and surgical abortions are associated with certain risks that include the chance of the pregnancy continuing (<1% surgical and 1% medical abortion), incomplete abortion (<1% surgical and 1% medical abortion), moderate to heavy bleeding requiring blood transfusion (<.3% surgical, .4 to .5% medical abortion), sepsis (<.2% surgical, <.4 % medical abortion). There have been deaths associated with taking RU486 with cytotec inserted vaginally but not orally which appears to be due to a rare bacterial infection. No one knows if the medications directly caused the deaths. A recent study shows that taking antibiotics when undergoing the medical abortion procedure reduces the incidence of infection. Cervical tears, uterine perforation, damage to bowel or bladder, and complications associated with anesthesia including death are associated with surgical abortion procedures. Cervical tears, uterine perforation, damage to bowel and bladder are very rare with the way that the cervix is prepared (laminaria, cytotec) by experienced medical personnel today.

Natural or herbal abortion methods are generally considered unsafe because they most always lack medical supervision. Many women seek herbal methods of abortion as a natural alternative to clinical abortion procedures. People choose natural abortion methods because they do not trust Physicians, they think that it is a safer technique than surgical or medical procedures. The lack of supervision from a qualified Physician is very dangerous and may be associated with high morbidity and mortality for patients. The possibility of ectopic pregnancy, incomplete abortion, continued pregnancy, retained tissue, heavy vaginal bleeding, pelvic infection, and hemorrhage can all occur. The most common reasons for maternal mortality with natural self induced abortion is sepsis (bacteria in blood leading to multiple organ failure, i.e. kidneys, lungs, liver, and heart; inadequate blood pressure and proper oxygenation) and massive bleeding.

All abortions come with some degree of risk, and it is impossible to compare the relative safety of herbal abortions because of limited data. Parsley is used as an herb to induce menstruation when menses is “late”. It has weak uterotonic (contractions of the uterus) activity so it is unlikely effective after implantation of the ova into the uterine wall (actual definition of pregnancy) has taken place. Parsley is dangerous in that it can cause severe inflammation throughout the body leading to fever, swelling, allergic reactions and even death. Black Cohosh, is another herb that has been traditionally used to induce labor or abortion. This herb is a very powerful anticoagulant and can lead to heavy and prolonged bleeding. Prolonged and heavy bleeding is a medical emergency and can cause blood loss leading to death.

RU486 and cytotec (misoprostol) purchased over the internet and used without professional medical guidance have the same inherent dangers as described above. The medications may not be what they are advertised and the FDA has no control over labeling, packaging, or strength of the medication being sent through the mail without a prescription.

Physicians and other medical professionals strongly discourage the use of herbal or any form of unsupervised natural abortion due to their inherent dangers.

A therapeutic abortion is when a termination of pregnancy is done to save the life or health (mental or physical) of the mother while an abortion performed for any other reason is termed an elective abortion.

High technology sonography, amniocentesis, chorionic villus sampling (CVS), blood samples and the detection of fetal blood circulating in the mother, are all ways for parents to determine sex before birth. This has led to sex-selection abortion or the targeted termination of female fetuses. Sex selection abortion is the reason for disparities between the birth rates of male and female children in places such as Mainland China, Taiwan, South Korea, and India.

Since 1979, the People’s Republic of China has not permitted couples to have more than one child because of overpopulation concerns. China had long held the belief that sons are preferred over daughters. Naturally this has led to targeted termination of female fetuses and even the abandonment of unwanted daughters. If a mother has a second child, it has been alleged that the Chinese government will engage in infanticide immediately after the birth of the child. Understandably there are moral, ethical and religious overtones to any government engaging in infanticide or even dictating to its population the number of children a mother or family should have. At the same time, overpopulation leads to famine, war and death. The Chinese government is well aware of these problems and is attempting to circumvent them with their one child per family rule. There are some parts of China where the male to female birth ratio is 130 to 100. If this continues they will begin to face the problem of there being too many men and not enough women. The normal ratio of male to female births is close to 105 to 100.

In India, costs associated with dowries (large sums of money the families must provide in order to have their daughters marry), and men dictating funeral rites (no women involved), have been influential in sex selection and infanticide. The ratio of male to female infants born in India is 108 to 100.

As the world’s population continues to grow, sex selection, infanticide and dictation of how many children a mother can have will become rule unless we begin to address population control measures now. Overpopulation can result in more wars, famine, poverty and death. When governments are not able to feed their people a natural uprising can occur; leading not only to great civil discourse, but quite possibly to even world wars. Thus the world’s overpopulation problem must be addressed with artificial forms of long term birth control such as the Copper T Intrauterine Device (IUD) which can prevent pregnancy for up to 12 years. Over 35% of the world’s IUD usage occurs in China. We must allow all women throughout the world to learn about the advantages and disadvantages of birth control, and permit them to make their own decisions about how many children they should have, and how far apart they should be spaced. We also need to find more advanced forms of birth control that are more effective and with fewer side effects. We must be able to break down the barriers women face about their medical systems because they are afraid they will be harmed by medications given to them, or fear they can’t become pregnant because they are too young, it is their first time, or they are too old.

