Liberty Women’s Clinic healthcare professionals will help you understand what you can expect from each abortion procedure, present abortion risk factors, and provide a list of questions you should ask any abortion clinic before undergoing a procedure. Make an appointment today to meet with one of our caring nurses before making the trip to an abortion clinic in Missouri or Kansas. 

Our clinic does not perform or refer for abortions, but our staff can provide a safe and confidential place to assist you in acquiring medically-accurate information as you make an informed choice. If you are considering abortion in Missouri or Kansas, take the steps to get the medically-accurate information you need:

  • hCG urine pregnancy test
  • nurse consultation
  • limited OB ultrasound (RN-determined eligibility)
  • Gonorrhea and Chlamydia testing and treatment

Your health and safety are important to us

According to the Department of Health and Human Services, having an untreated STI such as gonorrhea or chlamydia can increase a woman’s risk of pelvic infection after an abortion procedure (DHHS, 2018). Before scheduling an abortion procedure, make sure you confirm your pregnancy through a medical grade hCG urine test, receive a limited ultrasound to determine pregnancy development, and are tested for any infections that may affect your health.

Abortion Procedures

Chemical Abortion

Chemical abortion is a medical procedure that takes place prior to the tenth week of pregnancy. It's commonly referred to as "the abortion pill," though it's actually a series of two pills; one is taken at the medical clinic and the second is taken at home. It's also known as RU-486.

The first pill, mifepristone, causes fetal demise by blocking your body's production of progesterone, which the fetus needs to survive.

The second pill, misoprostol, is taken 24-48 hours after the first pill. It causes cramping so your body can expel the pregnancy. This happens at home, not at the doctor's office or hospital. It can be very painful and side effects may include heavy bleeding, nausea, cramping, and vomiting.

Contact your doctor if symptoms continue after two weeks.


Surgical Abortion

If you are ten weeks or more into your pregnancy, you will need a surgical abortion. Depending on exactly how far along you are, there are different procedures available.

Some procedures may involve an injection to ensure fetal demise, and the insertion of a dilator to cause your cervix to expand. For an earlier abortion, a suction tube is used to empty your uterus of the pregnancy.


Abortion Recovery

There are potentially serious side effects that result from abortion. They can be mental, emotional, or physical, and they vary in intensity in each person. It's not uncommon to experience regret, guilt, and grief after an abortion.

If you've had an abortion and are struggling as a result, we're here for you. We will listen to your experience and can connect you to local, confidential recovery groups like If Not For Grace. You aren't alone, and you can find healing and hope.

Dilation and Evacuation (D&E)- About Thirteen Weeks and Onward (4)

This surgical abortion is done during the second trimester of pregnancy. In this procedure, the cervix must be opened wider than a first trimester abortion because of the size of the growing fetus. This is done by dilating the cervix about one to two days before the procedure.

On the day of the abortion procedure, the dilators are removed. If the pregnancy is early enough in the second trimester, using suction to remove the fetus may be enough. This is sometimes called a suction D&E, and is similar to a first-trimester aspiration abortion.

As the pregnancy progresses to a further state of development, it becomes necessary to use forceps to remove the fetus, which becomes too large to pass through the suction instrument. Before inserting the forceps, the clinician will find the location of the fetus through ultrasound or by feeling the outside of the woman’s abdominal area.

Once the fetus has been located, the abortion provider will insert the forceps into the uterus and begin to extract the contents. The clinician keeps track of what fetal parts have been removed so that none are left inside that could cause infection.

Finally, a curette and/or suction instrument is used to remove any remaining tissue or blot clots to ensure the uterus is empty. After the procedure, the woman will most likely be taken to a recovery room. The length of time spend in recovery varies.

Dilation and Evacuation (D&E) after potential Viability-About Twenty-Four Weeks and Onward

When the abortion occurs at a time when the fetus could have otherwise been delivered, injections are given to cause fetal death. This is done in order to comply with the federal law requiring a fetus to be dead before complete removal from his/her mother’s body.

The medications (digoxin and potassium chloride) are either injected into the amniotic fluid, the umbilical cord, or directly into the fetus’ heart. The remainder of the procedure is the same as the Dilation and Evacuation procedure described previously.

Intact D&E (Dilation and Evacuation)

The more passes the forceps must make into the uterus, the more the potential for complications and infections increases. This is why an intact D&E is preferable when the cervix can be dilated far enough to allow for the procedure.

Because the cervix must be opened wider, dilators are usually inserted into the woman a couple of days in advance. Depending upon the age of the fetus, the skull may be too large to pass through the cervix. In this case, the skull must be crushed so it can be removed. To do this, the abortion provider uses forceps to make an opening at the base of the skull in order to suction out the contents. The fetus can then be removed intact using the forceps.

Second-Trimester Medication Abortion

This abortion procedure terminates the pregnancy by causing the death of the fetus and expelling the contents of the uterus.

The cervix may be softened either with the use of seaweed sticks called laminaria or medications at the start of the procedure. Once the cervix is prepared, various combinations of medications are administered, typically a mixture of mifepristone (taken orally) and misoprostol (either oral or vaginal). Mifepristone cause the amniotic sac (containing the fetus, placenta and pregnancy-related tissue) to detach from the uterus, resulting in fetal death, while misoprostol induces labor to deliver the fetus, placenta and other pregnancy-related tissue.

Because some women prefer to begin the abortion with a dead fetus, a variant of this procedure is sometimes done using digoxin or potassium chloride. This medication is injected into the amniotic fluid, umbilical cord, the fetus, or fetal heart prior to the procedure, terminating the pregnancy. Soon after, the woman will receive drugs, usually misoprostol, to cause the uterus to contract and expel the fetus and placenta. If the abortion has not occurred within 3 hours of the last dose of the medication, the procedure will be restarted the next day.

Effective pain regimens for second-trimester medication abortions have not been well-established. Potential complications include hemorrhage, infection, and the need for a blood transfusions, retained placenta and uterine rupture.

We offer consultations and information about all of your pregnancy options. We do not provide or make referrals for abortion.

This information is intended for general educational purposes only and should not be relied upon as a substitute for professional counseling and/or medical advice.

You will never have this day again, so make it count.