abortion up to 9 weeks
You are eligible for an early abortion up to 16 days after your normal menstruation date. An ultrasound will determine whether you fall within this term. This early abortion can be an abortion pill or suction curretage procedure. In the event of an early abortion, a legally prescribed reflection period (waiting time) of 5 days applies and a referal is not necessary.
The abortion pill is not the same as a morning-after emergency contraception pill.
Up to 9 weeks
Our clinics offer the possibility to have the pregnancy terminated by means of the abortion pill or suction curettage with or without sedation. This is possible up to nine weeks after the beginning of the last menstruation, i.e. up to five weeks overdue.
This is how the abortion pill works:
On the first day of the treatment you are given a medicine in the clinic that blocks the function of the pregnancy hormone. From twenty four hours up to seventy two hours later you will take another medication vaginally. You can do this at home. Make sure there is someone at home with you during the next 24 hours. The medicine will cause abdominal cramps and induce a 'miscarriage'. This can take a few hours. Side effects of the abortion pill can be: nausea, diarrhoea. In combination with (sometimes heavy) blood loss, the amniotic sac will be discharged.
For more information you can download our information leaflet Abortion pill, recommendation of use. See the right side of this webpage.
Please take note of the fact that the abortion pill is not the same as the morning-after emergency contraception pill.
This is how the first trimester treatment works:
The treatment takes place in a gynaecological chair and takes about ten 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 after 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.
Post procedure follow up
You may suffer from stomach cramps and loss of blood, comparable with a normal menstruation, for a few days after the treatment. The risk of infection is low but if you feel unwell, have a fever (more than 38 °C) and stomach pain for more than one day, this may be the sign of an infection. In that case, please contact the clinic where you were treated or your general practitioner as soon as possible.
The signs of pregnancy reduce considerably after about one week. We advise you to take a pregnancy test and follow up the treatment after two weeks (in case of a pregnancy duration of 8-9 weeks) or three weeks (in case of pregnancy duration of 4-8 weeks). If the complaints don't subside, the pregnancy test is still positive or if you have any questions, please contact CASA clinics.
In the consultation for the check-up examination in the clinic, we discuss whether you have recovered well physically, whether you (still) have any complaints and how you are feellng emotionally. We also discuss your experiences of the treatment and issues relating to processing it. Further on we will give you advice on the use of contraception.
You can also go to your general practitioner for post-procedure follow-up and in some cases the post-procedure follow-up can take place by phone.
For medical abortion procedures using the abortion pill, this occurs in just 1% to 4% of cases, and for all surgical abortion procedures the risk is less than 1%. Should this be the case, we will repeat the procedure by means of a suction curettage or medication.