The answer to this question depends on the length of gestation of the pregnancy and the abortion procedure that the patient chooses to undergo. Generally the earlier the pregnancy, the sooner patients are able to resume their normal activities. The further in weeks of pregnancy, the longer it will take for patients to return to their normal duties.

Patients who are six weeks or less and undergoing a surgical abortion, are generally able to return to their normal duties the same day, may use tampons and have sexual intercourse 24 hours after the procedure. For women 7 weeks or more, we general ask that they do not lift anything heavy for 2 or 3 days, and after that they are able to return to their normal duties with modified restrictions and no insertion of anything in the vagina for 2 to 3 weeks in order to reduce the risk of introducing a bacteria in the vagina that can lead to a pelvic infection. Patients who are 17 weeks or greater and undergoing a combination of medical and surgical procedures, must avoid heavy lifting or prolonged standing for 2 or 3 days. They are able to return to school or work the following day after the procedure is performed. There is no insertion of anything into the vagina for 2 to 3 weeks. Approximately 25% of patients will have engorged breasts and we suggest placing cabbage leaves on the nipples and wearing tight bras. Once the cabbage leaf wilts, they should be replaced.

Patients who have severe pelvic pain not relieved by anti-inflammatories or acetaminophen (Tylenol), or have a temperature greater than 100.4 or bleed more than two pads an hour for two hours in a row, should contact the Legal Abortion by Pill Clinic facility where their abortion procedure was performed.


In some States women are able to obtain an abortion using Medicaid. Florida is not a State where a woman can electively use Medicaid to terminate pregnancy unless it is detrimental to the woman’s life or health.

Late abortion has different definitions. Some people define late abortion as any pregnancy that is terminated after 16 weeks. Most people agree that late abortions begin after 20 weeks gestation. They are generally performed with preparation of the cervix (softening and dilation) with the use of laminaria and cytotec over a 2 to 3 day period. At 21 weeks or later, the fetal heart is stopped with intraamniotic, intrafetal, or intracardiac injection of digoxin, potassium chloride (kcl), or hyperosmolar urea which stops the fetal heart rate either immediately or over several hours. Induction of labor proceeds with oxytocin, prostaglandins, or can occur by itself. RU486 (Mifeprex, mifepristone) is taken on the first day to increase the sensitivity of the uterus to the uterotonic agents which reduced the induction to delivery time.

A coat hanger abortion was one of the most common methods of self induced abortion when abortion was illegal in the U.S. A coat hanger was made into a loop at one in and the opposite end was made as straight as possible. It was guided into the cervix where the pregnancy was attempted to be disturbed from the implantation site in the uterine wall. Because it was a blind procedure and unsterile, there was a high incidence of cervical tears, damage to the bowel and bladder, uterine perforation¸ continuous to severe heavy vaginal bleeding, retained tissue leading to sepsis, pelvic inflammatory disease, and death of the mother. Coat hanger abortions are very common in areas where abortions are illegal. This is part of why 70,000 deaths occur yearly due to botched abortions.

A back alley abortion generally takes place in an environment that is unsterile, with unsanitary instruments used by untrained medical or lay personnel who do not have adequate experience in performing abortions. These procedures are associated with a high incidence of maternal morbidity and mortality due mostly to sepsis and hemorrhage. When abortion is legal, competent physicians and medical personnel are more willing to perform the type of sanitary and safe abortion procedures required for saving women’s lives.

In the State of Florida, parental notification is required, but not parental consent. In essence, one parentmust to be informed that their daughter who is less than 18 years old wants to have an abortion. They do not have to agree or disagree with the daughter’s decision. In order to not have to notify a parent, the teenager may elect to have a judicial bypass. This is where the patient can appear before a judge and if found competent and mature enough, a judge will allow for parents not to be notified and the abortion procedure may proceed. This process is not difficult to do. Patient’s may call The Legal Abortion by Pill Clinics in order to receive proper instruction on how to obtain the Judicial Bypass.

The abortion rate remains essentially the same whether abortion is legal or illegal. The most effective way to reduce abortion rates is to reduce the number of unwanted pregnancies. The only way to do this is to educate women on the benefits and risks of long term contraceptive methods and when they fail, to be able to use Emergency Contraception (morning after pill, day after pill, post coital contraception, day after contraception, plan b) when the primary form of contraception fails, or the patient was forced to have intercourse unprotected, or the patient does not use contraception because the patient feels that she is too young or too old to get pregnant.

