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Am I Pregnant?

Answer these questions to help determine whether you may be pregnant.

Have you been experiencing bodily changes? Do you think you may be pregnant? This can be an exciting time but also a puzzling time. To add to the confusion, many pregnancy signs and symptoms can have causes unlinked to pregnancy.

 

At Heartbeats we have compiled this list of questions to determine whether you may be pregnant. Please contact Heartbeats if you have any other questions or would like to make an appointment for a free and confidential consultation.

Early signs of pregnancy tend to differ from one woman to the next. To understand if you may be pregnant, take a pregnancy test as soon as possible. Paying attention to early symptoms of pregnancy is important because these symptoms can start as early as your first month of pregnancy. With that in mind, consider these 10 questions about the early signs of pregnancy:

Question 1 photo
number 1

Have you missed a period?

A missed period is a common early sign of pregnancy. Many pregnant women begin seeking answers because they know they’re late for their next period. If your period is over a week late, you may consider this a possible indicator of pregnancy, and as other pregnancy symptoms start to appear, you may find that this symptom was the first you experienced. However, a late period may not be an accurate sign if you typically have irregular menstrual cycles, as you could simply have a late period that month.

 

If you are currently having your period, then it is most likely that you are not pregnant, as the lining of your uterus is shedding through blood it had stored up before ovulation. If it’s been more than a month since your last menstrual period, then you might be pregnant, as your endometrial lining could have, at that point, received a fertilized egg and is now working to support it. Tracking your period is not the only way to determine whether or not you’re pregnant, but this, along with a few other symptoms, tends to be a good indicator.

One good method to track your period is to mark the calendar on the first day of your menstrual cycle. According to Women’s Health, a typical menstrual cycle lasts between 24 and 38 days (1). If you count 24 days after the first day of your last period, you will be able to estimate when your next period will begin. According to the Mayo Clinic, you’ll also experience an increase in basal body temperature when you are ovulating. If you track your temperature throughout your cycle, you should be able to track your period, which will appear 12-16 days after ovulation (2). There are also many apps available to help you with this, like Flo Period and Ovulation Tracker.

number 2

Have you been feeling frequently nauseous?

Nausea is another of the common early pregnancy symptoms in the first trimester and may or may not be accompanied by vomiting. Nausea and vomiting of pregnancy is a common condition. It can occur any time during the day, even though it’s often called “morning sickness.” Nausea and vomiting of pregnancy usually doesn’t harm the fetus, but it can affect your life, including your ability to work or go about your normal everyday activities. There are safe treatment options that can make you feel better and keep your symptoms from getting worse. Nausea and vomiting of pregnancy usually starts before 9 weeks of pregnancy. For most women, it goes away by 14 weeks of pregnancy. For some women, it lasts for several weeks or months. For a few women, it lasts throughout the pregnancy. Some women feel nauseated for a short time each day and might vomit once or twice. In more severe cases, nausea lasts several hours each day and vomiting occurs more frequently. (3). The severity can differ from person to person. It isn’t totally clear what the cause is of morning sickness, but it may be due to hormonal changes.

Morning sickness is a pregnancy symptom that can occur throughout your pregnancy, but the nausea is not solely confined to the morning. During pregnancy, you will have hormone changes in your body. An increase in the hormone HCG, or human chorionic gonadotropin, is thought to be a factor in causing morning sickness, which typically is a mild form of nausea. If, however, the nausea is intense and causes extreme, frequent vomiting, you may have hyperemesis gravidarum, which can lead to dehydration and rapid weight loss. According to Medline Plus, you should contact your doctor if frequent, intense vomiting continues, as this is one of the medical conditions that could require treatment and hospitalization (4).

number 3

Do you have swollen, tender breasts or nipples?

The American Pregnancy Association (APA) reports that this is one of the most common symptoms of pregnancy. “Changes to the breasts can start as early as 1 to 2 weeks after conception” (5). The APA also stated that about 17% of pregnant women surveyed reported breast changes as the first sign of pregnancy. This typically occurs in the early weeks of pregnancy but could occur up to four to six weeks in. Because of the increase in the amount of blood flow throughout this area, you may experience tingling, aching, and swelling/enlargement of the breast tissue, often leading to sore breasts. You may also notice the darkening of the areas surrounding the nipples. Once your body adjusts to your new hormonal changes, breast tenderness should subside.

According to Parents.com, when increased amounts of the hormone progesterone, along with estrogen and prolactin, are produced, milk glands inside your breasts begin to grow. This can become uncomfortable as these hormones expand your blood vessels to help raise the blood volume in your breasts. To help with the discomfort, wear a more supportive bra and looser clothing. Take warm showers, apply warm and cool compresses, and, if nothing else is helping, talk to your doctor about taking Tylenol (6).

number 4

Have you noticed spotting and cramping?

When the fertilized egg attaches to the lining of the uterus, this may cause light spotting and even mild cramping. WebMD calls this “implantation bleeding,” and it typically resembles a light period. This “occurs anywhere from 6 to 12 days after the egg is fertilized. The cramps resemble menstrual cramps, so some women mistake them and the bleeding for the start of their period.” However, there are some distinct differences. Some of the key differences include a smaller amount, shorter time, lighter color, and absence of clotting. The cramps pregnant women experience may seem similar to those during PMS. But implantation cramps are different—these cramps would be present even after you’ve missed your period. Other common early signs of pregnancy include leg cramping and back pain, typically in the lower back (7).

Light vaginal bleeding and cramping due to implantation bleeding typically only occur within the first trimester. According to Healthline, spotting can occur any time throughout your pregnancy, but for different reasons. Light bleeding in the first trimester is typical because of implantation and can occur all the way to the end of the first trimester. Throughout the second trimester, bleeding or vaginal discharge may occur if there is a problem with the cervix or placenta. If bleeding happens frequently, contact your healthcare provider. Spotting may also take place after having sex while pregnant. If bleeding happens in the third trimester of pregnancy and is accompanied by mucous, it may be a sign that labor is beginning (8).

