Rh Factor: What you need to know during an unplanned pregnancy

Posted on August 14, 2025August 14, 2025 by Paige

Rh Factor: What you need to know during an unplanned pregnancy

What is Rh Factor?

Rh factor is a protein that most people will have on the surface of their red blood cells. [1] If your red blood cells have this protein, you are Rh positive, like most people. On the other hand, if your red blood cells do not have this protein, you would be Rh negative. According to research, about 15 to 17 percent of Caucasians (North American and European descent) are Rh negative, while 4 to 8 percent of people of African descent and 0.1 to 0.3 percent of people of Asian descent are Rh negative. [2] Your Rh factor will not effect your overall health.

Why is it a problem if I'm Rh negative during pregnancy?

It’s important to get your blood tested early in your pregnancy. Women who are Rh negative and don’t receive the proper care may face complications in future pregnancies. If you are Rh negative, there is a possibility of your blood reacting with your baby’s blood. [3]

Your immune system reacts differently and will create antibodies. These antibodies start an attack on your baby’s red blood cells because your body thinks it’s a foreign object. [4] Although you will not know your baby’s blood type until they are born, it’s safest to assume it’s positive. These antibodies will remain in your body, and if you were to become pregnant again in the future, the antibodies can again attack your baby’s red blood cells. [5] This can result in Rh disease or hemolytic disease of the fetus, which can lead to:

Miscarriage or stillbirth
Brain damage
Heart failure

How is Rh incompatibility treated?

The treatment for Rh incompatibility is treated by medication called Rh immune globulin. [6] This medication is received as a shot and is administered around 28 weeks of pregnancy. [7] The medication prevents Rh positive antibodies from being made. It is given again 72 hours after delivery.This medication is only helpful if your body does not already have the antibodies. If your body already has the antibodies the best treatment is to be monitored the rest of your pregnancy because the baby is at risk of Rh disease.

5+healthy drinks for pregnancy

Posted on June 23, 2025July 3, 2025 by Rudy

5+Healthy Drinks For Pregnancy

One of the first things you learn when you get pregnant is what not to do. And everyone seems to want to give their own well-meaning but contradicting opinions. Maybe you’ve been missing your morning coffee ever since your mom told you it’s bad for the baby. What exactly can you drink? Luckily, you don’t have to give up all the good stuff (not even Starbucks). We’re here to give you some good drink options, as well as advice on the bad ones. Here are 5+ healthy drinks for pregnancy that you can enjoy!

Did your sister tell you to avoid spicy foods because she heard it isn’t good for pregnant women? (See our next article coming soon on that!)

Do You Have Strange Food Cravings?

Check out why, plus a healthy foods list!

Knowledge is Spicy

Healthy Drinks for Pregnancy Water

To start off the list, we have the most obvious healthy drink for pregnancy: water.

Pregnancy aside, one of the most important things you can be drinking daily is water. But if you are pregnant, having enough fluids becomes even more important. Water keeps the amniotic fluid replenished, your cells hydrated, and keeps your health good in general (1).

How much water should you be drinking? According to Healthline, pregnant women should drink about 80 ounces of water every day (1). This is only eight ounces more than is recommended for women who aren’t pregnant (1).

If you are breastfeeding, Healthline says that your water consumption should go up to about 104 ounces (1). Moral of the story: it’s a great idea to drink lots of water! Your body–and the baby–will thank you for it.

But what if water makes you nauseous?

Lemonade

If you’re pregnant in the summertime, chances are you’ve already sat down with a big glass of lemonade. In fact, lemons are beneficial for you in a surprising way.

As stated earlier, water is the best source of hydration. But some women have trouble drinking water without becoming nauseated. Infusing water with lemon juice or making some lemonade can help your daily water intake and fix your nausea (1). The American Pregnancy Association (APA) says that sniffing lemons can help nausea from morning sickness (1). So go ahead: grab that sweet glass of lemonade! (Just make sure there isn’t a ton of added sugar).

Sweet Healthy Drinks

Fresh fruit juices are great, as long as they’re pasteurized. Everyone loves a refreshing glass of orange juice in the morning with their breakfast. And you can still enjoy it too as a sweet pregnancy drink!

Pasteurization is the process that removes harmful bacteria from juices (2). This is why it is important that you only drink pasteurized juices, even if you prefer the “natural stuff.”

