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Choosing to Have an Abortion

Deciding to have an abortion can be a major decision. Are you unsure?  Take the time you need to make your decision.

When you are pregnant, we believe that you have the right to access factual, caring and non-judgmental information and services on all three of your options: abortion, adoption, and parenting.

There are many myths about abortion. Some people have strong opinions about abortion and may try to pressure you into a decision. To make your own choice, it is helpful to have all the facts.

What is an abortion?

  • An abortion is a safe medical procedure that ends a pregnancy.
  • Abortions are fully legal in Canada.

Types of abortion

There are 2 categories of abortion: surgical and medical.

The options you have depend on how long you’ve been pregnant (gestational age, or GA, calculated by the time since the first day of your last menstrual* period) and what’s offered at the clinic/hospital you go to.

Medical abortion (includes the abortion pill)

  • A medical abortion uses medication to stop the growth of a pregnancy and then expel the pregnancy tissue from the uterus*.
  • This type of abortion is done early in pregnancy. Clinics in Toronto typically offer it up to 8 to 9 weeks GA.
  • To get a medical abortion, you make an appointment at a clinic that offers it (see chart, pg. 4). You have a counselling session, ultrasound, STI test, and some blood tests. You take a pill to detach the pregnancy from the wall of the uterus OR get an injection to stop the pregnancy from growing. Later, you take tablets at home to make your uterus contract to expel the pregnancy tissue.
  • Pregnancy tissue usually expels within 24hrs after you take the tablets at home, but in some cases may take days or weeks to finish. Different medications are more or less likely to finish the process quickly. You will get a blood test in a few days to make sure it finished. You may need follow up blood tests or visits until the tissue is expelled or if any concerns arise.

Surgical abortion

  • To get a surgical abortion you have a 2-3 hour long intake appointment that includes a counselling/education session, ultrasound, and test for sexually transmitted infections (STIs). Depending on the clinic/hospital and gestational age (GA) you may be able to have the abortion procedure in the same appointment.
  • There is no cutting and no stitches are needed. The cervix is gently opened with medication and/or medical instruments. A flexible tube providing gentle suction and/or other instruments are inserted through the cervix and used to remove the pregnancy tissue from the uterus. This can take 2-15 minutes.
  • For pregnancies more than 12 weeks GA, you may take medication or have laminaria (sterilized compressed seaweed sticks) inserted into your cervix to make opening your cervix for the abortion easier. These take time to work, so you may return to the clinic/ hospital the next day for the abortion procedure. For pregnancies of more than 19 weeks GA, you may return the next day for more medication/ laminaria to continue opening your cervix and return on a third day for the abortion procedure.
  • After the abortion procedure you stay in a recovery area until the medical staff are confident you can go home safely.
  • You cannot drive yourself home after an abortion.

Differences in medical abortions by medication:

Methotrexate and Misoprostol Mifepristone and Misoprostol (the abortion pill, Mifegymiso)
how far along in pregnancy (gestational age) up to 7 weeks up to 9 weeks
how you take it
  • injection at clinic
  • tablets inserted into vagina 3-5 days later
  • pill taken at clinic
  • then tablets melted between gums and cheek 24-48 hours later
% finished w/in 24hrs of tablets 65% 90%
cost Free with Ontario health card; about $300 without one About $300-$350

 

Useful Tip
In 35% of medical abortions, it takes several days or weeks to release all of the pregnancy tissue.  This tissue may take one or more days to start coming out. There is no way to know when it will start, so you may have to leave work or school immediately if it suddenly starts. Also, medical abortions may involve more cramping and bleeding than a surgical procedure.

Download Planned Parenthood Toronto’s info pamphlet on this subject: Abortion

 


*We know that these aren’t the words everyone uses for their bodies (eg. trans folks), and support you using the language that feels best for you.