Question 5 photo
number 5

Do you have headaches more frequently?

Headaches are so common that this alone is not necessarily considered one of the first signs of pregnancy. In this case, you may also be experiencing lightheadedness or dizziness due to hormonal changes in your body. You should consider them in conjunction with other pregnancy symptoms you’re experiencing.

The Mayo Clinic states that acetaminophen (Tylenol) is generally considered safe for a pregnant woman, though you should talk to your doctor before taking any medication. Other, non-medicinal methods to ease headache pain include managing your stress, including exercise in your daily routine, eating regularly, and following a consistent sleep schedule (9).

number 6

Are you experiencing strange food cravings and an increased appetite?

If you are pregnant, you may start to experience cravings for certain foods. Often, the foods you normally desire will not sound good to you. These food aversions and cravings may also be due to hormonal changes, along with changes in your senses. Your body is also working hard to build a new life, so of course, you’re experiencing an increased appetite! Be sure to fill up on healthy, pregnancy-approved snacks so your body will receive the energy it needs.

According to The Mother Baby Center, weight gain and increased appetite during your pregnancy are completely common and expected. Oftentimes, your cravings may be a signal that your body needs a certain type of nutrient, like iron. If you find yourself with an appetite that is out of control and cravings that are hard to handle, try eating satisfying, protein-heavy food that will keep you full longer. Be sure to drink plenty of water.
number 7

Are you going to the bathroom a lot?

With pregnancy, you may notice changes in your bladder sensitivity. This is a common pregnancy symptom and can be traced back to hormone changes, your growing uterus, and increased blood circulation to the pelvis. Because of these changes, you may find yourself making more frequent trips to the restroom.

According to The Mother Baby Center, weight gain and increased appetite during your pregnancy are completely common and expected. Oftentimes, your cravings may be a signal that your body needs a certain type of nutrient, like iron. If you find yourself with an appetite that is out of control and cravings that are hard to handle, try eating satisfying, protein-heavy food that will keep you full longer. Be sure to drink plenty of water.
number 8

Do you feel light-headed?

Feeling dizzy or light-headed, especially immediately after standing or changing your position quickly, can be a sign of pregnancy. Dizziness may be the result of a change in your blood volume and blood pressure, or it could be a deficiency in iron. Light-headedness can be caused by many different factors, so this symptom on its own is not considered a reliable sign of pregnancy. When paired with other symptoms, though, pregnancy could be something to consider.

Healthline refers to several different methods to help with dizziness, including limiting long periods of standing, slowly changing positions from laying down or sitting to standing, frequently snacking, drinking plenty of water, and avoiding tight clothing (12).
Question 9 photo
number 9

Are you moody recently?

Sudden mood changes and fatigue are also attributable to hormonal changes. These changes could take place as early as the first month of pregnancy. This is because your body is producing a hormone called progesterone. This hormone supports pregnancy and is responsible for milk production in the breasts as well.




The American Pregnancy Association states that most women experience their most intense mood swings within the first 6-10 weeks of pregnancy, as this is when you experience the largest influx of hormones. Hormone levels usually stabilize through the second trimester, and then, during the third trimester, pick back up as your body prepares to give birth. Give yourself grace through these times. Be sure to eat a healthy diet, exercise, and talk to your loved ones. You’ll feel like yourself again before you know it (13). Just having someone to talk to can help with your emotional well-being. At Heartbeats we are here to listen! Contact us to book a consultation.



number 10

Are you feeling fatigued?

“You may feel fatigue early and late in pregnancy,” according to the March of Dimes. “Your body may be tired because it’s working hard to take care of your growing baby. Your body is making pregnancy hormones and you’re using a lot of energy, even when you sleep. You may have trouble sleeping at night because you’re uncomfortable or you need to get up to go to the bathroom. Later in pregnancy, leg cramps may wake you up at night” (14). The good news is that such high levels of fatigue are particularly strong in the early stages of pregnancy and will likely subside after the first trimester and then fluctuate through the entire pregnancy.

Eating frequent meals helps keep your energy up throughout the day, according to Healthline. Also, avoid caffeine entirely, and be sure to take plenty of naps. When convenient, take naps during the day. Your body is working incredibly hard, so be sure to take it easy during this time. You’ll likely feel like you have more energy in the second trimester of your pregnancy (15).
number 11

Are you experiencing sensitivity to smell or a metallic taste in your mouth?

Though there may be little scientific consensus on these, they are some of the earliest signs of pregnancy. This heightened sense of smell may also be one of the causes of nausea, as is the metallic taste in your mouth.

Due to a surge in estrogen, you may be experiencing a metallic taste in your mouth. To help combat this, BabyCenter recommends you eat tart, acidic foods, and gargle with saltwater or baking soda (16).
Question image
number 12

Have you been constipated or bloated?

This symptom can be very uncomfortable! If you’ve had fewer than three bowel movements in a week, you may be dealing with pregnancy constipation. Hormonal changes can be the culprit behind bloating and constipation.

According to Medical News Today, this bloating and constipation is one of the symptoms of late pregnancy and often develops in the first trimester, and gets worse in the third trimester, as the baby takes up more space in your body. To help ease the symptoms, drink plenty of water, eat tiny, frequent meals, increase your fiber intake with foods like dried fruit and whole grains, and make sure you exercise a little each day (17).

Constipation is common near the end of pregnancy. Eating more foods with fiber can help fight constipation. Fiber is found in fruits, vegetables, whole grains, beans, nuts, and seeds. You should aim for about 25 grams of fiber in your diet each day. Good sources of fiber include: apples, bananas, lentils, raspberries, split peas, and whole-wheat pasta (18).

Check the labels on packaged foods and choose higher-fiber options if possible. If you have not been getting your 25 grams a day, increase the amount of fiber you eat a little each day. Drink a lot of water as you increase your fiber intake.

number 13

Have you been experiencing increased heartburn?

