Second Trimester Procedure

Select a location in the tab below for more information about second trimester procedures.

Dallas, Texas

Dallas, Texas

Second trimester Dilation and Evacuation (D&E) procedures are performed beginning at 14-14.5 LMP (2.5cm BPD). Dilation of the cervix is achieved gently and gradually.  An appropriate dilation of the cervix must be obtained to reduce risks and complications.

The size of the pregnancy, as determined by the ultrasound done on the first day, and your medical history will be assessed to take the time needed for a safe process. Depending on the size of the pregnancy, the procedure will take two to three days.

14.0 weeks LMP – 19.5 weeks LMP

If you are between 14.0 and 15.0 weeks, a BPD measurement will determine the length of the procedure. If you are traveling from outside the Dallas, Fort Worth area, please contact our office for further information.

If you are 15.0 weeks to 19 weeks by ultrasound, counseling and lab work, will be performed on the first day. As well, laminaria will be placed to dilate your cervix gently and safely. Laminaria is sterile, compressed seaweed that is inserted into the cervical canal. The laminara rods expand by absorbing natural moisture in the cervix. At 20.0 weeks and above, an injection of Digoxin will also be administered to stop the fetal heart beat.

The evacuation of the uterus will be scheduled for the following day. No matter how long you have been pregnant, actual surgery only takes 5 to 25 minutes, depending on your medical condition.

As sedation is required for the procedure, you must have a driver on both days of the procedure. Your driver is required to enter the building and complete paperwork verifying that you will have a safe mode of transportation after your procedure.

Please call for current prices and information. As you review them, keep in mind that abortion is a medical procedure involving your health, your body, and your mind.  Our fee includes necessary tests, counseling and sedation. Other clinics may not provide these additional steps, or include them in their stated fee. At Southwestern Women’s Surgery Center, there are no hidden costs for comprehensive care. So before you make a decision solely on price, we encourage you to consider the importance of value.

20 weeks LMP -21+6 weeks LMP

At 20 to 21 weeks, the abortion process will take three days. An ultrasound, counseling and lab work will be performed on the first day. Additionally, laminaria will be inserted to gently dilate the cervix.

Laminaria is sterile, compressed seaweed that is inserted into the cervical canal. The laminara rods expand by absorbing natural moisture in the cervix. An injection of Digoxin will also be administered to stop the fetal heart beat.

A second day of laminaria will be used to further dilate the cervix and the evacuation of the uterus will then be scheduled for the third day.  Although rare, there may be an additional laminaria change on the morning of the third day and the procedure would be completed later in the afternoon. Because we can never anticipate exactly how well the cervix will dilate, you should be prepared to spend all day in our clinic on the day of your abortion as we work with your body for a safe procedure.

Regardless of length of pregnancy, the actual procedure only takes 10 to 25 minutes, depending on your medical condition.

The dilation and evacuation method is one of the most medically safe manners in which to perform a second trimester abortion and it ensures the least amount of discomfort for the patient.

As sedation is required for the procedure, you must have a driver on both days of the procedure. Your driver is required to enter the building and complete paperwork verifying that you will have a safe mode of transportation after your procedure.

Please call for current prices and information. As you review them, keep in mind that abortion is a medical procedure involving your health, your body, and your mind. Our fee includes necessary tests, counseling and sedation. Other clinics may not provide these additional steps, or include them in their stated fee. At Southwestern Women’s Surgery Center, there are no hidden costs for comprehensive care. So before you make a decision solely on price, we encourage you to consider the importance of value.

Aftercare Instructions

• After the abortion you may eat and drink normally. It is best to avoid strenuous activity, avoid lifting over 10 pounds, and avoid spending a lot of time on your feet. Be guided by how you feel.

• Do not drive, operate heavy machinery, or make any serious decisions for the first 24 hours after receiving IV medications.
• Please put NOTHING in the vagina for 1-2 weeks (depending on your gestation).
• Do not have sexual intercourse.
• Do not use tampons.
• Do not douche, go swimming, or take a tub bath. Showers are acceptable.
• A check-up is not required, but may be advised by the physician. If a check up is preferred, you can return to our office or you can make arrangements with your own physician.

Bleeding may be irregular; bleeding may start and stop until you have your first period 4-8 weeks after the procedure. If you do not have a period within 8 weeks from the procedure date, please call us.It may be moderate like a period or very light and you may have occasional spotting or no bleeding at all. This is normal. You may pass some blood clots, and have some cramping as a result. Uterine massage is helpful to decrease bleeding and clots. Pads must be worn for the first seven days; after this you may switch to tampons, but if there is a concern with bleeding, switch back to a pad and monitor bleeding prior to contacting the clinic.

It is possible to get pregnant before your first period begins. Therefore, if you want to avoid another pregnancy now, you should use the means of birth control, which has been advised for you by our counselors and/or your physician. Hormonal birth control methods such as pills, the Depo Provera injection, the Nuva Ring, and the Ortho Evra Patch, may change your cycle. If you have questions please call the office.

Be sure to report if:

  • Your bleeding is heavier than the heaviest flow of a normal period
  • You continue bleeding longer than two weeks (although it is normal to spot longer)
  • Your temperature is ever 100.4 degrees or more
  • You have any foul-smelling vaginal discharge
  • You have severe pain, or pain unlike menstrual cramps
  • You soak through two regular maxi-pads or one overnight pad in 1 hour or less
  • If you pass clots that are the size of an orange or larger

Albuquerque, New Mexico

Albuquerque, New Mexico

Second trimester Dilation and Evacuation (D&E) procedures are performed beginning at 14.0 last menstrual period (LMP) (2.38 cm BPD). Dilation of the cervix is achieved gently and gradually, and evacuation of the uterus is done through all-natural openings. The size of the pregnancy, as determined by the ultrasound done on the first day, and your medical history will be assessed to take the time needed for a safe process. Depending on the gestation of the pregnancy, the procedure will take one to three days.

