IN-CLINIC ABORTION (ASPIRATION ABORTION)
Salem Massachusetts - We believe that every person should have medically accurate information about all pregnancy options and the freedom to decide whether, when, and how to create a family. If you decide to have an abortion, our role is to support you in your decision and to provide you with the highest quality medical care. Please call us to schedule an appointment or talk to one of our trained staff about available options and any questions or concerns you may have.
Now offering the option of Nitrous Oxide for relaxation and pain management!
No additional fees if you choose to use this service.
Drive Yourself Home!
No Escort Required!
No Alarm Sounds!
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Enter the first day of your last period to see your options
- The abortion is performed by an experienced board-certified physician, and usually completed in 7-10 minutes.
- Available up to 14 weeks (98 days) from the first day of your last menstrual period.
- One visit to the clinic. Gentle suction with a local anesthetic is used to end the pregnancy.
- Nitrous oxide is available for relaxation and pain management. You can eat and drink before procedure, and no driver or escort required.
- Ultrasound before abortion procedure (done same day at clinic).
- Pelvic examination required.
- High success rate (99%). Complications are rare.
- Birth control methods are offered at your visit, including same day IUD and Nexplanon insertion.
What to Expect at Your Visit
The medical procedure is completed in a single visit. Although the entire visit may typically take 2-4 hours from start to finish, the procedure itself takes 7-10 minutes.
What you can expect
- On the day of your appointment, we’ll review your medical information and options, answer questions, and obtain your consent. Next, we’ll do a fingerstick blood test and give you an oral antibiotic medication to take prior to the procedure.
- Next, you’ll meet with our physician. Before the procedure, they will perform an ultrasound and pelvic exam to confirm the date of your pregnancy and check the position of your uterus. You'll have the option of using nitrous oxide for relaxation and pain management. You will not be sedated or “put to sleep”. (Please see our FAQ "What pain relief options does Health Quarters offer?" for more information) They will then begin the procedure by giving a local anesthetic injection that will numb the cervix and uterus to ease your discomfort during the procedure. The injection may cause a strange taste in your mouth or ringing in your ears, but it will go away within a few minutes. The procedure dilates the cervix first, and then uses gentle suction to empty the contents of the uterus through a slim tube inserted into the cervix. There is no surgery, cutting, scraping, or sharp instruments. Discomfort during the procedure can range from mild to strong period cramps, and typically cramping resolves very quickly after the procedure is finished.
- After the abortion, you will be assisted by our staff to the recovery room where we’ll check your vital signs, provide a light snack, and review your aftercare instructions. Bleeding and cramping after the abortion procedure may be light to medium, and some women experience no bleeding at all. You’ll be ready to leave within 15 to 30 minutes. You'll be fine to drive yourself home.
Call us 24/7 at (978) 922-4490 if you need us after your abortion.
Preparing For Your Visit
- You must arrive 15 minutes earlier to complete necessary counseling and consents prior to your scheduled appointment time. Please also build in time to find parking and find our clinic locations.
- Please bring proof of insurance and a valid government-issued photo ID (such as a license or passport). If this is a problem, please contact the clinic.
- If you are using insurance, we must verify coverage before your appointment. This process may take several days so make sure you provide your insurance information ASAP after scheduling. Please see our FAQs for more information.
- Copays and outstanding patient balances are due at the time of your appointment. We accept cash, MasterCard and VISA.
- It is important be well-hydrated and to eat a good meal (ideally nothing very greasy or spicy) before your appointment. We also strongly recommend taking 800mg of ibuprofen with your meal, prior to appointment. (Do NOT take aspirin.)
- Please wear full coverage underwear that you can wear with a pad and comfortable clothes that let you undress from the waist down.
- You can come by yourself and drive yourself home. However, you are more than welcome to bring a friend but they will not be permitted into the exam room with you. They must present a government-issued photo ID and comply with clinic policies.
- Do not take aspirin 7 days prior to your visit.
- Do not take any illegal drugs or alcohol 24 hours prior to your visit.
- No children or babies will be permitted.