This may affect more women in the later stages of pregnancy and is not really considered one of the signs of early pregnancy. However, it’s generally considered to stem from your increase in progesterone levels, so don’t rule it out, especially if it’s not something you normally experience.

If you are pregnant, you may be experiencing several of these early pregnancy signs. However, it can be difficult to tell from symptoms alone. Another way to determine if you are pregnant is to take a home pregnancy test.

Often thought of as the best way to determine if you’re pregnant, home urine tests claim to be 99% accurate. There is a slight chance you receive a positive result, even though you aren’t pregnant, which is called a “false-positive.” A false-positive may result if the fertilized egg is no longer attached to the uterine lining or from side effects from fertility drugs or problems with your ovaries. There is also a chance for a false-negative result. This can happen if you take the urine test too early, if you use the home test kit incorrectly, or if you have diluted urine. If you would like a pregnancy test at Heartbeatscall us for a free and confidential consultation.

 

In order for the pregnancy home test to get an accurate reading, you have to have enough HCG (human chorionic gonadotrophin) in your urine. This is the hormone released by the cells surrounding the growing embryo, which allows your body to realize it is pregnant. Reading and following the directions precisely will reduce the possibility of false negatives occurring. Heartbeats will give you a free and confidential clinical grade pregnancy test and limited ultrasound.

 

Bleeding in the first trimester happens in 15 to 25 in 100 pregnancies. Light bleeding or spotting can occur 1 to 2 weeks after fertilization when the fertilized egg implants in the lining of the uterus. The cervix may bleed more easily during pregnancy because more blood vessels are developing in this area. It is not uncommon to have spotting or light bleeding after sexual intercourse or after a Pap test or pelvic exam.

 

Vaginal bleeding during pregnancy has many causes. Some are serious and others are not. Bleeding can occur early or later in pregnancy. Bleeding in early pregnancy is common. In many cases, it does not signal a major problem. Bleeding later in pregnancy can be more serious. Contact your obstetrician–gynecologist (ob-gyn) if you have any bleeding at any time during pregnancy.

 

Problems that can cause bleeding in early pregnancy include infection, early pregnancy loss, and ectopic pregnancy. (20)

 

If you are pregnant, don’t wait until you see a health care provider to begin taking prenatal vitamins. These vitamins contain several essential nutrients for you and your baby’s health, including folic acid, vitamin D, and calcium.

We hope that these questions helped you and gave you more knowledge about what you may be experiencing. If you would like more information, contact Heartbeats at 740-349-7558 in Newark or at 740-450-5437 in Zanesville.

 

If you’ve experienced any of these pregnancy signs and symptoms or have received a positive pregnancy test and want further information, give us a call. You do not have to go through this time in your life alone and your prenatal care is of the utmost importance. We’re here to help.

 


Disclaimer: This website and blog does not provide medical advice, diagnosis, or treatment. Content from this website and blog is not intended to be used for medical diagnosis or treatment. The information provided on this website is intended for general understanding only and is not intended to be a substitute for professional medical advice.

Citations:

  1. https://www.womenshealth.gov/menstrual-cycle/your-menstrual-cycle
  2. https://www.mayoclinic.org/tests-procedures/basal-body-temperature/about/pac-20393026
  3. https://americanpregnancy.org/pregnancy-symptoms/nausea-during-pregnancy/
  4. https://medlineplus.gov/ency/article/001499.htm
  5. https://americanpregnancy.org/getting-pregnant/early-pregnancy-symptoms/
  6. https://www.parents.com/pregnancy/my-body/aches-pains/pregnancy-symptoms-complaints-breast-pain/
  7. https://www.webmd.com/baby/guide/pregnancy-am-i-pregnant#1
  8. https://www.healthline.com/health/how-long-does-spotting-last
  9. https://www.mayoclinic.org/healthy-lifestyle/pregnancy-week-by-week/expert-answers/headaches-during-pregnancy/faq-20058265
  10. https://www.themotherbabycenter.org/blog/2020/07/weight-gain-during-pregnancy-what-is-healthy/
  11. https://www.whattoexpect.com/pregnancy/symptoms-and-solutions/frequent-urination.aspx
  12. https://www.healthline.com/health/pregnancy/dizziness-in-pregnancy
  13. https://americanpregnancy.org/healthy-pregnancy/pregnancy-health-wellness/mood-swings-during-pregnancy/
  14. https://www.marchofdimes.org/pregnancy/common-discomforts-of-pregnancy.aspx
  15. https://www.healthline.com/health/pregnancy/pregnancy-fatigue
  16. https://www.babycenter.com/pregnancy/your-body/metallic-taste-during-pregnancy_20004810
  17. https://www.medicalnewstoday.com/articles/bloating-in-pregnancy
  18. https://www.acog.org/womens-health/experts-and-stories/ask-acog/what-can-help-with-constipation-during-pregnancy
  19. https://my.clevelandclinic.org/health/diseases/12011-heartburn-during-pregnancy
  20. https://www.acog.org/womens-health/faqs/bleeding-during-pregnancy
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Zanesville Location

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Critical Things to Know Before Scheduling an Abortion

At Heartbeats, we know it’s your life that will be impacted by the decision you make about your pregnancy. So, before you pay someone to perform an abortion, it is your right to know all of your options and have all of the information you need to make an educated, and safe, decision. While for-profit clinics and hospitals are often driven more by money than concern for the patient, we exist solely because we care about you, without making a profit.

Our knowledgeable, compassionate staff are committed to thoroughly and honestly sharing the information you need to make an informed decision, including answering these three critical questions before scheduling an abortion.

Is Your Pregnancy Viable?

A viable pregnancy means you are carrying a baby that has a reasonable chance to develop fully and survive outside the womb. A non-viable pregnancy, then, means the fetus has either died or has no chance of being born alive and living outside the womb1 . Some non-viable pregnancies, such as an ectopic pregnancy (a pregnancy that is growing outside of the uterus), can pose a significant risk to the mother and cannot be addressed through abortion. For this reason, having an ultrasound prior to scheduling an abortion is critical, as it is the only way to definitively determine viability. At Heartbeats, we can perform this ultrasound free of charge.

