Abortion by Inducing Labour
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Induction abortion is a medical abortion using the same two-pill combination as the abortion pill.
Dosages differ, and the effect is more severe.
Induction abortions may take 24 hours or longer and must be completed at a hospital or clinic because of the more significant risks and side effects.
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What Is Abortion by Induction?
Induction abortion is a second and third-trimester medical abortion method. It involves administering medication vaginally, under the tongue, or as an injection to induce labour and delivery. The procedure is completed in two steps, identical to early medication abortion. The same medication combination is used: Mifegyne® (mifepristone), followed by Cytotec® (misoprostol), but the process is more prolonged and painful.
It is possible to use misoprostol only, as is sometimes practised in the UK.
For safety reasons, induction abortions are performed in hospitals or clinics.
Go to Abortion Methods to see how the different methods compare.
Go to Late-Term Abortion — to learn about exceptions, regulations and procedures.
Induction Abortions are more expensive than D&Es, because of the extended time spent in the medical facility.
Wondering how much you would be expected to pay? Go to, How Much Does an Abortion Cost
Induction Abortion - The Procedure
1. Preparation and First Medication
Consent Forms
Abortions are only performed with the written permission of the woman. By law, abortion is a free choice and may not be coerced.
Go to Coerced Abortion if you feel pressured into having an abortion.
Bloodwork and Ultrasound
Before initiating dilation, blood is drawn to determine your Rh factor and blood type in case the need for blood transfusions arises.
A pre-abortion ultrasound establishes the gestational age and reveals the position of the foetus and placenta.
Foeticide
An injection to induce foetal demise is sometimes given through the woman's abdomen or cervix. This elective step is commonly taken beyond the 22nd week of pregnancy to prevent a live birth.
Mifegyne®
The first medication, Mifegyne®, is given at the abortion facility. It softens and opens the cervix. The woman is free to return home and may start bleeding after 12 hours.
2. Induction (12 - 48 hours later)
After a day or two, the second phase of the abortion procedure begins with the administration of Cytotec® (misoprostol). This medication includes labour and is given every three hours until foetal expulsion. Usually, three to five doses suffice, but up to 12 doses have been used. The further along the pregnancy, the longer the process. The average induction to abortion time is 12 - 16 hours, but it can take up to three days.
Misoprostol will cause contractions and dilation of the cervix. The sensation is identical to labour; pain relief is usually given as needed, such as intermittent narcotics, sedatives or an epidural.
Misoprostol can cause side effects, such as nausea and vomiting, fever and diarrhoea.
After the abortion, women remain in the clinic for up to two days, depending on their health.
A follow-up appointment will be given one to two weeks after the abortion. If the reason for the termination is a foetal anomaly, the doctor will then review any post-mortem findings with the parents.
What to Expect After an Abortion by Induction
Side Effects
After the procedure, the uterus will bleed for a few days or even up to two weeks. Cramping may continue for several weeks, causing the uterus to return to its pre-pregnancy size. Lactation is possible, causing breasts to swell, hurt and leak colostrum.
⚠️ Menstruation usually resumes within four to eight weeks, but conception is possible before your first period.
Things to Avoid
Since the cervix stays slightly open for three to four weeks after the abortion, the following activities should be avoided to prevent infection:
sexual intercourse
tampons
swimming pools/baths
sauna visits
Potential Risks of an Induction Abortion
The risk of complications increases with gestation.
Six percent of induction abortions are incomplete and require surgery for a retained placenta.
Other potential complications include uterine rupture (>0.3%), cervical laceration, haemorrhage requiring transfusion (>1%), and infection (1-3%).
ℹ️ For more information, go to Risks and Side Effects of Abortion
While it is important to be aware of the physical risks, the emotional repercussions also need to be taken into consideration. In counselling, we regularly encounter women who wish they had taken the time to listen to their gut instinct.
Reasons for an Induction Abortion
The reasons women pursue an abortion by induction are as unique as their lived experiences.
Perhaps you have received the heartbreaking news of a foetal anomaly and are wondering whether to have an induction abortion. You had longed for this baby, and you long for it, still. An intact delivery would allow you to hold the child, allow for an autopsy, and give it a burial. Another option for a child with a diagnosis incompatible with life is to have a palliative birth, allowing for a brief time together.
Use our Foetal Defect Abortion Test to guide you in the decision-making process.
If the disability is not life-threatening, would keeping the baby be worth considering?
Are you encountering a severe medical issue that is putting your life or health at risk?
Use the information provided in Abortion for the Health of the Mother as you determine your next steps.
Perhaps you did not realise you were pregnant until the first trimester had passed, or you could not get an appointment sooner because of finances or abortion restrictions.
Or maybe you are experiencing an unexpected crisis, causing you to doubt whether you should go through with the pregnancy.
Where to Go from Here
Perhaps you stumbled upon this page because you were researching your abortion options. While this article hopefully answered some of your basic questions concerning abortion methods, your concerns naturally go beyond the scope of acquiring knowledge. Are you wondering which path is right for you?
If you feel pressured to make an immediate decision, take a deep breath! You usually do not have to decide on the spot, even if your doctor makes it sound that way. Unless you are experiencing a medical emergency, you have time to consider your next steps and determine which choice you would feel good about long-term.
We would love to come alongside you as you determine what is right for you.
Use our free tests below as a judgement-free space to determine what you want and how to reach your goals.
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