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13-24 weeks

Second Trimester Abortion

Abortion

Second Trimester Abortion

Second Trimester Abortion

Second Trimester In-Clinic Abortion (D&E) in New York City

At Parkmed NYC, we provide expert, compassionate care for those seeking a second trimester abortion in New York City. Our experienced medical team offers in-clinic abortion services using a procedure called Dilatation and Evacuation (D&E), typically performed between 13 and 24 weeks of pregnancy.

When you contact Parkmed NYC to schedule your second trimester or later abortion, a trained staff member will ask for the first day of your last normal menstrual period. This helps us estimate how far along you are. You can also use our convenient pregnancy calculator for an initial estimate. Once you arrive at our New York City clinic, we will perform a sonogram (ultrasound) to determine the exact gestational age.

It’s important to understand that the term “late-term abortion” is not a medical term and is often used by groups opposing abortion. At Parkmed NYC, we use the medically accurate and scientifically based term “later abortion” for abortions that occur in the second trimester or beyond.

For pregnancies that have progressed further in the second trimester, Parkmed NYC offers a specialized Laborless Abortion® procedure. This process typically takes place over two consecutive days for your safety and comfort.

On Day One, you will:

  • Have a positive pregnancy test confirmed through blood and urine samples.
  • Receive a detailed ultrasound to determine how long you’ve been pregnant
  • Have cervical dilators inserted to gently prepare your cervix overnight
  • Possibly receive a uterine injection to safely ensure pre-operative fetal demise

 

On Day Two, the pregnancy is removed under the care of our skilled and supportive medical team.

 

If you are considering a second trimester abortion in NYC, Parkmed NYC is here to provide safe, confidential, and nonjudgmental care every step of the way. Contact us today to speak with a caring member of our staff and schedule your consultation.

What to expect

After the length of your pregnancy has been determined, you will complete the first day of the Dilation & Evacuation (D&E) / Laborless Abortion® procedure. In the procedure room, you will be attended to by a team of warm, friendly healthcare professionals. Throughout your Laborless Abortion® procedure, our anesthesia staff will monitor your vital signs to ensure maximum safety. Our anesthesia staff will insert an intravenous catheter into a vein in your arm or hand and an IV sedation will be administered.

You will be asleep for approximately 3-7 minutes during the Laborless Abortion® procedure. At Parkmed NYC, our expert Anesthesiologists deliver safe levels of anesthesia without any need for intubation (placing of a breathing tube to control breathing). Once asleep, the surgeon may give you an injection through the abdomen and into the uterus, depending on the length of your pregnancy. The surgeon will then insert a speculum into the vagina so that the cervix can be seen. The surgeon will insert laminaria, thin absorbent dilators made of synthetic or dried plant material which is compressed. The laminaria will absorb moisture from your body and expand to open the cervix gently and comfortably overnight. Once the dilators are in place the anesthesia staff will wake you. You will be able to change, and the medical staff will let you know what time to return for the removal of the pregnancy.

You must stay within the 5 boroughs of New York City (Manhattan, Queens, Brooklyn, the Bronx, and Staten Island) after the laminaria has been inserted. When leaving Parkmed NYC on your first day, we recommend not taking long walks or doing heavy chores. You can have any meal you wish but nothing by mouth after midnight (12:00am). Our professional medical team is available 24/7 should you have any additional concerns or needs that may arise overnight or throughout your experience before, during, and after the procedure.

Please remember that you must have an escort accompany you home on both days.

You will return in the morning to have the pregnancy removed. Upon arrival, you will return to the procedure room, where the anesthesia staff will monitor your vital signs and provide you with anesthesia. For the second day of the second trimester Laborless Abortion® procedure, you will be asleep for approximately 5-15 minutes. Once asleep, the pregnancy tissue will be removed. The surgeon will insert a speculum in the vagina to improve access to the cervix. The cervical dilators will be removed, and the pregnancy tissue will be removed from the uterus via the dilated cervix. The surgeon will apply gentle suction to the lining of the uterus to ensure that all pregnancy tissue was removed.

All second trimester abortion patients receive prescriptions of medications to be taken upon discharge. An antibiotic is prescribed to prevent an infection. You will also be given a prescription for a medication to help the uterus to return to its pre-pregnant size. You may return to the clinic for your free post-operative appointment within 2-3 weeks. A healthcare provider will discuss birth control with you at that time.

Again, it is important to note that, “late term” abortion is being used by groups opposing abortion and is medically incorrect terminology.

The use of “later abortion” terminology is scientifically based and correct. 