Non-Viable Pregnancies

Again, a non-viable pregnancy means that the baby has zero chance of surviving outside the womb. While there are strict medical guidelines for determining pregnancy viability, it is important that you are fully informed before moving forward with any medical procedure.

You’re much more likely to have a failed, or non-viable, pregnancy in the first trimester (the first 0-13 weeks of pregnancy)2. Any suspicion of a non-viable pregnancy should be discussed with your medical professional and all options explored before action of any kind is undertaken. A second opinion is always a good idea. While 10-20% of known pregnancies end in miscarriage3, there are other pregnancies that continue despite being non-viable and can potentially cause health risks. With that in mind, here are some of the most common causes of non-viability that may be detected through an ultrasound performed at 6 weeks gestation or later.

  • No heartbeat. Keep in mind that if the gestational age of the pregnancy has not definitively been determined, it may be too early to detect a fetal heartbeat. Waiting a week or two and repeating the vaginal ultrasound may be in order. If a second ultrasound does not show a heartbeat, it could mean that you have miscarried or that the baby has died in utero. There could be a variety of reasons that the baby failed to thrive and develop. Consult with your medical professional regarding the need for a procedure known as dilation and curettage (D&C) or other method to ensure the safe and full expulsion of the fetus, placenta and pregnancy tissue from the uterus. During a D&C, the cervix is dilated and the contents of the uterus are removed using suction and/or a looped tool called a curette4.
  • Ectopic pregnancy. This condition occurs when the fertilized egg implants outside of the uterus, most often in the fallopian tubes. An ectopic pregnancy affects 1% to 2% of all pregnancies and poses a significant threat to women of reproductive age. If left undiagnosed or untreated, the fetus can grow until it ruptures the fallopian tube, which will cause heavy internal bleeding in the abdomen and may lead to shock. It is the leading cause of maternal death during the first trimester of pregnancy and is responsible for 9% of pregnancy-related deaths in the United States5.

To prevent these life-threatening complications, the ectopic tissue must be removed using medication, laparoscopic or abdominal surgery. The method depends on your symptoms and when the ectopic pregnancy is discovered6.

  • Anembryonic Gestation/Blighted Ovum. When a fertilized egg attaches to the uterine wall, it begins to develop a gestational sac around itself. In the case of anembryonic gestation, or blighted ovum, the gestational sac continues to grow, but the egg inside it does not, and it never develops into an embryo. This condition is believed to be the result of chromosomal abnormalities and often ends in miscarriage before or shortly after the woman becomes aware she is pregnant7.

If a miscarriage does not occur, the condition can be detected during an ultrasound that shows the gestational sac to be empty. At that point, your doctor may recommend waiting for a natural miscarriage to occur or suggest a D&C.

  • Molar Pregnancy. This is a rare complication (1 in 1,000 pregnancies) that can present as either a complete or partial molar pregnancy. In a complete molar pregnancy, the placental tissue develops abnormally, becoming swollen and forming fluid-filled cysts that may appear like grapes on an ultrasound. A fetus does not form in this type of molar pregnancy because the egg that is fertilized is empty, meaning that the genetic material comes solely from the father’s sperm. A partial molar pregnancy, on the other hand, may contain both normal and abnormal placental tissue that forms simultaneously. A fetus may also form, but it is rarely able to survive because the abnormal tissue overtakes the fetus and/or because two sperm fertilize the same egg, thus providing two sets of male chromosomes, or two sets of the father's genetic material. If a doctor suspects a molar pregnancy, blood tests and an ultrasound will usually be ordered. If the pregnancy doesn’t end in miscarriage, other treatment options will be explored8.

In extremely rare instances, an embryo does develop and survive into the late weeks of a molar pregnancy, so while considered a non-viable pregnancy, it is always important to get conclusive evidence before moving forward. Women who are younger than 20 or older than 35 are at slightly higher risk of having molar pregnancies. There is also a chance that the molar pregnancy can develop into a cancerous tumor and spread beyond the uterus if not treated successfully9,10.

How Far Along Are You?

The gestational age of the fetus, or number of weeks since conception, is a key factor in determining the type of abortion you will receive, as well as its cost. Even though many women have a general idea of the date of their last period, the exact time the pregnancy began is an estimation. An ultrasound is the only way to definitively identify the true age and size of the fetus. In fact, without it, you could be offered the wrong type of abortion. A chemical abortion (the abortion pill), for example, could be recommended when you are actually past the 10-week window for that procedure’s safety or effectiveness. For this reason, a tele-medicine consultation is insufficient, as it cannot provide proof of pregnancy, proof of gestational age, or proof of a viable pregnancy, potentially putting you at risk. At Heartbeats, we personally provide all of this information at no cost to you.

Types of Abortions*

There are two categories that abortions fall into – chemical abortion and surgical abortion. Stage of pregnancy and personal health information determine the type of abortion procedure used to end a pregnancy. That’s why an ultrasound is necessary to pinpoint gestational age and ensure a viable pregnancy. A visit with a medical professional is also critical to identify any risk factors. Below is an overview of the most common abortion procedures. We are here to answer any questions you may have and offer you a free pre-abortion screening. Call us at 740-349-7558 in Newark or at 740-450-5437 in Zanesville.

Chemical/Medication Abortion (up to 10 weeks gestation)

Chemical, or medication, abortions now make up more than 40% of all pregnancy terminations. Also known as the abortion pill, self-managed abortion, or RU-486, this method involves taking two pills: mifepristone (RU-486) and misoprostol. Mifepristone blocks the uterus from receiving progesterone, which is a hormone necessary to sustain pregnancy. Without the hormone, the lining of the uterus begins to deteriorate and inhibits the transfer of life-sustaining nutrients to the unborn child, causing it to die. Following mifepristone, the woman takes the second drug, misoprostol, 24-48 hours later. This causes the uterus to initiate contractions to expel the fetus and uterine contents11.

