Two-day outpatient procedure

Day One

On the first day of the first trimester abortion (up to 13 weeks), each patient will be given a preoperative examination with ultrasonography to determine the length of pregnancy as precisely as possible. This examination also provides the opportunity to identify any unusual or pathologic aspects of the pregnancy or pelvic structures that could affect safety. The ultrasonographic screening exam is included in the patient fee.

Routine laboratory examinations include a hematocrit (test for anemia), blood Rh type, and a basic urine test. These tests are also included in the fee.

Following a session to review the procedure and confirm the patient’s decision, the patient meets with the physician to can answer any remaining questions and to discuss follow-up plans and birth control methods to be used after the abortion.

The patient will receive a routine physical examination and pelvic examination by the physician. At this point, one laminaria will be inserted into the cervix (opening of the uterus). The laminaria is naturally occurring seaweed about the size of a kitchen matchstick that has the property of absorbing moisture from the body and slowly becoming larger. It will have been medically prepared so as to prevent infection. After it has been placed in the cervix, the laminaria expands overnight and dilates the cervix in a gentle, natural manner that reduces pain during the procedure and reduces the risk of uterine perforation.

In addition to Dr. Hern’s own experience with more than 30,000 first trimester abortion patients, the medical literature supports the evidence that the use of laminaria reduces the trauma to the cervix and the risk of uterine perforation.

Day Two

On the second day, the patient returns to the clinic for her abortion. A preoperative narcotic analgesia is provided to make the patient as comfortable as possible. The laminaria is removed, and local anesthesia is placed in the cervix in order to minimize pain. The suction cannula is then inserted into the cervix and the uterine contents removed by vacuum aspiration. When this phase is completed (about 2 minutes), the uterus is explored with other instruments that permit the physician to remove all tissue, thereby reducing the risk of complications.

The patient is observed in the recovery room for a period of up to an hour in order to observe for evidence of any complications. View Post Operative Care.

The patient is then given a follow-up exam appointment unless she plans to visit her own physician or another facility for her follow-up care.

Member of National Abortion Federation (“NAF”)

Patient Comments

I came in here not feeling too great about the whole thing, but the nurses made me feel, really think about and realize that this doesn’t make me bad because it’s the best thing and it’s my choice. They made me feel better about myself.

Patient Comment

It was a very emotional time for us and we are thankful to the wonderful staff. Your receptionist was the first person we talked to. Her positive and caring attitude was conveyed over the phone. Again thank you for allowing me to be able to make the choice.

Patient Comment

I put a great deal of thought in before coming. The staff here was understanding and willing to listen, making the procedure easier to go through. I’d call this a very positive experience. I also appreciated all the info I found on your web site. Learning more about the procedure and Dr. Hern calmed any residual fear/anxiety I had.

Patient Comment

The facility was great in general, we felt safe, and everything was clean, soothing and the music in the waiting room was comforting.

Patient Comment

The doctor is the greatest person I have ever met or will ever meet. The procedure was smooth and never did I feel as if I was not to be heard.

Patient Comment

Dr. Hern is considerate and kind. I am very impressed with him. The procedure was well explained and mercifully quick.

Patient Comment