Abortion should be left up to the individual patient and her Doctor. It is a private matter. If moral, ethical, financial, social, religious, age, and family issues have been considered and determined it is right for the patient, then it is the right thing to do. A woman should not be forced to have an abortion. The alternatives to abortion are to have the child and keep it or to give the child up for adoption. None of these choices are necessarily easy to make and depend on each individual’s circumstances. Conservative groups feel that once an egg is fertilized it is murder to use a drug that prevents implantation or causes detachment from the uterine wall. Neither the government nor recognized medical societies will state that pregnancy takes place prior to implantation of the fertilized egg into the uterine wall. Pregnancy is a medical condition that has the capability of killing a woman from ectopic pregnancy, severe bleeding occurring in the first trimester of pregnancy, abruption of the placenta (separation of the placenta from the wall of the uterus), uterine perforation, eclampsia, preeclampsia, emergency c-section and its complications (pulmonary embolism, air embolism, and amniotic fluid embolism) are just a few of the disorders that can result from pregnancy and cause maternal death. For a mother to be forced to carry a child to term if it unwanted or unintended is both morally and ethically wrong. Abortions will always be necessary even if everyone used long term methods of birth control because there is no method 100% effective. If everyone truly wants to make a serious reduction in the number of abortions in the U.S. and around the world, all women must have access to birth control. It is the only way we can make abortion rare and safe. We must also make abortion legal all over the world to decrease the incidence of maternal morbidity and mortality.

A botched abortion is the lay term used for describing a failed abortion attempt in which complications occured from caustic burning of the reproductive tract (vagina, cervix, uterus, and fallopian tubes) from the use of bleach, turpentine or products like lysol. Abortions performed at the hands of an untrained physician may result in laceration or tearing of the cervix, or perforation of the uterus, damage to the bowel or bladder from the use of blunt or sharp instruments, knitting needles, forceps, glass, catheters, etc. Drastic measures such as jumping off stairs or a roof and even being kicked in the stomach to attempt to separate the placenta from the wall of the uterus lead to uterine perforation lead to detrimental results. Not to mention incomplete abortion which lead to sepsis and severe hemorrhage.

By law, a certified waste management company must pick up biomedical waste and dispose the fetal tissue as required. If patients prefer, they may make arrangements for a cremation or burial.

The Legal Abortion by Pill Clinic offices offer abortion services 7 days a week depending on the location. Same day appointments can generally be made. We will make every effort to accommodate any patient’s schedule. We perform medical and surgical first, second, and late term abortions. We provide consultation for third trimester abortions (3rd trimester abortions). Please contact Dr. Pendergraft via e-mail preferably at Drpendergraft@gmail.com or by phone at 321-445-2545

The number of Abortion Providers in the United States is diminishing at an alarming rate due to multiple factors.

  1. Abortion providers are retiring as the majority of them are over 60 years old. There are many Physicians that continue to work in their late 70’s and early 80’s because they understand that there is a tremendous shortage.
  2. There have been 7 Physicians killed since the early 90’s for providing abortions. There have been additional medical and security personnel that have been injured or killed for attempting to protect Physicians as they enter abortion facilities around the country. This intimidation of Physicians and their families has caused many Physicians to stop providing abortions altogether.
  3. It is no longer required for Ob/Gyn residents to learn how to perform abortion procedures. Therefore there is no longer that many Physicians interested in learning early and late term abortion techniques which are crucial to protect and save women’s lives.

At the rate that Physicians are retiring there not be the necessary number of Physicians to replace them. Although abortion could remain legal in the United States (which it should) there may not be enough Abortion Providers to provide. Americans must do everything in their power to prevent this catastrophe from happening.

Abortion in America is not safe from becoming illegal. Four of the nine U.S. Supreme Court Justices allegedly feel that the U.S. Constitution does not allow for women to have right to access abortion on demand. If Roe vs. Wade is overturned which made abortion legal by the U.S. Supreme Court in 1973, there are at least 13 States that have legislation in place that will cause abortion to become illegal. We must remember that one additional vote on the Supreme Court with the right challenge could make abortion illegal in the U.S. We must do everything in our power to assure that women continue to have the right to abortion on demand.

The abortion pill is available at many family planning facilities such as the Legal Abortion by Pill Clinic or through Private Physician offices. Patients are also able to obtain VIP services or exclusive service at our offices providing patients their own private room the entire time they are in our offices and with the exclusive service, the she is the only patient in our office for the ultimate in privacy and confidentiality. Abortion pills can be purchased over the internet and the black market. The problem with that is that the abortion pill procedure is not without complications and to attempt to do the procedure without proper medical supervision can lead to serious maternal morbidity and mortality. We at Legal Abortion by Pill Clinic recommend patients be under medical supervision when having an abortion pill procedure performed. There is always someone that patients are able to communicate with 24 hours a day 7 days a week even just to answer a non-emergency question. We are always there for you.

There have been several studies that show the combination of RU486 and cytotec are effective up to 13 to 14 weeks. There is a slightly higher incidence of failure rate and incomplete abortions. Otherwise; the procedure was found to be highly effective (94%) and safe.