Because a chemical abortion is not performed in a medical facility, the woman is responsible for monitoring her body’s response to the medication. As a result, it is imperative that she contact her doctor or seek emergency assistance if complications arise, such as uncontrolled bleeding or intense pain. Since the abortion is completed at home, the woman is also responsible for disposing of the remains.

Recently, the abortion pill has become more easily accessible, usually through a tele-medicine consultation and mail-order prescription. As a result of the overall increase in medication abortions, the FDA says that more than 20 women have died from taking the drug combination12. Research studies also show that chemical abortions are four times more likely to have complications than surgical abortions (5 per 10013), whether due to infection, ectopic pregnancy, septic shock, or the regimen’s ineffectiveness. In fact, up to 7% of self-administered chemical procedures result in incomplete abortions, which then requires the woman to pay for a surgical abortion to fully extract the fetus from the womb14.  It is important that the woman seek a follow-up exam and ultrasound to ensure that the abortion was complete.

Surgical Abortion

The type of surgical abortion used is also dependent on the gestational age of the baby and health factors of the mother. Cost for each varies, as well, but generally increases for procedures performed later in pregnancy. According to the Mayo Clinic, “Women who have multiple surgical abortion procedures may also have more risk of trauma to the cervix15,” which can pose problems for future pregnancies.

D&C – Dilation and Curettage, or Vacuum Aspiration (6-14 weeks gestation)

In this surgical abortion, the cervix is stretched open, or dilated. Next, a tube is attached to a suction machine and inserted into the uterus. The fetus is then suctioned out of the uterus and a tool called a curette is used to scrape any remaining fetal parts or pregnancy tissue from the uterine wall. Though infrequent, complications from a D&C can include uterine perforation, uterine infection, uterine bleeding, or Asherman’s syndrome, all which are treatable if diagnosed early16.

Dilation and Evacuation - (12-24 weeks gestation)

This is the most common abortion method used after 12 weeks of pregnancy. The cervix is slowly stretched open over a period of hours, most often using a substance called laminaria. Next, a numbing agent or general anesthesia is administered to control pain. A suction catheter is then inserted into the uterus to empty the amniotic fluid surrounding the baby17. This is followed by a sopher clamp that the abortionist uses to dismember the body for removal, especially after 16 weeks, as it is too big to be delivered intact. Once the fetus has been extracted, the abortionist uses a curette to scrape the uterus to remove the placenta and any remaining tissue. The body parts of the baby are then collected and reassembled to ensure that nothing was left inside the woman’s uterus18.

The procedure is not without risks. Extreme blood loss, cervical damage, uterine perforation and scarred tissue can all cause complications, both immediately following the abortion and long-term, including future miscarriage and preterm birth. In severe cases, uterine rupture can lead to death. The CDC estimates that the risk of death from a D&E increases by 38% for each additional week of gestation19. There are also studies that indicate the risk of depression, anxiety, and suicide is greater for a woman who aborts an unwanted pregnancy than it is for a woman who carries an unwanted pregnancy to term.20

Induction of Labor - (Third Trimester)

Abortions performed after 22 weeks are more involved, as the baby has reached the point of viability, or living outside the womb, if delivered alive. For this reason, abortion by induction of labor is usually done in the hospital. In most cases, the abortionist will take measures to stop the baby’s life prior to induction so that the mother delivers a stillborn child. This is done by injecting a lethal dose of either digoxin or potassium chloride through the abdomen or vagina into the baby’s heart, torso or head. This causes the baby to have fatal cardiac arrest (a heart attack)21.

Following this procedure, the abortionist will prepare for delivery by inserting a substance into the cervix to soften and stretch it. After a time, a second ultrasound may be performed to ensure the baby is no longer living. If still alive, a second dose of digoxin or potassium chloride will be administered. The woman is then injected with medication that initiates contractions, usually either prostaglandin or oxytocin. Because this can take a number of hours, women may return home or to a hotel room to wait until contractions begin, returning to the hospital or clinic to deliver the stillborn child. In some cases, the woman may not have time to make it to the hospital and will deliver the baby where she is, usually talking with a doctor or nurse on the phone and waiting for medical personnel to arrive22.

Labor induction carries with it the slight chance that the baby is born alive, a chance that increases with gestational age. If this happens, the baby may be left unattended to die naturally. If all tissue is not emptied out of the uterus during the labor and delivery process, the walls of the uterus will need to be scraped. In the event the baby is not delivered fully intact, a D&E is likely performed. It should also be noted that studies have listed “induced abortion” as a breast cancer risk factor23.

Hysterotomy/Cesarean Abortion - (Third Trimester)

Also performed after the baby is viable (~22 weeks), a hysterotomy abortion is much like a cesarean section delivery. The abortionist enters the womb via a surgical incision in the woman’s abdominal wall. The primary difference between delivery vs abortion, however, is that, before extracting the baby, the life of the baby is stopped one of two ways: a lethal injection of digoxin or potassium chloride into the baby’s heart, head or torso to cause cardiac arrest; or cutting the umbilical cord to stop the flow of oxygen to the child, causing suffocation. In rare cases, the baby is delivered alive and left unattended to die. Hysterotomy is rare but is the preferred abortion method if the induction method fails or cannot be used for other reasons24.

If you are considering abortion, contact us today for your free pre-abortion screening and consultation.

*Heartbeats does not perform or refer for abortions.

Do You Have an STD?

You may wonder what having an STD has to do with getting an abortion, but it is extremely important. If you have an STD, especially one of the two most common, chlamydia or gonorrhea, and aren’t treated before having an abortion, your risk of developing Pelvic Inflammatory Disease (PID) increases by 23% if the cervical infection is forced up into the uterus during the medical procedure25. PID increases your chances of having a future ectopic pregnancy, can decrease fertility, and can cause life-long pelvic inflammation and pain26. Testing is especially important because these STDs can be present without any symptoms. Other STDs, such as cervical syphilis27, HIV/AIDS28, and Human PapillomaVirus (HPV)29, also need to be tested for early in pregnancy, regardless of your pregnancy intentions, as they can pose significant risks to your health.

