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Medical abortion vs Surgical abortion - The procedures

  • Performed between 6-20 weeks of pregnancy
     

  • Requires a more complex, longer procedure after 14 weeks of pregnancy

Timing

Surgical Termination

Process

  • Procedure performed in our operating room
     

  • Performed under intravenous sedation (twilight)
     

  • Pregnancy tissue is gently suctioned from the uterus using small, plastic tube
     

  • Procedure generally takes 10-15 minutes but you will be in our clinic for a total of approximately 3 hours (including recovery time)
     

  • You will need to take a dose of antibiotics at home (Clinic 66 will provide the prescription)
     

  • May only require one clinic visit

Supports & Recovery

  • It is ideal to have a support person to accompany you to the clinic and take you home after the procedure
     

  • You are unable to drive 24 hours after sedation
     

  • Afterwards, you will remain in our recovery room with ongoing nursing care until you have fully recovered and are able to go home

Side Effects

  • May feel tired/vague for the rest of the day due to the sedation used
     

  • May experience bleeding and mild cramping, lasting less than 2 weeks (similar to a period)

Cost

  • For patients with a medicare card:
     

    • Out of pocket cost if under 12 weeks = $470

    • we will bill Medicare for you on your behalf on the day for the amount the government pays to support you.

  • If you do not have a medicare card, you will not receive the medicare rebate

Complications

  • Complications are rare but include bleeding, infection and need for further surgery
     

  • Our nurses and doctors can provide you with more information about risks and complications

  • Ideally performed between 5-7 weeks of pregnancy
     

  • Can be performed up to 9 weeks of pregnancy

Timing

Medical Termination

Process

  • Two sets of medications which together, cause effects similar to a miscarriage
     

  • First set of medications (Mifepristone) taken at the clinic and second set of medications (Misoprostol) taken at home 24-48 hours later
     

  • Leads to bleeding and cramping (ranging from mild to severe) which can last up to 3 weeks
     

  • Follow up visit is required 3 weeks later with repeat ultrasound assessment to ensure the termination is complete

  • It is highly recommended that you have someone to support you at home for at least the first 24 hours after taking the second set of medications
     

  • Clinic 66 doctors can provide you with medications to assist with pain and cramping

  • 1300 number ( 24 hours) to answer any of your questions.

  • We will follow you up to the completion of your abortion process.

Supports & Recovery

Side Effects

  • Bleeding and cramping (ranging from mild to severe) which can last up to 3 weeks
     

  • Nausea and vomiting
     

  • Fever and chills

Cost

  • For patients with a medicare card:
     

    • Upfront cost = $450

    • Medicare Rebate = $145

    • Out of Pocket Cost = $305
       

  • If you do not have a medicare card, please contact Clinic 66 for further information about cost

Complications

  • Complications are rare but there is a chance that the medical procedure will be unsuccessful ( <2%)  which may require a surgical procedure
     

  • Our nurses and doctors can provide you with more information about risks and complications

Surgical Termination of Pregnancy

 

Surgical termination of pregnancy is the clearance of the uterus using a simple surgical procedure.

 

In early pregnancy the gestational sac is small and uterine clearance is relatively straightforward when conducted by an experienced clinician who has been specially trained.

The procedure may require dilation of the cervix which is undertaken after the woman has been sedated and local anaesthetic administered to the cervix itself.

 

When the patient is comfortable and under conscious sedation, and after the cervix has been dilated using serial dilators, a suction catheter is introduced into the uterus and the uterine contents are removed.

The uterus often contracts down very well after the procedure, resulting in minimal or no blood loss.

 

After a surgical termination of pregnancy, women can expect to have no bleeding, some light bleeding, or bleeding that starts and stops.

 

Occasionally there is some debris left in the uterus after a surgical termination which usually resolves with the first period which typically comes 4-6 weeks after a surgical termination.

After the pregnancy has been removed, the procedural doctor will check personally to ensure that the products of conception have been successfully removed from the uterus.

 

An ultrasound scan will be performed before and after the procedure and the images saved in her file.

 

The woman is taken to recovery where she is cared for and closely observed whilst she recovers. She may initially have some cramping as the uterus contracts down, but this usually settles quickly and may occasionally require the use of some simple, over-the-counter pain relief.

The procedure for a mid-trimester termination of pregnancy is slightly different and requires a D and E (Dilatation and Evacuation).

Surgical termination of pregnancy up to 20 weeks is undertaken at Clinic 66.

 

After 16 weeks of gestation, it is likely that the patient will require a two-day procedure. These two-day procedures are undertaken in order to minimise risks to the woman and require two attendances on consecutive days to the clinic.

For further information regarding mid-trimester termination of pregnancy please call 9411 3411 or contact us online.

Medical Termination of Pregnancy

 

With medical termination of pregnancy, the woman has had her early pregnancy confirmed by the doctor in the clinic who prescribes the medication. This will require an ultrasound examination to ensure that she has a gestation of 63 days or less (9 weeks).

The termination process begins after the woman is fully informed and signs a consent form.

 

The first step of the termination process requires taking one tablet, which is usually done with the doctor.

 

This tablet is Mifepristone, otherwise known as RU486. This tablet is a progesterone antagonist and blocks the hormone receptors on the developing pregnancy, causing the pregnancy to cease its growth.

Often a woman will not feel any different having taken the Mifepristone tablet, although sometimes she may feel less pregnant, and she may have some spotting.

The second lot of tablets are Misoprostol and 4 tablets are taken buccally (absorbed between the gums and the cheek). Within an hour of this second step, the woman will experience some cramping and some bleeding which may continue for six to seven hours. Note: This can be quite painful at times for some women.

For this second stage, we recommend that the woman is at home or somewhere where she feels comfortable and safe and that she has a support person with her to look after her. We will give her a special 24hr support number that she may call if she has any problems.

After about seven hours of the second step, the medical termination is usually complete, and the woman may resume her normal activity.

 

For the 12 hours following the second step, we do not recommend that she makes any plans to go out, work, or receive visitors, as she will just need to stay at home and allow the process to occur.

Medical termination of pregnancy is essentially the induction of a miscarriage, and it’s very important that the woman has a follow-up two to three weeks after the medical termination to ensure that it has been completed.