Abortions

The decision to terminate a pregnancy could be one of your most difficult choices and our staff understands the wide range of emotions you may feel about having an abortion. We will do everything we can to support you, whatever your decision, and help you feel comfortable.

Bread and Roses offers both surgical abortions and medical abortions (abortion pill) in Gainesville Florida and the greater region of central Florida. We encourage you to read about both methods of abortion before you decide which method is for you. Listed below is information about both abortion options as well as information about what to expect during your appointment, the procedure and anesthesia options.

SURGICAL:
The surgical abortion procedure is available from 5 weeks to 13.6 weeks (dated from the first day of the last monthly period). First trimester abortions are very safe and the procedure takes about 5 minutes to complete. As with any surgery there are risks and complications involved. During your office visit we will go over these risks and the possible complications with you and answer any questions that you may have. Listed below are some of the risks and complications:

Infection – infection occurs less than 1% of the time and as a preventative all patients receive oral antibiotics.
Incomplete procedure – occurs less than 1% of the time.
Heavy bleeding – less than ½ of 1%
Uterine perforation or damage to internal structures – less than ½ of 1%
Continued pregnancy – less than 1%

Again, a counselor will review these risks and complications with you. If you would like further information prior to your appointment please call us.

MEDICAL:
The medical abortion procedure, also called R486 or “abortion pill”, is available starting at about 4 1/2 weeks and up until the 9th week. (Dated from the first day of the last monthly period). The medical abortion procedure (abortion pill) works with two medications. The first medication, Mifepristone, blocks the pregnancy hormone and prevents the pregnancy from growing. You take the first medication during your appointment at the clinic. The second medication, Misoprostol, is used buccally (the pills are put between the cheek and gum and allowed to dissolve) between 12 and 48 hours after you take the first medication. The Misoprostol will make your uterus cramp and bleed and you will therefore expel the pregnancy.

RU-486 (abortion pill) is a very safe and effective abortion procedure. It is an FDA approved treatment and it has been safely used to end pregnancy in the United States and Europe for many years. At Bread and Roses we only offer the abortion pill procedure if you are less than 9 weeks from your last menstrual period as RU-486 (the abortion pill) is most effective during this time. As with the surgical abortion, there are risks involved including incomplete abortion procedure, retained products of conception, and infection. On the day of your appointment an information counselor will go over all of the risks associated with RU-486 (abortion pill) and answer any and all questions you may have.

What to expect on the day of your appointment:

Before your appointment:
– wear a comfortable, two piece outfit
– if you choose to use a sedative and/or a painkiller you must have a driver with you or a ride home.
– Make sure you have a government issued ID with you. We must, under Florida law, have proof of age.
– we do not allow cell phones in our office. It is a violation of privacy as most cell phones have built in cameras.

We understand that your time is important and we will do everything we can to get you home safely and quickly. Generally your surgical appointment will last about 3-4 hours, and if you are scheduled for the RU-486 your appointment will last about 2 hours.

On the day of the procedure you will fill out paperwork, give us a urine sample so we can confirm your pregnancy, meet with the Physician for an ultrasound and discussion about the procedure and risks, have some lab work done, meet with an information counselor to discuss the procedure, anesthesia options, risks, options, birth control, aftercare instructions, and to address any and all concerns that you may have.

Once your pre-processing is complete you will meet with the Physician and have the procedure. When the procedure is over you will be escorted into the recovery room where we will give you something to drink and a snack if you are hungry. We want you to stay in the recovery room for a short amount of time so that we can make sure you are feeling okay. Before you leave we will go over your aftercare instructions again and make sure you have all of your take home medications.

If you are using the RU-486 you will meet with the Physician, take the Mifepristone medication, and then you are ready to go.

LAB WORK

We will check your temperature, blood pressure and pulse. We will also take a small sample of blood from your finger to test your iron and to determine if you have a negative or positive blood type.

BLOOD TYPE/RH FACTOR

Women who have a negative blood type/are Rh negative will need an injection of Rhogam after an abortion. Rhogam will prevent antibodies from forming in your blood that would cause problems with future pregnancies or blood transfusions. There is an additional charge for this injection.

SONOGRAM

It is important for us to know how far into the pregnancy you are so that we can provide a safe and effective procedure. Every patient will receive an ultra sound or sonogram. A sonogram uses sound waves to view the pelvic area and does not hurt.

INFORMATION COUNSELING

Information counseling is done on a one to one basis to ensure privacy and individual attention.Your information counselor is there to make sure you are informed about the abortion, risks associated with the procedure, how to care for yourself after the procedure, and to make sure all of your questions are answered.

ANESTHESIA OPTIONS

Local anesthesia – every patient receives this. The Physician will use pain preventing medication (Lidocaine, Novocaine – the same medication you may receive when you go to the dentist) on your cervix to numb it. Many women have their procedure only using the local anesthesia. If you only use the local, you should expect to feel moderate to heavy cramping during the procedure

Oral sedation – You may choose to use a sedative during your procedure. It will make you feel relaxed and calm.

Pain releiver – you may choose to use a painkiller during your procedure. This medication will make you feel relaxed and will help lessen and manage the pain you may feel during the procedure.

Nitrous Oxide gas – you may choose to use Nitrous Oxide gas (laughing gas) during the procedure. The gas will make you feel relaxed, lightheaded, even sleepy.

You can use all of these anesthesia options or some of them or even none of them. Your information counselor or Physician will answer any questions you have about these options and you can decide which is best for you on the day of your procedure.

PROCEDURE

The surgical procedure will last approximately 5 minutes. It will start with a internal exam very much like what you experience during a pap exam. When the physical exam is complete a speculum will be inserted into your vagina so the Physician can see your cervix. You will then receive a local anesthesia to numb your cervix. The Physician will then begin to gently dilate your cervix with a series of instruments: the Physician will begin with a very small dilator and then progress to a slightly larger one and so on, until your cervix is dilated to the appropriate width. Once the cervix is dilated the Physician will insert a rounded plastic tube called a cannula into your uterus and then use suction to remove the pregnancy. Once this part is complete, the procedure is over. You will then be escorted into the recovery room so that you may relax until you are ready to leave.

AFTER CARE

It is very important to take care of yourself after the procedure. We will give you very specific instructions to take home with you and in addition, we are always available to answer any questions.

PAYMENT OPTIONS

We accept Visa, MasterCard, bank drafts or cash. We do not accept personal checks and we are not able to offer payment plans.

Discounts are available for students, military and anyone that has any form of government assistance. If you are having difficulty coming up with the money for an abortion procedure there are several groups that can offer assistance. Please call the clinic and we can help you contact these groups.

ADDITIONAL FEES

RU-486 patients are given a prescription for a pain medication and an anti-nausea medication. These medications can usually be filled for under $20.00. Occasionally you may be referred for additional testing.