LATE TERM TERMINATION
Late Term Options
Abortion up to 20 weeks
As of January 1, 2004, a pregnancy of more than 15 weeks can only be terminated in a hospital or an ambulatory surgery center. These procedures CANNOT be performed in a clinic or physicians office. Aaron Women’s Center of Houston and Southeast Texas are the FIRST AND ONLY abortion provider with a certified ambulatory surgery center which enables us to provide first and second trimester abortions.
You will find a team of professionals who have specialized in middle and late second trimester pregnancy terminations both elective and fetal anomaly (abnormal) indications for more than 40 years with a complication rate less than continuation of a pregnancy to full term and much less than the national average for providers. The counseling and nursing staff are specially trained in the emotional and medical care of second trimester patients.
All procedures over 16 weeks are performed under general (pain free) anesthesia administered by licensed anesthesia personnel. This medication is extremely effective in eliminating all discomfort which also increases the safety of the procedure.
Patients have a real-time ultrasound for determination of gestational age (length of pregnancy) as a compulsory, integral part of their initial routine evaluation of medical history, laboratory tests, counseling and physical examination. The procedure performed for terminations over 16 weeks is cervical dilation and instrumental evacuation (D&E) which is the safest method of second-trimester abortions. The advantages of the D&E procedure for the second trimester patient are significant and have been well substantiated by evolving literature.
The following are excerpts
The complications rates are lower in most respects (to comparison with amnio-infusion and prostaglandin techniques)…the time of the procedures is predictable…The patient does not experience a prolonged and painful labor, which may be unproductive…Another significant advantage is the greatly reduced time of the abortion process, thereby requiring an overall decrease in the amount of analgesia and fluid monitoring…We believe that the advantages the D&E offers for pregnancy termination are significant in selected cases of critically ill women when compared to the risks inherent in intra-amniotic instillation methods or in continuation of the pregnancy. There are no medical contraindications to D&E. D&E has always been the procedure of choice for second trimester pregnancy terminations at our facility.
All terminations are preceded by serial multiple laminaria treatment over one to two days to dilate and soften the cervix gradually and sufficiently. After adequate cervical preparation, the evacuation procedure is performed under deep pain free anesthesia administered by our certified anesthesia staff. Gentle curettage is performed to complete all procedures.
From initiation to completion of the second trimester termination, two or three successive visits (days) are usually required, however, for those patients who have a history of previous Cesarean sections, cervical cryocauterization, or any other cervical anomalies that may hinder or impede adequate cervical dilation an extra visit may be required.
Be cautious of facilities who claim they can perform an abortion procedure up to 15.6 weeks in one day. Abortion facilities that routinely perform these procedures in one day can possibly be jeopardizing your reproductive integrity by forcing dilation and weakening the cervix.
Genetic Fetal Anomalies
When a desired pregnancy reveals the unfortunate diagnosis of a disorder of pregnancy (fetal anomaly, genetic disorder, or fetal demise), our staff is specially trained and qualified to provide the emotional and medical care necessary at this difficult time. Our Physician and staff are skilled in handling these intricate procedures. Over the past 40 years, our Physician has had experience with fetal anomalies including:
- Trisonomy 13 (Patau Syndrome)
- Trisonomy 18 (Edwards Syndrome)
- Trisonomy 21(Down syndrome)
- Intracranial Fetal Teratoma
- Hydrous Fettles
- Amniotic Band Syndrome
- Cranial Hypertension
- Drug-Resistant intractable seizures
- Tetralogy of Fallot
- Heart Failure
- Cerebral Palsy
- Uncontrolled Hypertension
State of Texas Consent
The State of Texas requires that a woman seeking a pregnancy termination must receive a sonogram from the physician performing the procedure at least 24 hours before the procedure (whether surgical or non-surgical). Only exception, if you’re more than 100 miles from a provider of pregnancy terminations, the patient may have a phone consultation with the physician 24 hours before the appointment, then the woman can have procedure the same day, 2 hours after the ultrasound is performed. Read More
Procedures are available as soon as a woman has missed her period, this eliminates unnecessary time delays and provides immediate access to health care.