Abortion Pill and Breastfeeding: There is no contraindication against taking RU486 (Abortion Pill) while breastfeeding. There is a possibility that taking cytotec (misoprostol) can lead to the infant or child having non-threatening episodes of diarrhea. It is recommended that when starting to take misoprostol the patient withhold breastfeeding for 24 hours.

The recommneded getatational age limit for using the abortion pill in the U.S. is up to 9 weeks from the last menses. Studies done in the U.K. have shown the abortion pill is safe and effective to use up to 13 to 14 weeks gestation. The abortion pill is also used in patients from 15 weeks through the third trimester of pregnancy due to its effectiveness of increasing uterine contractions and also increasing the sensitivity of the uterus to respond to uterotonic medications at lower dosages and decrease the start to delivery time significantly. The mean duration of delivery is approximately 9 to 10 hours vs. greater than 24 hours for patients who take RU486 (Mifeprex, mifepristone, abortion pill) 48 hours prior to induction of labor being started. In essence, there is no longer any fetal age limit for use of the abortion pill.

There is no contraindication with using the abortion pill and alcohol. The risk is that the alcohol can increase a person’s sensitivity to pain and if the patient drinks too much and passes out, she will not be able to safely monitor if she begins to bleed and has too much blood loss which requires medical attention. For this reason, the Legal Abortion by Pill Clinic does not recommend the use of Alcohol and Abortion Pill to be taken together.

The overall Abortion Pill Success Rate is found to be between 94 to 98%. The earlier in pregnancy the patient undergoes the Abortion Pill procedure, the higher the success rate. For patients who are 6 week or less, there is close to a 100% success rate. There is also less pain and less bleeding for patients who have the Abortion Pill procedure performed at 6 weeks or less. The further along in pregnancy, the less chance of success, the heavier amount of bleeding that occurs and the more pain associated with the procedure as a general rule.

There are only a few times after the Abortion Pill Procdure when Surgical Abortion is indicated. This is because the Abortion Pill Procedure is highly effective 94 to 98% of the time. The most common reasons for the need of a Surgical Abortion after the Abortion Pill procedure is started are the following:

  1. The patient elects to undergo a surgical abortion
  2. Failed abortion procedure where the patients has no bleeding and passes no tissue and the sac is visualized on sonogram
  3. The patient has an incomplete abortion where there may or may not be any retained tissue visualized on sonogram and on pelvic exam the cervix is still open and gestational tissue is still present
  4. The patient experiences mild to severe pelvic pain, vaginal bleeding and tissue may or may not be present in the uterus. This indicates a pelvic or uterine infection. Antibiotics need to be started and a surgical suction procedure needs to be performed.
  5. The patients experiences severe vaginal bleeding defined as bleeding greater than 2 pads an hour for 2 hours in a row. If this continues, the patient should have an immediate suction aspiration procedure performed.

We at Legal Abortion by Pill are available 24 hours a day and 7 days a week for evaluation at our facilities. Many other family planning facilities have a Physician “on call” but do not come into the office after hours for evaluation of emergencies if required.

The majority of patients who undergo the Abortion Pill procedure do not experience any after effects. If there are no complications, patients are able to return to their normal duties the same day that they take the RU486 tablet and we time the second medication so that work or school does not have to be missed. Patients are able to have sexual intercourse as soon as they feel comfortable and they do not have any problems getting pregnant, carrying future pregnancies to term or experiencing preterm or premature births. There is no increase in breast cancer or psychological problems.

Bleeding during an Abortion Pill procedure is always a concern as bleeding too little or too much can be normal or abnormal. Bleeding too little can mean that the procedure did not work or bleeding too much can be an emergency where a surgical aspiration procedure is required and in very rare cases, a blood transfusion may be needed. Patients that bleed very little can still have a successful termination of pregnancy. The only way to be certain is to perform a sonogram on the second visit which is normally scheduled between one week to 14 days after the initial office visit. For patients who experience vaginal bleeding requiring the use of more than two pads an hour for two hours must be evaluated to determine if they need to undergo a surgical aspiration, and also whether they may need a blood transfusion. Surgical aspiration may be required during the first day or two after insertion of the cytotec tablets up to 30 to 60 days after the abortion procedure is complete. We at the Legal Abortion by Pill Clinic do not charge for the Suction Aspiration procedure. We charge a small fee of $80.00 for the IV sedation which allows the patient to have a pain free procedure.

The Abortion pill procedure is associated with cramping which is caused by uterine contractions. There is only a 1% chance of bleeding after taking the RU486 pill. After taking the misoprostol tablets (cytotec) 24 to 72 hours after taking RU486, cramping generally starts 2 to 4 hours and bleeding between 4 to 6 hours after taking the cytotec. The heaviest cramping and discomfort occurs as the pregnancy tissue passes through the cervical canal and then the cramping and bleeding begins to decrease. Some patients do not pass the tissue until later and there may be pain and discomfort generally associated with it. Patients who are very early in pregnancy (6 weeks or less) may have little to no pain associated with the abortion procedure. The further along patients are in their pregnancy, the heavier the bleeding and the more cramping will occur. Over 50% of patients do not have to use any type of pain medications. Forty percent of patients use pain medications such as Tylenol or anti-inflammatory medications. Only 10% of patients may need stronger medications such as Tylenol #3 or Vicodin.

