from 13 weeks up
For pregnancies lasting 13 weeks or longer (calculated from the first day of the last menstruation), abortion is carried out with the help of instruments.
This is how the second trimester treatment works:
The treatment takes place in a gynaecological chair and takes about 30 to 45 minutes. The procedure is carried out by an abortion doctor, assisted by two nurses.
One hour prior to the treatment, you will receive medication (prostaglandines) that make the cervix soft. Starting the treatment we disinfect the cervix and apply a local anaesthetic (this is not an epidural) to the area of the cervix. A speculum will be used to make the cervix visible, before it is disinfected and locally anaesthetised. With a suction tube (5 to 6 mm) the cervix will be emptied. Most women experience pain at the end of the intervention, when the uterus contracts. This pain is comparable with (heavy) menstrual pain. You may suffer from stomach cramps for a few days afte the treatment and there may be some loss if blood, comparable with normal menstruation.
You can also choose to have sedation (you will fall alseep for a short while).
If you have chosen for sedation it is important that you must not eat or drink anything six hours prior to the procedure, you have to be sober otherwise it cvould cause complications during the treatment. It is allowed to take two sips of water, clear apple juice or tea (without milk, without sugar) up to two hours before.
If you are wearing colouring lenses, you are required to take them out.
After the treatment, you will stay in the resting area for a while, depending on the duration of the pregnancy and your reaction to the medication. In the clinic you have already taken two tablets of azithromycin in advance to prevent infection. You will be given advice and information about the consequences of the treatment as well assome rules to follow during the first few weeks.
Once you feel good and the medical tests have been approved, you will be free to leave the clinic. If you had a treatment with sedation, you cannot leave and join traffic on your own; this applies to driving a car as well as using public transport. The sedative is detectable in your blood for 24 hours. Your insurance does not cover any damage. Make sure that you do not go home unaccompanied.
Second trimester treatments will only take place in our clinics in Amsterdam, Leiden or Maastricht. If you will stay in Leiden please note that your stay may take the whole day. For Amsterdam and Maastricht, this will be half a day.