Planned Parenthood Columbia Willamette

Abortion

Planned Parenthood provides personalized and professional abortion services

Staff at Planned Parenthood Columbia Willamette is fully trained to provide you with the information and support you need to make an informed decision regarding any pregnancy.

All of our services are confidential and are provided by trained, licensed providers and clinic staff.

In addition to deciding whether or not to have an abortion, you can choose between the abortion pill and an in-clinic abortion. Staff are available to answer any questions you may have and to offer guidance in choosing the best method for you.

If you want to schedule an abortion, or just talk to someone about your options, call us. We’re here to help.

Call Planned Parenthood:
503.788.7273 or 1.888.576.7526


Using the Abortion Pill

The abortion pill uses two medications to end a pregnancy. The first medication (Mifepristone) weakens the attachment of the pregnancy to the uterus. The second medication (Misoprostol), taken 24–48 hours after the first, causes the uterus to cramp and bleed, which expels the pregnancy. With the abortion pill, you may have strong cramping and heavy bleeding until the pregnancy has passed. Afterwards, some bleeding and spotting may last for about 9–16 days.

To have a medication abortion, you must be no more than 63 days (10 weeks) pregnant.

A follow-up visit is required, which usually includes an ultrasound and may include a blood test. In the unlikely event that the medications are unsuccessful in ending the pregnancy, or if there is very heavy bleeding, you must be willing to undergo an in-clinic abortion procedure. In less than 1% of patients using the abortion pill, the bleeding is heavy enough to require a blood transfusion.

The abortion pill is provided at all of our health centers.

PPCW provides the abortion pill up to 10 weeks of pregnancy, as confirmed by an ultrasound in our health center.


Having an In-Clinic Abortion

In-clinic abortion is a procedure which uses instruments inserted into the uterus to end a pregnancy. The cervix (opening to the uterus) is stretched open slightly and the pregnancy is removed from the uterus with gentle suction, called vacuum aspiration. The procedure takes 5–10 minutes and is performed by a licensed provider with extensive experience in providing abortion care. Medications are given to control pain, and/or anxiety, if needed.

During the procedure, and for a short time after, you may experience strong cramping. Bleeding like a period or spotting may last for up to two weeks after the procedure. Complications are uncommon but can include infection, heavy bleeding, a tear in the cervix or uterus, retained pregnancy tissue or a continuing pregnancy.

In-clinic abortions are provided at our Bend, Salem, and NE Portland health centers.

PPCW provides in-clinic abortions up to 14 weeks of pregnancy, as confirmed by an ultrasound in our health center.


What to Expect

Pregnant patients are counseled on all of the options available to them for the pregnancy. Each patient is given specific and detailed information on the abortion procedure they have chosen.

Each patient’s health history is reviewed to screen for any possible health problems. An ultrasound is done on all patients planning to have an abortion to determine how many weeks pregnant you are. Blood will be drawn to check your Rh Status and to see if you are anemic (low iron levels in the blood). Other testing may be done if needed.

All patients are offered a birth control method (contraception) and instructed in its use so you can start using it as soon as the abortion is completed. In certain situations, multiple visits may be required.

Full payment is expected on the day of the abortion. We do not accept checks. If you have private health insurance, Oregon Health Plan (OHP), or Washington State Medicaid (DSHS), please call our call center at 1.888.576.7526 for assistance.


Emotions

You may experience a variety of feelings both before and after having an abortion. Sudden shifts in hormones may make these emotions stronger.

Many patients feel relieved after an abortion, but it is not uncommon to feel sadness or a sense of loss. PPCW can provide you with a referral to a support organization to help you with your feelings and emotions.


Pregnancy After Abortion

Early, uncomplicated abortion does not affect your ability to become pregnant in the future. In fact, you could become pregnant again at any time if you are not using contraception. Menstrual periods usually return in about 4–6 weeks after the abortion.


The Abortion Pill

  • High success rate (about 96–98%)
  • Does not usually involve a clinic procedure
  • Requires 2 visits to the health center
  • Abortion usually occurs within 24 hours of the second medication
  • May be used early in pregnancy
  • Pain medication can be used
  • Having the abortion at home may feel more private


In-Clinic Abortion

  • High success rate (about 99%) -Involves a clinic procedure
  • Typically can be completed in 1 visit
  • Procedure is completed in 5 –10 minutes
  • May be used early in pregnancy
  • Sedation and pain medications can be used
  • Health care provider performs procedure
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