The majority of abortion facilities do not test for STDs prior to performing an abortion procedure. If they do, they charge an additional fee. At Heartbeats, we can confidentially have you tested and treated for these STDs at no charge. Results of STD testing are usually available within one week.

STDs that Impact Abortion

If you have scheduled or are considering an abortion, it is important to get tested beforehand for two STDs that can pose a risk during the procedure. Why? Because women who have an untreated STD like chlamydia or gonorrhea are up to 23% more likely to develop Pelvic Inflammatory Disease (PID) following an abortion procedure30.

Chlamydia31
The most common bacterial STD in the U.S. is chlamydia, and it is nearly symptom-free in 85% of women. When it progresses to display symptoms, women might experience a noticeable discharge, a foul vaginal odor, bleeding after having sex, or irregular monthly bleeding. Because chlamydia primarily affects a woman’s cervix (the lowest region of the uterus that attaches the uterus, or womb, to the vagina), serious complications of going undetected can include Pelvic Inflammatory Disease (an infection of a woman’s reproductive organs); ectopic, or tubal, pregnancy (a pregnancy that is growing outside of the uterus); and even infertility. If you are pregnant and have chlamydia at the time of delivery, it can cause an eye infection in your baby. Chlamydia is treatable with antibiotics.

Gonorrhea32

Gonorrhea is another common and easily treated STD, but it can be symptom-free, as well. When symptoms do appear, they resemble those of chlamydia for women, but may also include itching and abdominal pain. In men, symptoms usually consist of burning during urination and/or a yellow discharge. If left untreated, gonorrhea can lead to a chronic liver disease call Fitz-Hugh-Curtis syndrome, as well as PID, ectopic pregnancy and infertility. Gonorrhea is treatable with antibiotics.

Get Your Pre-abortion Screening

At Heartbeats, we are here to give you the answers to these three critical questions before undergoing an abortion. Our no-cost pre-abortion screenings include a pregnancy test, an ultrasound and STD testing all performed by a licensed medical professional. Call us at 740-349-7558 in Newark or at 740-450-5437 in Zanesville to schedule your screening today.

References

  1. Clement EG, Horvath S, Mcallister A, Koelper NC, Sammel MD, Schreiber CA. The language of first-trimester nonviable pregnancy: Patient-reported preferences and clarityObstet Gynecol.2019;133(1):149-154. doi:10.1097/AOG.0000000000002997
  2. (2021, June 15). A Determined Look into Non-Viable Pregnancy: Heartbreak and The Way Forward | Mommy Labor Nurse. Mommy Labor Nurse | Educating Expecting Parents About What’s To Come! https://mommylabornurse.com/non-viable-pregnancy/
  3. Miscarriage – Symptoms and causes. (2019, July 16). Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/pregnancy-loss-miscarriage/symptoms-causes/syc-20354298
  4. How a D&E Differs From a D&C. (2020, November 8). Verywell Family. https://www.verywellfamily.com/what-is-dilation-and-evacuation-d-e-for-miscarriage-2371460
  5. Hillson, B. B. J. H. M. (2014, July 1). Diagnosis and Management of Ectopic Pregnancy. American Family Physician. https://www.aafp.org/afp/2014/0701/p34.html
  6. Ectopic pregnancy – Diagnosis and treatment – Mayo Clinic. (2020, December 18). Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/ectopic-pregnancy/diagnosis-treatment/drc-20372093
  7. Blighted Ovum: A Non-Viable Pregnancy With No Obvious Symptoms. (2020, March 25). Verywell Family. https://www.verywellfamily.com/understanding-blighted-ovum-2371492
  8. How Are the Symptoms of a Molar Pregnancy Treated? (2020, October 25). Verywell Family. https://www.verywellfamily.com/molar-pregnancy-causes-symptoms-and-treatment-2371405
  9. Symptoms & Treatment For Molar Pregnancy Cancer. (2020). Www.Pregnancy-Baby-Care.Com. http://www.pregnancy-baby-care.com/molar-pregnancy/molar-pregnancy-cancer.html
  10. Feature Editor. (2019, August 28). Molar Pregnancy – What is it and Why Does it Happen?Com. https://pregged.com/molar-pregnancy/
  11. Abortion Pills – First Trimester Medical Abortion. (Accessed October 2021). abortionprocedures.comhttps://www.abortionprocedures.com/abortion-pill/#1465365763472-92a2fc8d-9104.
  12. Center for Drug Evaluation and Research. (2021, April 13). Questions and Answers on Mifeprex. U.S. Food and Drug Administration. https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/questions-and-answers-mifeprex
  13. Incidence of Emergency Department Visits and Complications. . . : Obstetrics & Gynecology. (2015). LWW. https://journals.lww.com/greenjournal/Fulltext/2015/01000/Incidence_of_Emergency_Department_Visits_and.29.aspx
  14. Niinimäki, M. (2009). Immediate complications after medical compared with surgical termination of pregnancy. PubMed. https://pubmed.ncbi.nlm.nih.gov/19888037/
  15. Elective abortion: Does it affect subsequent pregnancies? (2020, September 19). Mayo Clinic. https://www.mayoclinic.org/healthy-lifestyle/getting-pregnant/expert-answers/abortion/faq-20058551?reDate=15102021
  16. Dilation and Curettage (D&C): Treatment, Risks, Recovery. (2021, March). Cleveland Clinic. https://my.clevelandclinic.org/health/treatments/4110-dilation-and-curettage-d–c
  17. Lohr, Patricia A.  “Surgical Abortion in Second Trimester”, Reproductive Health Matters, May 2008, 156. ncbi.nlm.nih.gov/pubmed/18772096.
  18. D&E Abortion – Second Trimester. (Accessed October 2021). abortionprocedures.comhttps://www.abortionprocedures.com/#1466802055946-992e6a14-9b1d.
  19. Bartlett, L. A. (2004, April). Risk factors for legal induced abortion-related mortality in the United States. PubMed. https://pubmed.ncbi.nlm.nih.gov/15051566/
  20. Fergusson, David M with Joseph M. Boden and L. John Harwood. “Does abortion reduce the mental health risks of unwanted or unintended pregnancy? A re-appraisal of the evidence.” Australian & New Zealand Journal of Psychiatry, Sept. 2013, Vol. 47, No. 9, pp. 819-827. http://www.ncbi.nlm.nih.gov/pubmed/23553240 .
  21. Darney, P.D., et al. “Digoxin to facilitate late second-trimester abortion: a randomized, masked, placebo-controlled trial.,” Obstetrics and Gynecology, Vol. 97, Issue 3, Mar.2001, pp. 471-476. ncbi.nlm.nih.gov/pubmed/11239659 .
  22. Induction Abortion – Third Trimester. (Accessed October 2021). abortionprocedures.comhttps://www.abortionprocedures.com/induction/#1466802482689-777ef64c-4991.
  23. Dolle, J. M. (2009, April 1). Risk Factors for Triple-Negative Breast Cancer in Women Under the Age of 45 Years. Cancer Epidemiology, Biomarkers & Prevention. https://cebp.aacrjournals.org/content/18/4/1157.full
  24. Induction of fetal demise before abortion. (in press). Society of Family Planning. https://www.societyfp.org/_documents/resources/InductionofFetalDemise.pdf
  25. L, W., T, P., & J, S. (1982, September 1). Significance of cervical Chlamydia trachomatis infection in postabortal pelvic inflammatory disease. Abstract – Europe PMC. https://europepmc.org/article/med/7121913
  26. Pelvic Inflammatory Disease – CDC Fact Sheet. (1999). CDC. https://www.cdc.gov/std/pid/stdfact-pid.htm
  27. STD Facts – Syphilis. (2017, June). CDC. https://www.cdc.gov/std/syphilis/stdfact-syphilis.htm
  28. About HIV/AIDS | HIV Basics | HIV/AIDS | CDC. (2021, June). CDC. https://www.cdc.gov/hiv/basics/whatishiv.html
  29. STD Facts – Human papillomavirus (HPV). (2021, January). CDC. https://www.cdc.gov/std/hpv/stdfact-hpv.htm
  30. L, W., T, P., & J, S. (1982, September 1). Significance of cervical Chlamydia trachomatis infection in postabortal pelvic inflammatory disease. Abstract – Europe PMC. https://europepmc.org/article/med/7121913
  31. STD Facts – Chlamydia. (2014, January). CDC. https://www.cdc.gov/std/Chlamydia/stdfact-Chlamydia.htm
  32. STD Facts – Gonorrhea. (2014, January). CDC. https://www.cdc.gov/std/gonorrhea/stdfact-gonorrhea.htm
Newark Location