Later Abortion Options FAQ

Patients who have advanced pregnancies and have decided on an abortion are often faced with very limited options.  Many states either ban abortion entirely or before fetal anomalies can be discovered.  Even in pro-choice/safe haven states, few physicians are trained in abortion for later gestational ages.  

Fortunately for those who have decided for termination at the later gestational age, Parkmed NYC is a leader in this care having pioneered a treatment we call Laborless Abortion®.  This approach involves only two consecutive days of care rather than a lengthy induction taking 3-5 days.

What is Laborless Abortion®?

A Laborless Abortion® is a patient-centered procedure for second trimester or later pregnancy which eliminates the experience of strong labor pains and vaginal delivery. This innovative D&E method otherwise technically known as Laborless D&E® is designed to provide an alternative for patients facing the difficult decision of induction abortion later in pregnancy.

This procedure is completed in just two visits (over 24 hours), rather than the traditional 3 to 4 days required for other methods. It is performed under sedation (sleep) anesthesia, ensuring the greatest level of comfort possible for the patient.

What is the difference between and Laborless D&E® and Laborless Abortion®?

Laborless D&E® is a technical medical name for Laborless Abortion®.

A Laborless Abortion® is when a Laborless D&E® procedure is performed which avoids intense  labor pain associated with second trimester and later induction abortion as the procedure is performed under sedation (sleep) anesthesia.

 

How is a Laborless Abortion® performed?

Laborless Abortion® otherwise medically known as Laborless D&E® is a 2 day procedure.  On day one the patient has an ultrasound, lab work and counseling session which includes the expected treatment plan.  While under sedation anesthesia an intrauterine injection is performed  and laminaria (a treatment to promote dilation) are placed  in the cervix. This causes minimal discomfort and the patient can leave after approximately 45 minutes. Patients are advised they can eat and drink normally until midnight.  The patient returns early the following day and is assessed for readiness of procedure completion. The procedure is completed under sedation (sleep) anesthesia. Laborless Abortion® can achieve completion, even later in pregnancy, in only two days.

What if the patient has previous caesarean section(s) and/or myomectomy scars?

A Laborless Abortion® is particularly of benefit for these patients in order to minimize, if not, avoid risk of uterine scar rupture which is associated with traditional induction abortion procedure.  A Laborless Abortion® is always performed by a Board-Certified physician specialist at Parkmed NYC. These specialists have safely completed procedures complicated by multiple c-sections, myomectomy scar tissue and complex medical issues. All patients will be evaluated by our Board-Certified Physicians for the procedure at Parkmed NYC regardless of a complex medical history. 

Why Parkmed NYC instead of Hospital Care?

Parkmed NYC’s physicians are Abortion Specialists!

Parkmed NYC has proudly pioneered the Laborless Abortion® regardless of gestational age which completed in just two days. This procedure is performed in a clinic setting and avoids admission to a maternity/ labor and delivery ward.

We are mindful of the difficulties for patients, involving days without food or drink, multiple exams, many different nurses, residents and providers.

At Parkmed NYC patients are cared for by the same staff and providers on both days who are dedicated to the most respectful, skilled and dignified care.

Can I have an induction abortion at Parkmed NYC?

Yes, all methods of abortion are available at Parkmed NYC.

We will honor and accommodate a patient’s request for an induction abortion.  At Parkmed NYC, an induction abortion is completed in two days regardless of gestational age.  The Parkmed NYC induction protocol includes an ultrasound, lab work and counseling, the patient–under sedation– receives an intrauterine injection and laminaria (a treatment to promote dilation) in the cervix.  This causes minimal discomfort and the patient leaves after 45 minutes and can eat and drink normally until midnight. On the second day of the procedure, the patient returns early and goes through a process involving the use of medications to commence labor induction and vaginal delivery. 

What are the main benefits of Laborless Abortion® over traditional induction method?

Less Time and More Certainty!

A  Laborless Abortion® is accomplished in only two days, rather than multiple days required by induction for later gestations. When a patient begins an induction for later gestations elsewhere, they do not know how long the process will take.

Parkmed NYC patients know an abortion will be completed in 2 days, making time away from work, child-care and travel arrangements certain.

What is the recovery time after a Laborless Abortion®?

Patients are advised to return to work 1-2 days after an abortion. Recovery is generally smooth and uneventful. There is minimal cramping afterwards and the bleeding is generally light. Laborless Abortion® is less taxing physically and emotionally for the patient than traditional induction abortion.

Are there any specific conditions where Laborless Abortion® is preferred over traditional induction methods?