Abortion Pill Complications include the following:

  1. Fever and chills: RU486 alone is not associated with fever or chills. When taking the misoprostol (cytotec) which occurs 24 to 96 hours after taking the RU486, a low grade fever of 99 to 100.4 is quite common and can last up to 24 hours. For temperatures greater than 100.4 that are not relieved by Tylenol or anti-inflammatory medications, evaluation by a Physician is generally recommended. Chills can occur within the first 20 to 30 minutes of taking the cytotec (misoprostol) medication. This usually resolves within 1 to 2 hours of taking the medication.
  2. Nausea, vomiting and diarrhea: These symptoms can occur within the first one or two hours of taking the cytotec (misoprostol) medication. At times these symptoms may last a little longer particularly if the patient is having significant cramps and discomfort during the medical abortion procedure. If these symptoms last for more than 12 hours, the patient should contact the office immediately to determine if she needs to come into the Legal Abortion by Pill Offices to be evaluated.
  3. Mild, moderate to severe cramping: Over 50% of patients do not experience enough cramping that requires any pain medications. Only 10 % of patients require pain medications that are stronger than Tylenol or anti-inflammatory medications.
  4. Incomplete Abortion: Patients who have bleeding with mild cramping, no pelvic pain on exam and no fever may have a repeat of the cytotec medication or may elect to proceed to suction aspiration procedure. If patients are experiencing heavy bleeding, low grade fever, or pain on pelvic exam may have a pelvic infection that requires antibiotics and suction aspiration surgical procedure.
  5. Bleeding: Patients that are bleeding more than 2 pads an hour for 2 hours may need to be evaluated and possibly have a suction aspiration procedure. It is rare that patients require blood transfusion, but it still occurs 1 to 2 times out of 1000 procedures that are performed.

There have been deaths associated with taking RU486 and insertion of the cytotec tablets vaginally. There have been no deaths associated with cytotec tablets taken orally. There have been studies that questione whether the insertion of cytotec leads to a decrease in the immune response locally in the pelvic area leading to overgrowth and invasion of a rare clostridium species. Patients may have a tendency to experience lightheadedness, dizziness, fatigue, low grade fever, and sudden drop in blood pressure leading to sepsis. Patients not treated aggressively have died. 7 deaths have occurred in the U.S.

There is a small percentage of the Abortion Pill procedure failing. We usually offer patients the opportunity to repeat the cytotec medications up to 3 times one week apart before we resort to the suction abortion procedure unless the patient elects to have the procedure performed earlier. It is our experience that by waiting for the 3 weeks, the procedure is 99% successful. Other abortion facilities and Physicians do not give the patient this length of time to allow the procedure to be completed. Please be sure to askabout this of you call other facilities.

We at Legal Abortion by Pill Clinic have been performing the medical abortion procedure since 1987 with the use of Methotrexate and misoprostol (cytotec) tablets. We have more experience than most Physicians in the U.S. We are accustomed to treating most if not all complications that can occur with the Abortion Pill procedure. The most common complication is failure of the procedure to work and our protocol provides the best chance of not requiring a suction aspiration procedure. After taking the RU486 tablet, patients usually then take the cytotec (misoprostol tablet) at 48 hours. This can vary from 24 to 96 hours depending on the patient’s work or school schedule as we do our best to prevent the patient from missing any work or school. The patient takes the initial set of cytotec and 24 hours later takes another set of cytotec medications. She then returns in one week to 14 days when it is determined if the medication was sucessful.

The Abortion Pill Statistics in the U.S. show that the Abortion Pill is effective 94 to 98% of the time. At Legal Abortion by Pill, we have a higher effective rate of closer to 99% with the abortion pill procedure due to the slightly different method used to perform the procedure in our clinics.

After taking the RU486 Pill there is no reason to stop exercising or other normal activities. After taking the cytotec medication 24 to 96 hours after taking the RU486, patients may have to stop exercising for 24 to 48 hours until the cramps and bleeding have decreased. If they begin exercising again and the cramps and bleeding increase, exercise should stop for another day or two. After that, most patients are able to return to their normal activities without any problems.

An ectopic pregnancy is one that takes place outside the uterus. It most commonly occurs in the fallopian tube. Patients are not started on the abortion pill procedure until an intrauterine pregnancy is visualized. Heterotopic pregnancies (pregnancy in the uterus and in the fallopian tube) are increasing in frequency and therefore an abortion pill procedure can be successfully completed yet there could be a simultaneous ectopic pregnancy. The most common symptoms of ectopic pregnancy are pelvic pain and vaginal bleeding. These are the same symptoms that can occur with an ectopic pregnancy so ectopic precautions must be given to all patients undergoing an abortion pill procedure.