336 E. Main St.
Newark, OH 43055

Newark Hours

Mon: 10am–7pm
Tue: 10am–4pm
Wed: 10am–4pm
Thu: 10am–7pm
Sat: 10am–1pm

Newark Call

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Zanesville Location

2447 Maple Ave.
Zanesville, OH 43701

Zanesville Hours

Mon: 10am–7pm
Thu: 10am–7pm

Zanesville Call

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Help! My boyfriend wants me to get an abortion! When I discovered my unplanned pregnancy, I went through all the emotions, from fear to joy. Pregnancy hormones are intense. My boyfriend was the only person I told about my late period. Despite not using birth control, I thought that unplanned pregnancies only happened to other young women. My boyfriend was in denial. He insisted that I make sure I was really pregnant, so I got a free pregnancy test from my local Pregnancy resource center.

Now what should I do?

 

—Brittany*

(*Brittany’s name has been changed, and her story is an aggregate of women’s stories.)

Are you pregnant?

Find out for sure with a free test at Heartbeats.

 

Can you relate? Did your first conversation about your unexpected pregnancy go poorly? Maybe he just didn’t react well in the moment. Is he really opposed to you keeping the baby, or is he just ambivalent? Does he feel a baby would mean the loss of freedom? Does he want to have children someday?

 

Unwanted pregnancy brings up so many questions. You want to make the right decision, but your boyfriends is saying he hopes you make the “right choice” and you know he means abortion. There are so many important things to think about.

 

Keep the lines of communication open. Why does he want you to have an abortion? Sometimes a guy may say he wants an abortion because he thinks that’s what you want to hear. Have you told him about your feelings?

Are you afraid you can’t keep the baby without both practical support, and emotional support from your boyfriend? It's healthy and normal to both want and need support from others. You can build a support system of supportive friends and family with or without your boyfriend. Let's start by asking if your relationship with your boyfriend is healthy enough to be supportive.

Whether or not you stay together depends on the quality of your relationship, not the presence or absence of a child. Is your boyfriend willing to listen to your feelings, and respectful of your wishes? Or are you afraid to talk to him because he has angry outbursts? Fearing your partner is not a healthy sign. See if your situation sounds like this woman with an unhealthy relationship. She described her own experience on a forum in response to a story of unplanned pregnancy much like Brittany’s:

Hi dear,

I'm sorry you’re in a tough spot. It closely reflects what I've been through! My unplanned pregnancy brought out the truth in my relationship. I realized my 28-year-old baby daddy would not be there to support me emotionally through an abortion. He saw it as his way out from parenting. Deciding was so difficult! For two months, I booked and canceled appointments. After having endless conversations with friends and family, posting here, arguing and crying daily with BD, I had to go with my heart. My heart is to keep the baby.  

Now I'm single and 5 months pregnant. I'm so much happier to be alone compared to the stress, shame, and sadness he has caused me. BD left me a few months ago. It's a relief not having to try to make him stay. If I could have gone back in time when I first found out, I would have told myself to keep the baby and let him go immediately, based on how he was acting.