Two healthy juices that boost immune system health for pregnant women are orange juice and cranberry juice. OJ contains potassium, which can help lower high blood pressure (1). High blood pressure can be a dangerous condition in pregnant women. And the Vitamin C in the juice will enhance iron absorption (1). Cranberry juice is made up of 90% water (3). This means it will keep you well hydrated! And the high dietary fiber in the drink works against constipation (3).

Pasteurized Milk

Just like our bodies need water, pregnant women also have calcium needs. It’s recommended that pregnant women drink about eight ounces of milk per day (5). While there isn’t an issue with drinking whole milk, it is suggested that you drink skim or low-fat milk (5). This is typically healthier whether pregnant or not and can prevent extra weight gain (5).

“But what if I’m lactose intolerant?” Surprisingly, studies have shown that even if you had symptoms of lactose intolerance before getting pregnant, they can disappear! (1). You may find that you can now tolerate cow’s milk. If you still have symptoms after a glass of milk, try non-dairy milk. “Soy milk is a viable alternative. Just be sure to choose brands that have added calcium.” (1).

Similar to juices, it’s important for the milk you drink to be pasteurized to prevent any bacterial infections.

Smoothies

Smoothies are one of the best things you can drink while pregnant. In your first trimester, it can be difficult to keep food down. Smoothies are an easy way to get a lot of essential nutrients without having to eat a full meal (4). Nutritionist Tamara Melton explains, “There’s something about the combo of liquid and cold. Women tolerate smoothies better than, say, spinach omelets.” (1).

70% of women surveyed by Parents admitted to making healthier diet choices when they became pregnant (1). But only 37% were meeting the recommended amount of fruit and vegetable servings per day (1).

Smoothies are a great way to get all of those vital nutrients. Just make sure you put some greens in your cart, not just fruit, when shopping at grocery stores

Herbal Tea

If you want a reviving hot or cool ice tea, herbal tea may be a good option for you. Herbal tea is a good alternative for leaf teas as these are often fruit or herb-based and caffeine-free (5). Since pregnant women should cut down on caffeine, it’s a good choice for a healthy pregnancy drink.

According to the APA however, you shouldn’t drink just any herbal tea.(1). Herbal teas can be unsafe if they are not commercially made (1). This is because the “amounts of each ingredients are controlled in commercial tea bags,” whereas they might not be in homemade teas (5).

These are three popular teas for pregnant women that can be enjoyed as a hot drink or as iced tea: (5)

Ginger Tea – Ginger helps with indigestion and can relieve stress.
Lemon or Lemon Balm Tea – Like we said earlier, lemon is good for nausea, as well as stress relief.
Peppermint Tea – This can reduce “digestive discomfort, bloating and also prevents nausea.”

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Drinks to Avoid While Pregnant

While it is exciting to hear that many of the drinks we love are safe to consume while pregnant, there are bad pregnancy drinks you should still avoid. But don’t worry! They’re easy to steer clear of. And we’ve even offered some alternatives! Read on to see what kinds of drinks to avoid while pregnant.

Alcohol

Most people know that alcohol is the one drink you should avoid completely if you are growing a baby. But maybe you don’t know exactly why. Let us explain.

The liver is one of the last organs to develop. Because of this, fetuses are not able to process alcohol in the same way adults can (2). In the first trimester, drinking can increase the risk of miscarriage, early birth, and low birth weight (2). In the second and third trimesters, drinking could affect your child’s behavior and learning ability (2).

Consuming alcoholic beverages while pregnant can cause a wide range of complications. Not only is the mother affected, but the child as well. It is best to stay away completely from the substance.

What about after the child is born?

If you are breastfeeding, it is best to continue avoiding alcohol. Excessive drinking can lead to problems in infant growth and development (2). However, according to the CDC, you can drink one drink per day and it not be detrimental to your baby’s health. But you must wait two to three hours before breastfeeding (2). In conclusion, if you want to drink while breastfeeding, it is recommended to do it in moderation.

Unpasteurized Milk and Juice

Up at the top of the healthy drink list is pasteurized milk and juice. It’s no surprise that the unpasteurized versions of said drinks are on the bad list.

Raw milk is “milk from cows, sheep, and goats–or any other animal–that has not been pasteurized to kill harmful bacteria.” (1). Without pasteurization, dangerous bacteria can be present in the milk. Bacteria can cause food poisoning (1). One of these harmful bacteria, Listeria, can cause an infection called listeriosis (1).