At times we have private donors that specifically give us money for patients to have their abortion free. However, these funds are generally depleted very quickly. We are always looking for donors who want to help our patients who are not able to afford the entire cost of abortion. At Legal Abortion by Pill Clinic we reduce the cost of an Abortion Procedure in our Orlando facilities by $100.00 two days each week to help patients in our community who cannot afford the regular price of the procedure.

Abortion Pills advertised as being very cheap or inexpensive on the internet or through other illegal means place women who want to end a pregnancy in great danger. The problem with these inappropriate methods is the lack of medical supervision. Use of the abortion pill can result in very serious complications that can lead to maternal morbidity and mortality. It is vitally important to understand how crucial it is to be under a physician’s care for potential life threatening problems that can arise. We at Legal Abortion by Pill Clinic only recommend medical supervision for all abortion procedures.

The Abortion Pill before 9 weeks is very safe and between 94 to 98% effective as found in most studies that have been conducted in the U.S. and throughout the world.

Patients whose bleeding requires more than 2 pads an hour for 2 hours in a row need to be evaluated by medical personnel to determine if a surgical aspiration is required or if there is a need for a blood transfusion which may occur 1 or 2 times out of 1000 abortion pill procedures.

RU486 (Mifeprex, mifepristone) is not associated with birth defects. Cytotec (misoprostol) causes changes in the circulation of the placenta and decreases the blood supply to the face and extremities. This leads to abnormalities of the face, skull, lower and upper extremities.

Legal Abortion by Pill Clinic does not have a typical abortion pill hotline. Patients are able to communicate with one of our counseling Physicians 24 hours 7 days a week and ask any question that comes to mind regarding this topic as they are experts in this area.

The way the Abortion pill procedure works is by several mechanisms. RU486 is an anti-progestin medication. Progesterone helps to maintain uterine quiescence. When Progesterone decreases either in quantity or due to progesterone receptors being filled with the RU486 molecule, the intrauterine pressure begins to increase along with uterine contractions. In addition, there is the sloughing off of the lining of the uterus and local changes occur in the cervix that lead to softening and opening of the cervix. There is a 1 to 5% chance that spontaneous miscarriage can occur before patients take the second medication (cytotec, misoprostol) which causes uterine contractions to occur which leads to termination of pregnancy or abortion.

As long as the abortion pill procedure is performed without any complications, there are no long term side effects that occur.

As with any medical or surgical procedure, there are risks involved. A medical abortion using the abortion pill is very effective with minimal risks and complications. Statistically, the procedure has a 94 to 98% success rate. At Legal Abortion by Pill, our success rate is slightly higher. Complications that occur less than 1 percent of the time include continued pregnancy, diarrhea, nausea and vomiting, retained pregnancy tissue, fever, pelvic pain, uterine infection, heavy vaginal bleeding requiring emergency surgery and or the need for a blood transfusion. There have been 7 deaths reported associated with the use of the Abortion Pill procedure. No direct cause has been identified. To date, have now been hundreds of thousands of of women who have taken the abortion pill in the U.S.

Twentyfive percent of women in the U.S. use the abortion pill vs. surgery to terminate their abortion in the first trimester of pregnancy. In several European countries, over 50% of abortions that occur in the first trimester are performed using the abortion pill method. With multiple studies now showing that Abortion Pill results are just as good as the results with the surgical aspiration procedure, the abortion pill procedure will increase in popularity and may reach the 50% rate of the abortions that occur in the first trimester within the next 4 to 5 years.

Legal Abortion by Pill Clinic has providers that have been performing the Abortion Pill Procedure with misoprostol or a combination of misoprostol and Methotrexate many years prior to performing the abortion pill with RU486 which was not approved in the U.S until the year 2000. The abortion pill procedure sounds very simple and straight forward to perform; howver, unless patients are prequalified and contraindications to the procedure are strictly followed along with strict evaluation of patients if they develop complications and the provider is able to perform a surgical abortion procedure (as some Physicians who prescribe the abortion pill do not perform surgical abortions, but refer the patient out), I would not consider a patient has found a good Abortion Pill Provider. Please never compromise your health by performing an abortion of any kind without medical supervision provided by an experienced Abortion Pill Provider such as those at the Legal Abortion by Pill Clinic.

If one searches hard and long enough, one can find almost medication without a prescription. This can be achieved on the internet or through the black market. With either one, you never know if you are getting what it says you are getting or if it is the proper dose of the medication. It could also be mixed with chemicals that could be detrimental to your health and be life threatening. As discussed throughout this website, we do not approve of any method of unsupervised abortion procedures as at any point a complication could arise and if patients do not know what to expect or when to seek medical attention, a major catastrophe could occur.

Over 80% of patients who have the abortion pill procedure say they would undergo the procedure again if they ever had another unwanted or unintended pregnancy. Patients who have had both the abortion pill vs. aspiration prefer the abortion pill over the aspiration procedure.