14.0 weeks LMP (2. 38 BPD) – 16.6 weeks LMP (3.60 BPD)

If you are between 14.0 and 16.6 weeks as determined by an ultrasound, we are able to offer a one day, one step process if you are scheduled first thing in the morning and have never had a Cesarean (CSection) delivery. An ultrasound, counseling and lab work will be performed. The medication Misoprostol is taken in the morning to soften the cervix, and after a number of hours following the Misoprostol, the evacuation of the uterus is complete. Because we can never anticipate exactly how well the cervix will dilate, you should be prepared to spend all day in our clinic on the day of your abortion as we work with your body for a safe procedure. Taking in to account your health history, the abortion procedure itself only takes 5 to 25 minutes. Moderate sedation is used and you will not be able to drive following these medications.

  • Please eat a light breakfast before your appointment.
  • Have someone available to drive you home after the procedure
  • If you are unable to arrive for an early morning appointment, or have a history of a Cesarean section delivery, the process will take 2 days. We will review your health history and can discuss more in- depth what to expect during your visits.

17.0 weeks LMP (3.61) – 19.6 weeks LMP (4.58 BPD)

If you are between 17.0 and 19.6 weeks, as determined by an ultrasound, the abortion process will take two days. If you are traveling from outside the Albuquerque area, please prepare to stay overnight in town within 15 minutes of our office.

If you are 17.0 weeks to 19.6 weeks by ultrasound, counseling and lab work will be performed and laminaria may be placed to dilate your cervix gently and safely on the first day. Laminaria is sterile, compressed seaweed that is inserted into the cervical canal. The laminaria expand by absorbing natural moisture in the cervix.

The evacuation of the uterus will be scheduled for the following day. Taking in to account your health history, the abortion procedure itself only takes 5 to 25 minutes.

20.0 weeks LMP (4.66 BPD) -23.6 weeks LMP (5.86 BPD)

At 20.0 weeks to 23.6 weeks, the abortion process will take two to three days. Prior to your arrival in Albuquerque, your basic health history and a recent hemoglobin or hematocrit, and a blood pressure will be obtained. If you are traveling from outside the Albuquerque area, it is important that you plan to stay in town for the entire process, within 15 minutes of our office.

  • We are able to offer a two day, two- step process if you are scheduled first thing in the morning on the first day and have never had a Cesarean (C-Section) delivery.
  • If you are unable to arrive for an early morning appointment on the first day, or have a history of a Cesarean section delivery, the process will take 3 days. We will review your health history and can discuss more in- depth what to expect during your visits.

An ultrasound, counseling and lab work will be performed on the first day. An injection of Digoxin will also be administered on the first day to stop the fetal heartbeat, and laminaria will be inserted to begin dilating the cervix. Laminaria is sterile, compressed seaweed that is inserted into the cervical canal. The laminara rods expand by absorbing natural moisture in the cervix.

On the second day of a two-day process, the evacuation of the uterus will be scheduled. Because we can never anticipate exactly how well the cervix will dilate, you should be prepared to spend all day in our clinic on the final day of your abortion, as we work with your body for a safe procedure. Taking in to account your health history, the abortion procedure itself only takes 5 to 25 minutes. Moderate sedation is used therefore you will not be able to drive following these medications.

For a three-day process, second day of laminaria will be used to further dilate the cervix and the evacuation of the uterus will then be scheduled for the third day. Although rare, there may be an additional laminaria change on the morning of the third day and the procedure would be completed later in the afternoon. Because we can never anticipate exactly how well the cervix will dilate, you should be prepared to spend all day in our clinic on the day of your abortion as we work with your body for a safe procedure. Taking in to account your health history, the procedure itself only takes 5 to 25 minutes. Moderate sedation is used therefore you will not be able to drive following these medications.

Postoperative Instructions

  • After the abortion you may eat and drink normally. It is best to avoid strenuous activity, avoid lifting over 10 pounds, and avoid spending a lot of time on your feet. Be guided by how you feel.
  • Please put NOTHING in the vagina for at least 7 days.
  • Do not have vaginal intercourse.
  • Do not use tampons- sanitary pads only.
  • Do not douche, go swimming, or take a tub bath- showers are fine.
  • If your temperature is over 100.4 degrees, please call us.

Follow up appointments are generally not required, but are available as needed at no additional cost. Every woman experiences bleeding differently. Bleeding can range from a heavy period to none at all, and vary from day to day. An increase in activity may increase this bleeding, therefore we recommend women to slowly increase their activity back to their normal level. Your next normal period should begin in 4 to 8 weeks. A pregnancy test may still show a slight positive in this time as the pregnancy hormones leave your body. If you do not have a period within 8 weeks from the procedure date, please call us.

It is possible to get pregnant before your first period begins. Therefore, if you want to avoid another pregnancy, you should use the birth control method which has been advised for you by our counselors and/or your physician. Hormonal birth control methods such as pills, the Depo Provera injection, the Nuva Ring, and the Ortho Evra Patch, Nexplanon, Mirena, may change your cycle. If you have questions, please call the office.

Be sure to report to our office if:

  • Your bleeding is heavier than the heaviest flow of a normal period
  • You continue bleeding longer than two weeks (although it is normal to spot longer)
  • Your temperature is ever 100.4 degrees or more
  • You have any foul-smelling vaginal discharge
  • You have severe pain, or pain unlike menstrual cramps
  • You soak through a maxi-pad in 1 hour or less
  • If you pass clots that are golf ball-sized or larger

$ Please call our office updated pricing information