There Are Many Ways to End a Pregnancy With Compassion
When ending a wanted pregnancy for medical reasons, there may be different options for how your pregnancy ends. Understanding these options can help you make informed decisions about your care while considering what feels right for you and your family.
The options available will depend on your medical circumstances, how far along you are in your pregnancy, and where you receive care. Whatever path you take, you deserve compassionate, respectful care and support throughout the experience.
Your Options May Vary
The options available to you will depend on several factors, including your stage of pregnancy, healthcare provider, hospital policies, state laws, insurance coverage, and available community resources.
If you would like additional support, a bereavement doula, social worker, patient navigator, or other support professional may be able to help you understand your options, navigate practical considerations, and advocate for your needs.
Access to Care
Not all healthcare providers offer every pregnancy management option. Depending on your circumstances, you may be referred to another provider or facility that can offer the care that best meets your needs.Availability of D&E Services
Dilation and Evacuation (D&E) services may only be available at certain facilities, particularly later in pregnancy. If you receive a diagnosis later in gestation, you may need to travel to access this option.Travel and Legal Considerations
Depending on where you live and how far along you are in your pregnancy, you may need to travel to another city or state to receive the care you choose. Abortion laws and access vary by state and can change over time, which may make navigating your options feel confusing or overwhelming.
There are state-specific and national organizations that can help you understand the laws where you live, locate care, and find support with travel, costs, lodging, and other practical needs.
Resources that may help:
Abortion Laws and Resources byState: AbortionFinder’s State-by-State Guide provides information about abortion laws and access in each state, along with resources that may help you navigate your options.
Find Abortion Care: AbortionFinder can help you locate verified abortion providers and identify resources for financial, travel, and logistical support.
Different Ways to End a Pregnancy with Compassion
There are different medical approaches to ending a pregnancy, and the options available to you will depend on your stage of pregnancy, medical circumstances, and access to care. Your healthcare team can help you understand what each approach involves, including pain management, physical recovery, and opportunities for memory-making, if those are important to you.
Medication: Medication can be taken by mouth or placed vaginally, either at home or in an outpatient setting, to help your uterus contract and begin the birth process. Cramping and bleeding are expectedand may range from heavy menstrual-like symptoms to labor contractions. Your care team can discuss pain management and support options with you.
Dilation and Curettage (D&C): A D&C is a procedure typically performed during the first trimester. It is usually done under anesthesia and involves gently opening the cervix and removing pregnancy tissue from the uterus. This option may be recommended based on gestational age, medical considerations, and personal preference.
Dilation and Evacuation (D&E): A D&E is a procedure commonly performed during the second trimester and may take place over several days. It is usually done under anesthesia and involves gently opening the cervix and removing pregnancy tissue from the uterus. Depending on gestational age and facility policies, some families may be able to request keepsakes such as handprints or footprints. Your care team can also discuss options for cremation, burial, or other memorial arrangements if desired.
Labor and delivery: Medication is given vaginally or through an IV to start contractions and labor. This option allows you to experience the birth process and may provide opportunities to spend time with your baby, create memories, and involve loved ones in ways that feel meaningful to you.