Abortion pill procedures are associated with more days of vaginal bleeding compared to surgical abortion procedures. Bleeding with medical abortion normally lasts 7 to 14 days but can last from 30 to 69 days. Surgical abortion bleeding normally lasts anywhere from 5 days to 2 weeks but rarely goes beyond 3 weeks. When patients leave after having the Abortion Pill procedure, they may have to return 1 or 2 other times to make sure that the tissue has passed. With the surgical abortion procedure, the procedure is done and completed on the first day. We ask patients to return to make sure that there are no complications but it is not as necessary as it is for patients who have the abortion pill procedure because having a sonogram on the second visit is required to assure that the procedure is complete.

We do not suggest using tampons when performing the medical abortion procedure until a week after taking the last misoprostol (cytotec) tablets.

The abortion pill price is usually not that much different from the Surgical Abortion price which depends on the location and geographical area where the abortion is being performed. On average the expected costs range between $350.00 to $750.00. You may be given a price quote by calling the nearest Legal Abortion by Pill Clinic in your area. Patients should not base their decision solely on the least expensive price when choosing where to have their abortion pill procedure performed. Your health and welfare is much too important. Chose the facility that has the most experience performing the procedure and where you can be provided with the best possible care and compassion.

Unless a Physician registers with the distributor of RU486 in the U.S. they are not able to get the medication. No regular Pharmacy in the U.S. carries the medication. Physicians who dispense the medication must be able to perform a surgical abortion procedure or refer to a Physician who is able to do so if complications occur. RU486 (Mifeprex, mifepristone) is found on the black market and the internet. We only recommend medical supervision with undergoing any abortion procedure. Otherwise it is unsafe and can lead to maternal death.

Patients are unable to purchase the abortion pill (RU486, Mifeprex, mifepristone) by a prescription. The only way to get the medication is through a Physician that has a contract with the distributor. That Physician must show that they can perform a surgical abortion procedure or be able to refer patients who need surgical abortions to a Physician who is competent in doing so.

The abortion pill and the morning after pill are not the same. The morning after pill (emergency contraception, day after pill, post coital contraception, day after contraception, plan b) is a form of birth control that decreases the incidence of pregnancy after unprotected intercourse if used within 5 days (120 hours) after intercourse. It is most effective when used immediately after intercourse instead of the next day. If taken in the first 72 hours after unprotected intercourse the chance of pregnancy decreases 89% with plan b (levonorgestrel). The morning after pill does not work after the patient becomes pregnant (implantation of the fertilized ova into the intrauterine wall).

The abortion pill (RU486, Mifeprex, mifepristone) works as an abortifacient. It increases the intrauterine pressure, causes uterine contractions, and makes local changes to the uterine glands and vessels to cause the uterine tissue to slough off causing a miscarriage.

A medical abortion occurs by taking medications that will cause termination of pregnancy. Twenty-five percent of early abortions in the U.S. are ended with the medical abortion procedure. In France the percentage is 50%. Mifepristone (RU486, mifeprex, abortion pill) or methotrexate injection are both used on the first day of the medical abortion process to stop the growth of the fetal tissue. The second medication (misoprostol or cytotec) is used a few days later to cause uterine contractions and the miscarriage.

The medical abortion pill (RU486, Mifepristone, mifeprex, early option pill, abortion pill) is an anti-progestin medication called an abortifacient (causes abortion to occur). It was developed in France and first licensed in France and China in 1988. Following an arduous political battle, RU486 was approved in the U.S. in Sept 2000. It has been used safely and efficiently by millions of women around the world.

The abortion pill (mifepristone, RU486) works by blocking the hormone progesterone which is responsible for maintaining the pregnancy. The sudden withdrawal of progesterone at full term causes labor to begin. No one knows how the signal is given for the total progesterone to decrease but when it does there is a sudden increase in uterine pressure and uterine contractions begin. The similar process occurs in early pregnancies when the sudden decrease in progesterone causes an increase in the intrauterine pressure, uterine contractions begin, loss of the lining of the uterus and local changes in the cervix occur leading to cervical softening and opening and vaginal bleeding begins followed by spontaneous miscarriage. To enable this process to occur faster, a second medication (cytotec, misoprostol) is taken 48 to 96 hours after taking the mifepristone tablet which is used to cause uterine contractions (uterotonic agent) and empty its contents. This will terminate the pregnancy.

The medical abortion causes uterine contractions which are usually mild to moderate in discomfort. Most women describe the pain as hurting less than their menstrual period but there are some patients who may require anti-inflammatory medications and even a small percentage (10%) may need narcotics. These are patients who are generally further along in their pregnancy and have heavier vaginal bleeding. Women usually experience cramps for several hours and the cramps increase when passing the gestational tissue which occurs for a large percentage before 4 to 6 hours, although in some patients it may take up to 2 to 3 weeks for the tissue to pass completely. At 49 days the embryo is only 1/5 of an inch in size and not visible to the naked eye. A grayish gestational sac may be visualized at 7 weeks but patients will see mostly blood clots.