 

My little one and I will not be a perfect family, but I know that my child will be so loved and have every opportunity in their life. Yes, being pregnant and single sometimes feels lonely — but honestly, it's just pregnancy. It isn't as difficult as you think it will be. 

One last thing: men and women are equally responsible for their own contraception. The fathers of our children could have insisted on condoms if they felt they were not ready to risk making a baby. There is nothing to feel guilty about. Listen to your heart and if you need support, please DM me (1)!

Speaking of support, did you know your local Pregnancy resource center can talk you through your pregnancy options? Know your legal rights - no one can force you to abort. In order to make the best decision, you need to know your available options. Client advocates at Heartbeats can give you factual information about surgical abortion, medical abortion, parenting, and adoption.

 

If you’re still not sure how healthy your relationship is, it’s a good idea to talk to a client advocate about your boyfriend’s behavior. They can help you identify signs of domestic violence from controlling behavior to physical abuse. I know it’s hard to consider the possibility that the man you love might be abusive. The fact that he wants you to get an abortion when you don’t want one is concerning, and controlling.

Want Help?

Talk it out at

Heartbeats.

 

Did you know there’s an association between abortion and domestic abuse? It’s not always the case, but sometimes an abusive relationship leads to unplanned pregnancy and then abortion. Put another way, women with a history of Intimate Partner Violence had significantly higher odds of unintended pregnancy and abortion (2). According to Dr. Burke, “the abortion rate and the domestic violence rate have risen almost side by side. Abortion, for both women and men, is associated with self-hatred, self-punishing behavior, and an increased tendency to act out anger and rage toward others.” (3). Work with your client advocate, and tell a safe family member if you need to make a safety plan.

If you are in crisis, call the National Domestic Violence Hotline 800.799.SAFE (7233)

For emergencies, call 911.

Maybe your boyfriend isn’t toxic, and you’re still tempted to get an abortion to keep your relationship. Sometimes it’s helpful to map out all the possibilities. You could:

  • Keep the baby and keep the relationship
  • Keep the baby and lose the relationship
  • Lose the baby and keep the relationship
  • Lose the baby and lose the relationship

You’re in control of keeping the baby or not, but you’re not in complete control of your relationship. He might leave you after you have an abortion. Chances are if you’re reading this, you’re thinking about keeping the baby. If you ignore your heart and abort, you may feel “anger, resentment, and bitterness toward the partner who was not supportive or who ignored [your] desire to keep the baby.” (3). This resentment can destroy your relationship. Another woman from the same forum described how her abortion decision affected her relationship. Her boyfriend lied to her, claiming they could have another baby in the future. (No one can guarantee you a future pregnancy.) He argued he wouldn't leave and promised to support her. His promises were weak. She’s still clinging to the relationship, but now she feels empty. Before the procedure, she believed it was the right choice for her. Then a few days later she had doubts when the permanence of her decision set in. Now she wishes she didn’t do it. Her advice is two-fold: first, educate yourself, and second don’t go through with a decision unless you feel 100% (4).

Ask yourself, after a period of time, which decision am I more likely to regret? 

Brittany felt calmer as she talked about all her feelings while her client advocate listened. She expected the woman to say something judgmental, but instead she highlighted all the resources they could offer her. Heartbeats has free diapers, baby supplies, and classes for single parents and parents-to-be.

Need Support?

If your boyfriend is not willing or able to support you financially, check out the Top 3 Financial Resources for Pregnancy.

 

Thanks to the center, Brittany knew she could keep her unborn child, even without her boyfriend's financial help. She talked to her boyfriend more about his feelings about her pregnancy. He felt a mix of wonder, joy, guilt and pride. Turns out, he was afraid he would be a bad dad because he didn’t have a father growing up. She invited her boyfriend to attend parenting classes at the Pregnancy resource center with her. After her beautiful daughter was born, she knew keeping her was the best choice.

 

You can do this. This is not the first time pregnant women have decided to keep their unborn children. Maybe you’re thinking “Brittany had it easy. The fact that my boyfriend wants an abortion is not my only problem.” Client advocates have worked with hundreds of women with all sorts of problems. Get in touch to learn how we can help in your unique situation.

Problem-solving

Together with your client advocate

 

Sources

*Brittany’s name has been changed, and her story is an aggregate of women’s stories

 

(1) Paraphrase Peaa67wij. (2018, January 12). Help - I want the baby, father doesn't. Netmums Forum. Retrieved April 22, 2022, from https://www.netmums.com/coffeehouse/pregnancy-terminations-1161/unplanned-pregnancy-46/1746791-help-i-want-baby-father-doesnt.html

 

(2) Pallitto, C. C., García-Moreno, C., Jansen, H. A., Heise, L., Ellsberg, M., Watts, C., & WHO Multi-Country Study on Women's Health and Domestic Violence (2013). Intimate partner violence, abortion, and unintended pregnancy: results from the WHO Multi-country Study on Women's Health and Domestic Violence. International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 120(1), 3–9. https://doi.org/10.1016/j.ijgo.2012.07.003

 

(3) Burke, T. K. (2020, June 5). Can relationships survive after abortion? • afterabortion.org. AfterAbortion.org. Retrieved April 21, 2022, from https://afterabortion.org/can-relationships-survive-after-abortion/

 

(4) Emwar5. (2018, January 12). Help - I want the baby, father doesn't. Netmums Forum. Retrieved April 22, 2022, from https://www.netmums.com/coffeehouse/pregnancy-terminations-1161/unplanned-pregnancy-46/1746791-help-i-want-baby-father-doesnt.html 

Newark Location

336 E. Main St.
Newark, OH 43055

Newark Hours

Mon: 10am–7pm
Tue: 10am–4pm
Wed: 10am–4pm
Thu: 10am–7pm
Sat: 10am–1pm

Newark Call

740-349-7558

Get Directions
Zanesville Location

2447 Maple Ave.
Zanesville, OH 43701

Zanesville Hours

Mon: 10am–7pm
Thu: 10am–7pm

Zanesville Call

740-450-5437

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