After 12 Weeks
Compassionate abortion care through second trimester (26 weeks) with personalized sedation plans
- Special fetal indications program for those facing
genetic anomalies or maternal pregnancy complications.
- We accept private insurance, WA & AK Medicaid, and have a sliding fee scale. We can assist with funding resources.
- For those that need to travel to us, we can assist with transportation, lodging, and provide funding resources
for travel assistance. Our Renton clinic is 15 minutes from SeaTac International Airport.
For information about the procedures option please see below and for what to expect during your appointment, check out our Abortion Appointments video.
Special Note on Early Abortion, Late Abortion, Later Abortion, or Late Term Abortion:
You may have seen abortion terms used like “early abortion,” “late abortion,” “later abortion,” or “late term abortion” in the news. Unfortunately, these terms were thought up by anti-abortion extremists and have been picked up by the media. Cedar River Clinics intentionally avoids “early abortion,” “late abortion,” “later abortion,” or “late term abortion” because we feel the terms are judgmental. We are proud to offer abortion care services during the first and second trimester. You should be able to make health decisions that are best for you, your health, your family, and life circumstances.
There are two options for procedures after 12 weeks:
Aspiration is the medical term for an abortion routinely used up to 13 weeks and on some occasions up to 15 weeks since last menstrual period (LMP). It is performed in the clinic by a physician who specializes in abortion care and takes less than 5 minutes to complete. Sedation is an option for the aspiration procedure.
An aspiration appointment include: the ultrasound (sonogram) to asses stage of pregnancy, bloodwork, a review of your health history, giving informed consent, decision-making about sedation and birth control options, as well as learning what to expect during and after the procedure, performing the aspiration, and your in-clinic recovery time. All of your questions will be answered; all of your options will be explained. The appointment may last anywhere from 3 to 5 hours.
Dilation and Evacuation (D&E) is the medical procedure used for some abortions beyond 15 weeks LMP.
D & E involves a process that includes preparations to gradually/slowly dilate or open the cervix before the actual abortion. It is performed, in clinic, by an expert physician
who specializes in abortion care and may require appointments on 1 to 3 consecutive days depending on gestation and the doctor’s discretion.
Sedation is an option for a D&E.
The first appointment day may last anywhere from 3 to 5 hours and includes: an ultrasound (sonogram) to assess stage of pregnancy, bloodwork, a review of your health history, giving informed consent, decision-making about sedation and birth control options, as well as learning what to expect during and after the procedure. All of your questions will be answered; all of your options will be explained. Dilators are then inserted into your cervix and gently expand over night, opening the entrance to the uterus allowing for a simple and safer procedure. Women who receive dilation are required to stay overnight within 30 minutes of the clinic. We are happy to assist in hotel arrangements as needed.
Depending on gestation, a second day of dilator inserts may be necessary or additional medications may be used to help soften and open the cervix. Once the cervix is open, the dilators are removed, and the physician uses special instruments to evacuate (remove) the pregnancy, under ultrasound guidance, to ensure the entire uterus is empty. The evacuation procedure may last anywhere from 10 to 15 minutes.
After the procedure and depending on your gestation, you recover anywhere from 20 minutes to 3 hours within the clinic. You will be discharged with aftercare instructions, medications to be taken for the next week, along with a 24 hour number where you can reach us if you have any questions or concerns after the procedure. Women who choose sedation must have a driver. We recommend a follow up appointment within 2-4 weeks from your D&E procedure.
Second trimester abortion, also known as later abortion or late-term abortion, is legal and protected by Washington State Law called the Reproductive Privacy Act