Medical abortions are associated with bleeding as this is the hallmark of a miscarriage. There is a small percentage of women who are very early in their pergnancy and bleeding may not occur in the first two weeks after insertion of the misoprostol tablets; and when an ultrasound is done on the 7 to 14 day follow up exam no gestational sac may be present. When a sac has been documented on the first visit but not the second, this is a sign that absorption of the sac has occurred and there will not be any bleeding until the next menses. This first menses is usually heavier and longer. It returns to normal by the second menstrual cycle after termination of the pregnancy. Bleeding with the medical abortion process usually lasts 5 days to 2 weeks. It can be shorter or last as long as 69 days. Bleeding for more than 30 days occurs in less than 1 to 2% of patients.

Complications of medical abortion include infection, incomplete abortion, failed abortion, ectopic pregnancy and death.

  1. Infection: The incidence of endometritis (infection of the lining of the uterus) is very rare following a medical abortion procedure. It occurs in less than 1% of patients. There have been 7 reported deaths (not in our facilities) with the use of mifepristone and misoprostol when undergoing a termination procedure. Clostridium sordellii is the rare infection found in the patient’s blood cultures. Symptoms include weakness, fatigue, low blood pressure, high white and red blood counts. The same bacteria has been reported in two known deaths from spontaneous abortions and many others have occured after delivery of full term infants from the same bacteria.
  2. Incomplete Abortion: Initially, in patients who still had a non-viable sac or tissue noted two weeks after insertion of misoprostol, a D&C would be performed and diagnosed as an incomplete abortion. We know from studies where methotrexate was used along with or in combination of methotrexate and cytotec, it may take up to 22 to 30 days before expulsion of the gestational sac occurs. Now studies allow a sac to be present for 36 days or longer before the diagnosis of incomplete abortion is made as long as the patient is asymptomatic (no pelvic pain, low grade temperature, or continuous heavy bleeding). The success rate for patients who use the combination of mifepristone and misoprostol is 94 to 98%, and for methotrexate and misoprostol it is 88 to 96% successful. The earlier in pregnancy the patient has a medical abortion performed, the more likely the procedure will be successful as it nears close to 100% for patients less than 6 weeks from their last menses. If there is a persistent sac but no evidence of growth or cardiac activity on ultrasound in the 7 days to 2 weeks after their initial visit, the patient can: a) elect simple observation with the patient more than likely passing the tissue over the next 3 to 4 weeks, 2) repeat misoprostol dosage, or 3) suction aspiration. There are many factors that help determine which choice the patient makes, and they include transportation issues, work, school or family issues, or patient’s decision that she just wants to get it over with. If the patient is experiencing heavy bleeding (greater than two pads an hour for more than two hours) severe pelvic pain with bleeding, or persistent low grade temperature, the latter two indicate infection and require starting treatment with antibiotics and suction aspiration is indicated for all three of the above. It is rare that heavy vaginal bleeding leads to the patient requiring a blood transfusion. (1 to 2 out of 1000 patients).
  3. Failed Abortion: This occurs when the medical abortion procedure fails to terminate the pregnancy and the ultrasound on the 7 to 14 day follow up visit shows the sac still growing or a fetus with active heart activity. The further in pregnancy the medical abortion procedure is carried out, the higher chance of the abortion procedure failing. The oral route using misoprostol is associated with a higher incidence of failed abortion as well. Most patients would elect to terminate the pregnancy for a failed abortion though we at Legal Abortion by Pill Clinic would give the patient the option to repeat the dosage of misoprostol. We found that over 75% of patients respond to the second dose of misoprostol, and their procedure is completed.
  4. Ectopic Pregnancy: This is a pregnancy that occurs outside of the uterus. Most commonly it occurs in the fallopian tubes. Ectopic pregnancies are not associated with the medical abortion procedure. It occurs before the medical abortion process. The ectopic rate in the U.S. is between 1.5 and 1.9%. For women who present to have medical abortions performed, the incidence is 1 in 3000. No one seems to understand this discrepancy. Women early in pregnancy who have ectopic pregnancies are either asymptomatic or have lower pelvic pain and vaginal bleeding. The Physician must always have this diagnosis in mind as we know the most common symptoms with the medical abortion procedure are lower pelvic pain and vaginal bleeding. Sonogram and serial quantitative HCG blood tests should be performed to exclude ectopic pregnancy if suspected.
  5. Death: Less than 1 in 100,000 women die from a medical abortion which is comparable to the surgical or spontaneous abortion rate. There have been 7 reported deaths since the year 2000 due to rare bacteria (in women who have used the combination of mifeprex and misoprostol to terminate their pregnancy. The same bacteria (Clostridium sordellii) has caused maternal deaths in women who have had full term deliveries, surgical abortions, spontaneous miscarriages and other situations that were unrelated to pregnancy. The CDC has found no causal link between the medications and the incidents of infection.