Any complex abortion situation such as fetal anomaly, uterine scars (prior c-section or myomectomy) mental health issues and social problems are better treated by Laborless Abortion® than traditional induction abortion.  Patients are far more comfortable with lack of pain, much shorter procedure and familiar staff of Laborless Abortion® than traditional induction.

How does the patient experience differ between Laborless D&E® and traditional second trimester abortion?

The Laborless D&E® uses the methods of the second trimester abortion on later gestational ages–it substitutes the shorter, more comfortable D&E for the long labor induction typically used in multiple day of induction in other outpatient clinics.

What are the long term outcomes for women who undergo Laborless D&E®?

Abortion, even at later gestational ages, is a safe procedure. Laborless D&E does not impair a woman’s ability to get pregnant, carry a pregnancy to term, have a vaginal birth or cause pregnancy complications. Abortion in general, has not been shown to cause preterm labor or birth or any other issues in future pregnancies.

Do all abortion facilities offer Laborless Abortion®?

No, many abortion facilities cannot care for patients after 14 weeks of pregnancy.

Many others do not offer sedation. At Parkmed NYC, the patient has a choice of local (awake) anesthetic, or sedation (sleep) anesthesia.

Many can only offer a lengthy induction for advanced pregnancies rather than the 2 day Laborless D&E®.

It’s important to ask how the facility will accomplish the abortion!!

Pregnancy Calculator

Enter the first day of your last period to see your options

Please use this calculator before selecting your options from the appointment form below. Note: Seeing a trained medical professional is the only way to accurately determine the length of your pregnancy and what options are available.

Your Health Is Everything

We are committed to compassion And Quality with a Patient-Friendly Approach

patient-friendly, highly skilled and responsive professionals

patient-centered environment designed to reduce anxiety and make our patients comfortable as they go though their abortion procedure

Our Patients Come First

Parkmed NYC’s board-certified team of doctors and medical professionals, assisted by highly qualified and sensitive support staff, truly believe that the patient comes first. Every member of our team understands the importance of remaining sensitive and responsive to the concerns of our patients.

At Parkmed NYC, one of the most renowned private abortion clinics in NYC, you will receive the highest quality care (NYC abortion) for all of your reproductive health needs. Our highly skilled staff is trained to assist you through a safe, comfortable visit. All of our anesthesia staff are certified in Advanced Cardiac Life Support. All of our support staff maintains certification in Basic Life Support and follows strict infection control practices.

Parkmed NYC Cares

At Parkmed NYC, individual abortion counseling is available to all patients and offered by trained and sensitive professionals who have been chosen because of their effectiveness in dealing with the abortion needs of individuals of all ages with special attention given to teenagers. Post-operative abortion counseling and abortion follow-up care are also provided on-site.

Parkmed NYC is a clean and modern clinical space for ambulatory surgery located in the heart of Manhattan and New York City. We are committed to a program of constant re-evaluation, redesign, and rebuilding in order to offer our patients the most advanced medical technologies and procedures. Our facility includes emergency-equipped operating suites and comfortable recovery rooms. The Parkmed NYC on-site laboratory accurately tests for determination of pregnancy, CBC, and urine tests. We also test for the presence of sexually transmitted infections. Parkmed NYC offers patients the most advanced approved procedures, including abortions up to 27.6 weeks, non-surgical abortions (abortion pill), early abortions, tubal ligations, colposcopy and LEEP.

Parkmed NYC also has a 24-hour emergency hotline which gives patients immediate access to our medical team. Patients requiring inpatient abortion services are treated by our team of physicians at New York’s finest hospitals.

The Parkmed NYC on-site laboratory accurately tests for determination of pregnancy, CBC, and urine tests. We also test for the presence of sexually transmitted infections. Parkmed NYC offers patients the most advanced approved procedures, including abortions up to 27.6 weeks, non-surgical abortions (abortion pill), early abortions, tubal ligations, colposcopy and LEEP.

The entire staff at Parkmed NYC are highly skilled professionals working as a team, focused on the patient’s well-being. The team’s leader is our full-time board-certified Medical Director. He is supported in this role by our full-time board-certified Director of Anesthesia, helped by our supporting staff of board-certified gynecologists, anesthesiologists, physician assistants, nurse practitioners, nurses, nursing assistants, and counselors.

Parkmed NYC surgeons are highly qualified physicians who have met the high standard of our demanding credentialing process. Our nursing staff is of the highest caliber as well, comprised of knowledgeable and experienced reproductive and abortion care clinicians who reflect the diversity of the patient population we serve.

Many of our physicians and support staff are fluent in several languages and offer patients an opportunity to receive care from individuals who understand their cultures as well as their languages. Female providers are available.