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Laborless D&E®

funding Abortion Clinic


Laborless D&E®

Beyond Traditional Labor Induction Abortions Effective for all trimesters of pregnancy

An Alternative to Labor Induction- vaginal delivery for Second & Third Trimester Abortions

Patients who face the painful decision of termination later in pregnancy often find themselves in a difficult situation. Perhaps they have discovered a serious fetal anomaly or were unaware they were pregnant in the first place. 

Options for termination later in pregnancy are limited and unpleasant. They include induction in a hospital labor and delivery suite, surgical operation by Hysterotomy (Cesarean Section) or multiple day visits labor induction – sometimes up to four days to assist the procedure by vaginal delivery in an outpatient abortion facility.

 Labor induction can be particularly difficult because it may take many days, is painful, and is typically conducted in a maternity suite, often with staff uncomfortable if not hostile to abortion. This can be very traumatic for patients. 

Parkmed has proudly pioneered a safe abortion procedure, Laborless D&E®, which only takes two visits to complete. Parkmed NYC has long been providing these terminations while eliminating intense labor pain caused by vaginal delivery even for advanced gestations in the second and third trimester in just 2 visits (24 hours), rather than the traditional 3 to 4 days.

To find out if Parkmed NYC’s Laborless D&E® procedure is the right fit for you, schedule an appointment with our compassionate team of professionals to review ALL your available options. 

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.

Why Choose Parkmed NYC for Your Laborless D&E®?

We are licensed by the New York State Department of Health as a Diagnostic and Treatment Center dedicated to providing quality reproductive health care. At Parkmed NYC, we realize that a visit for an abortion can be a stressful experience. That is why we have created a patient-centered environment designed to reduce anxiety and make our patients comfortable as they go through their challenging time. We understand that each patient has their own story, and we are here to listen and to accommodate your individual abortion needs.

Our team of professionals is comprised of Board-Certified Physicians in the fields of Obstetrics & Gynecology, Family Practice, and Anesthesia. Along with a staff of dedicated, compassionate nurses, we collaborate on keeping abortion as safe, painless, and comfortable as possible. Our expert high-level providers are all physicians who offer comprehensive, compassionate care.

Presently, traditional later abortion procedures are to medically induce labor (using drugs that cause contractions and/or cervical softening) for later, second and third trimester abortions.

We feel that putting a patient through labor pain and vaginal delivery during an abortion adds undue stress to what can already be a difficult, taxing, emotional and psychological experience.

Laborless Abortion® is a patient centered   alternative for second or third trimester abortion, without the experience of strong labor pains and vaginal delivery. This procedure does not require any cutting (surgical incision) and is performed under sedation/anesthesia in just 2 visits (24 hours).

If you are faced with the difficult decision to terminate late in pregnancy, consider a Laborless Abortion® procedure and contact Parkmed NYC for a consultation. We will do everything we can to facilitate a comfortable experience as you go through this challenging time. 

When to consider Laborless D&E® Before Getting Second or Third Trimester Abortion

Options in Second & Third Trimester Abortion

  1. Dilation and Evacuation (D&E): This is the most common method of abortion during the second trimester, typically performed between 15 to 23 weeks of gestation. The procedure involves dilating the cervix and using a combination of suction and surgical instruments to remove the pregnancy.
  2. Laborless Dilation and Evacuation (Laborless D&E®): At Parkmed NYC we offer our exclusive Laborless Abortion® for patients regardless of gestational age for second and third trimesters (Laborless D&E®). The process is a two-day visit procedure; the first day is focused on preparing the cervix for dilation and the second day is for the abortion completion. Both procedures are performed under sedation/anesthesia at Parkmed NYC, providing the greatest level of comfort possible.
  1. Labor Induction Abortion:Less common than a D&E procedure. This method involves using medications to induce labor and deliver the fetus vaginally. It is commonly used in second and third trimester abortions, requiring potential multiple admission days to a hospital maternity ward.
  2. Labor Induction with Intrauterine Instillation: This method, which is an in-hospital procedure and not commonly used anymore, involves the injection of a saline solution into the uterus to induce labor. This procedure has largely been replaced by other methods due to higher risks of complications.

We are committed to helping you to get an abortion no matter what financial difficulties you may be facing. We collaborate with reproductive health care funds nationwide to help patients receive services despite restrictive barriers or economic difficulties.

We will also assist you with travel accommodations including bus tickets, airfare and housing for patients living in or traveling to New York and are facing financial and logistical barriers.

 If you need financial assistance, overnight stay, or travel accommodations, please tell us. Our dedicated staff is trained to assist and guide you through a safe, respectful, and compassionate visit.

Laborless Abortion® takes place on two consecutive visits over two days and is performed under sedation/anesthesia, providing the greatest level of comfort possible.

Day 1:

On the first day of your visit, pre-procedure testing is performed onsite which includes urine, blood, and ultrasound. Your options will be discussed, and you will be counseled by a physician who will address any of your questions and concerns.

In the procedure room, you will be attended to by a team of warm, friendly healthcare professionals. Rest assured that we will do our utmost to facilitate a comfortable experience as you go through this difficult time.

Subsequently, you will be cared for by a Board-Certified Anesthesiologist who will administer monitored anesthesia care by intravenous (IV) medication. Throughout your Laborless Abortion® procedure, our anesthesia staff will monitor your vital signs to ensure maximum safety. Our expert Anesthesiologists deliver safe levels of anesthesia without any need for intubation (placing of a breathing tube to control breathing). 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. While under sedation anesthesia, laminaria (dried spongy material; a sterilized seaweed) will be inserted into the cervical opening to gently dilate overnight. You may also receive an injection into the uterus while under sedation, which will achieve an induced fetal demise.

It is important to know there is no need to make any surgical incision or cuts of any kind in our Laborless D&E® procedure as it is performed through the natural opening of the vagina and the uterus. You may experience some cramping overnight which can be relieved by pain medication (Motrin or Tylenol). You may be prescribed additional medication as deemed necessary by our physicians.

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 hours a day, seven days a week should you have any additional concerns or needs that may arise overnight or throughout your experience before, during, and after the procedure.

Day 2:

The following morning you will return to our facility for completion of the procedure. Please make sure that you have not eaten anything after midnight, which includes chewing gum.

You will again be cared for by a Board-Certified Anesthesiologist who will administer monitored anesthesia care by intravenous (IV) medication. 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 and the pregnancy tissue will be removed from the uterus via the dilated cervix. Our Board-Certified physicians will complete the procedure while under sedation anesthesia.

After the procedure, as you recover, you may experience mild bleeding and cramping similar to your menstrual period. Our team will monitor you for a period of time (45-60 minutes), providing pain medication and nourishment. Our nurses will review all post procedure medications and instructions that will aid you in your recovery process.

We recommend a follow-up visit and offer the choice between a virtual appointment or an in-house appointment that will be scheduled for 2-3 weeks following your procedure.

Often in fetal anomalies, patients and/or providers request a chromosomal analysis of the pregnancy. If you or your referring provider are interested in a DNA analysis of fetal tissue, please inform us on your first visit. We will work with the laboratory of your choice.

Patients who are interested in a burial or cremation, please inform us on your first visit. We will work with the funeral home or religious clergy of your choice.

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. 

We provide elective abortions up to 27.6 weeks gestation and later on a case-by-case basis. 

Parkmed NYC offers pregnancy termination options to fit all patients’ needs. Our second trimester and later abortion services include our Laborless Abortion® option.

If you have any questions or concerns, please contact us at (212) 686-6066 to discuss all your options. At Parkmed NYC, you have every abortion option available, including a second or third trimester Laborless Abortion® procedure.