- We recommend having good thick maxi pads (not tampons or pantyliners), a thermometer, pain medicine in case of cramping (Ibuprofen, Advil, or Motrin are fine, Not Aspirin), and a heating pad at home for after your appointment.
- Do not bring a bag larger than a wallet, recordings devices, or weapons to the clinic.
- Health Quarters is committed to providing all our patients with exceptional care. When a patient cancels without giving enough notice, they prevent another patient from being seen. Please call us at (888) 727-9428 by 2 p.m. on the business day prior to your scheduled appointment to notify us of any changes or cancellations. If prior notification is not given, you may be charged $25 for the missed appointment.
- We have a very full schedule, so if for any reason you need to cancel or reschedule your appointment, it is important to let us know right away. This helps ensure you're able to find another appointment soon and also frees up the spot you aren't using for someone else seeking care.
In-Clinic Abortion Aftercare Guide
Uterine aspiration, like other surgical procedures, does have a risk of side effects or complications. Although these complications are rare, it is important that you know what to expect and what to do. Please keep this instruction sheet so that you may use it as a reference.
If you have any problems or questions, please call the clinic at: (888) 727-9428. If the clinic is closed, and your call is not an emergency, you call will be forwarded to a nurse on call 24/7 who can answer any questions you might have.
If you cannot reach a clinician at this number, and it is an emergency, please go to your local Hospital Emergency Room:
85 Herrick St
Beverly, MA 01915
Lawrence General Hospital
1 General St
Lawrence, MA 01841
Anna Jacques Hospital
25 Highland Avenue
Newburyport, MA 01950
Infection is an uncommon complication, occurring in less than 1 patient in 100. It is usually associated with fever (100.4°F or higher), and sometimes with abdominal cramps and foul smelling discharge. It can nearly always be treated simply and effectively with antibiotics.
Excessive bleeding is very uncommon. The normal amount of bleeding will vary from woman to woman. Some may have very little bleeding or no bleeding at all. Most commonly, women begin bleeding the day of procedure, bleed for 5 to 7 days, then spot for a week. Some women can have spotting for as long as 2 weeks. You may pass clots and bleeding may seem to increase when you get up suddenly or go to the toilet.
Do not be alarmed or frightened if you pass any clots. This is normal after having a uterine aspiration. Many women pass clots with their periods every month. If the amount of bleeding increases so that you are soaking one maxi-pad an hour for two hours in a row or passing clots larger than a lemon, call the clinic.
You will probably experience cramping for a few days that is similar to cramping with a menstrual period. Cramping is usually caused by clots in the uterus and as soon as these clots are expelled, the cramping stops. You should be able to obtain relief by taking Advil, Aleve, or any generic brand of ibuprofen and by using a heating pad or hot water bottle. You can use Aleve or any generic brand of Naproxen if you prefer. You may use Extra Strength Tylenol if you are allergic to ibuprofen or naproxen. If the cramping is severe or prolonged, and you are not getting relief from any of these methods, call the clinic.
Pads should be used for the first few days after your procedure. The rate of bleeding can be observed more easily when pads are used. Tampons can be used once the bleeding has slowed down and you are only spotting.
Return of periods
Your first period should occur in 4-6 weeks. If you feel pregnant or do not have a period after 6 weeks, call the office. If you are using hormonal contraception (pills, patch, ring, Depo-Provera, or Nexplanon), your first period can vary depending on method; discuss what to expect with the clinician.
You should not have sexual intercourse until you feel ready. This may mean a few days for some women or several weeks for others. This is up to you. You can get pregnant as soon as 7 days after your abortion, so you should use the contraceptive method that you discussed with the clinician.
You may resume normal activity immediately. Sometimes, with strenuous activity (like heavy lifting and bending), your bleeding may increase. This doesn't happen for everyone. If you notice that your bleeding increases with strenuous activity, then avoid these activities for two days.
You may bathe in a shower or tub at any time. Do not douche.
If your breasts were sore before the abortion, the soreness will usually go away within a week. To feel more comfortable, limit any stimulation to the breast until the soreness goes away and wear a tight-fitting bra or sports bra. Only women who have abortions later in pregnancy (after 16 weeks) will sometimes get breast milk after the abortion. Do not express the milk.