Surgical Termination 2nd Trimester

Surgical Termination – 2nd Trimester

Safe & Effective Surgical Abortion for Pregnancies Up to 24 Weeks

At Tampa Woman’s Health Center Inc, we provide second-trimester surgical abortions (up to 24 weeks LMP) using a two-day procedure. This method is performed by an experienced OB/GYN and follows the highest safety standards to ensure a smooth and effective experience.

Because the cervix needs to be gradually dilated to allow for a safe procedure, the process requires two separate clinic visits over two days.

How the Procedure Works

Day 1: Cervical Preparation with Laminaria Insertion

✔ Time Required: You will be at the clinic for 4 to 8 hours, then return home the same day.
✔ Laminaria Insertion:

Laminaria are small, sterile sticks made from natural seaweed fibers.
They are inserted into the cervix to slowly and gently expand the opening overnight.
✔ Purpose:
Helps make the abortion procedure quicker, safer, and less painful.
Prepares the cervix for the removal of the pregnancy the next day.
✔ Pain Management:
You will receive a prescription for pain medication—it should be filled immediately after leaving the clinic.
Cramping is expected as the cervix expands overnight.

🔹 You must have an adult companion with you on the first night.

Day 2: Completion of the Abortion Procedure

✔ Time Required: Expect to be at the clinic for another 4 to 8 hours.
✔ Laminaria Removal & Vacuum Aspiration:

The laminaria are carefully removed to allow the cervix to fully open.
The doctor performs a vacuum aspiration procedure to gently remove the pregnancy from the uterus.
✔ Anesthesia Options:
A local anesthetic is used to numb the cervix.
IV sedation may also be available for additional comfort.
✔ Recovery:
You will spend time in our recovery room for monitoring before discharge.
You must have a driver to take you home after the procedure.

Important Information for Minors

✔ Minors must inform a parent or guardian about the procedure.
✔ The parent/guardian does not need to be present during the procedure, but:

The clinic must be able to contact them in case of an emergency.
The parent/guardian must stay with the minor overnight after the first day.

What to Expect After the Procedure

✔ Mild to moderate cramping is common for a few days.
✔ Bleeding may vary—some patients experience light spotting, while others have a heavier flow similar to a period.
✔ Ibuprofen (800mg) can help with cramping and discomfort.

Follow-Up Care

✔ A follow-up exam (included in the procedure cost) is recommended 3-4 weeks after the abortion.
✔ If you experience severe pain, excessive bleeding, or signs of infection, call us immediately.