After the Procedure: What to Expect, What to Do

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This brochure has been designed to answer any questions you might have about what to expect following an abortion.

Although this information will cover the range of expected reactions, it is important to remember that reactions will vary from person to person.

You should have a follow-up examination within two weeks of the procedure. This is to ensure that the uterus has returned to normal size and that there are no complications. The visit with a health care practitioner will also give you an opportunity to discuss your family planning needs and to select the birth control method best suited to you. Schedule an appointment either with the facility where the procedure was done, your private physician or the Rutgers University Health Services for your follow-up examination. We are available to you for any questions and support whenever they arise.

 

After the procedure, it is normal...

  1. To have some mild cramping for a few days. This can be minimized by taking an aspirin substitute or by using a heating pad. NOTE: aspirin and/or heating pad may increase bleeding.
  2. To have some vaginal bleeding. This may vary from almost nothing to a considerable amount. The passing of some tissue and blood clots is not uncommon. Bleeding may continue for 3-4 weeks, with the flow stopping and starting. Remember, this is not a menstrual period.
  3. To feel a little tired or "down" for a few days. Some women experience emotional distress following a termination of pregnancy procedure. If this happens to you, please be aware that counseling services are available. Speak to your health care provider about referral to an appropriate resource person or call the counseling center on your campus.
  4. To have a menstrual period anywhere from 4-8 weeks after the procedure. If you are starting to use birth control pills following the abortion, you should have a normal menstrual period during the fourth week.

You should...

  1. Take your temperature each morning and evening for five days.
  2. Take any prescribed medication as instructed.
  3. Be able to resume normal activities (work, school, chores) within two days of the procedure. Avoid strenuous activities (bicycling, horseback riding) until after your follow-up exam.
  4. Have a follow-up exam in two weeks.

 

Things To Avoid...

Because of the risk of infection, do not put anything into your vagina until after your follow-up examination. This includes:

  1. No tampons (use sanitary napkins)
  2. No sexual intercourse
  3. No douching
  4. No tub baths or swimming (take sponge baths or showers)
Please seek immediate care if... (either at the facility you have used or Rutgers University Health Services)
  1. You have a temperature of 100.4˚ F or more
  2. You have heavy bleeding - soaking through more than one sanitary pad in one hour - or have large clots
  3. You have severe abdominal pain with or without fever
  4. You have any other problems, concerns or questions

Take care of yourself

There is no better way of taking care of yourself than by learning the facts about birth control, selecting a method and using it correctly. When you make your follow-up visit, take the time to discuss your future birth control plans with your health care provider.

Remember, it is possible to become pregnant right away and contraceptive counseling and services are available.

Remember, if you are Rh negative, a Rhogam shot must be given after your abortion, preferably within 48 hours.

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Last Modified 12/22/2005