According to genetic counselor Sara Roirdan, pregnant women are “particularly susceptible” to this disease (1). It can be devastating and “even deadly for unborn babies.” (1). Although raw milk has seen a bit of movement in the United States, the FDA advises everyone to avoid it (1).

Drinking unpasteurized juice is just as harmful. Mothers can contract E. coli, which puts you at risk for “premature rupture of the amniotic sac, low birth weight, or stillbirth.” (2). Overall, skip the “natural stuff” and stick to pasteurized drinks.

Caffeinated Drinks

This may be one of the hardest types of drink to avoid on this list. Coffee, soda, sports drinks, energy drinks and tea (except most herbal teas) all have caffeine in them.

According to the American College of Obstetricians and Gynecologists (ACOG), pregnant women should to limit their caffeine intake to less than 200 milligrams per day (6). While this may seem easy, lots of things have caffeine. One cup of coffee, a couple bites of a chocolate bar, and you may already be over your caffeine limit for the day. For that reason, it’s best to steer clear of too much caffeine for the most part.

The issue with caffeine is similar to alcohol. Caffeine is absorbed very quickly and passes into the placenta (6). Babies can’t metabolize caffeine, so high levels can build up quickly (6). These high levels can lead to restricted fetal growth and an increase in the risk of low birth weight (6).

We know how much coffee means to a stressed and frazzled mom, however! There is some silver lining. According to this website, there are a number of Starbucks drinks that–in limited amounts–are still safe to drink! Feel free to check it out.

Are There Other Healthy Drinks for Pregnancy?

There are plenty of homemade drinks you can create that are safe to drink while pregnant. Check out this website for 17 healthy drink recipes for pregnancy that you can make in your kitchen. One of those is apple cider vinegar drinks–yum! Or if you want something simple but energy-boosting, coconut water has been found to be a beneficial and tasty drink for a healthy pregnancy.

And as always, talk to your doctor about what is best for you. If you don’t have a personal physician, you can sign up for a consultation at Choice Care and we can get you set in the right direction.

Sources:

Schumacker, L. (2022, January 12). 11 beverages you should drink while pregnant and 11 beverages you should avoid. TheList.com. Retrieved July 13, 2022, from https://www.thelist.com/77249/7-beverages-drink-pregnant-7-beverages-avoid/
Brighten, J. (2021, March 5). 12 foods to avoid during pregnancy. Dr. Jolene Brighten. Retrieved July 13, 2022, from https://drbrighten.com/12-foods-to-avoid-during-pregnancy/
Benjamin, J. (2022, April 5). 9 healthy juices you should drink during pregnancy. MomJunction. Retrieved July 13, 2022, from https://www.momjunction.com/articles/healthy-juices-you-should-drink-during-pregnancy_00121738/
G, L. (2022, July 5). Best healthy pregnancy drinks (besides water!). Birth Eat Love. Retrieved July 13, 2022, from https://www.birtheatlove.com/pregnancy-drinks/
Waggott, G. (2021, September 27). 10 drinks pregnant women can enjoy besides water. Pregnancy Food Checker. Retrieved July 13, 2022, from https://www.pregnancyfoodchecker.com/10-drinks-pregnant-women-can-enjoy-besides-water/
Bjarnadottir, A. (2020, August 13). 11 foods and beverages to avoid during pregnancy. Healthline. Retrieved July 13, 2022, from https://www.healthline.com/nutrition/11-foods-to-avoid-during-pregnancy

How To Talk To The Father of The Baby

Posted on June 18, 2025June 18, 2025 by Rudy

How To Talk To The Father Of The Baby

You have taken the pregnancy test and found yourself to be pregnant. You share the news with your parents. Maybe with a close friend. You need to talk to the father of the baby. This may be a nerve-wracking proposition, but in this article, we’ll give some tips on how to talk with him about the future. We will discuss how to prepare yourself to deal with toxic and supportive responses.

Process and Prepare

Right now you may have a storm of emotions washing over you. The feelings of shock, denial, anger, and grief can be overwhelming. These are natural. You will want to process your feelings before talking with the father of the baby. This journey of grief over the loss of innocence and the weight of the new reality you find yourself in can be perilous.

When you tell the father, remember that he is at a different point in this journey. His reaction may be similar to yours: shock, denial, anger, etc. His timeframe to process these feelings will be unique to him, not the same as you. Be understanding as he proceeds on this path, and be prepared to give answers and directions as to what is next. Having a strong relationship with your parents or other trusted adults will help you to be prepared. The best approach is to have a plan of action and affirmative statements before talking with him.

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His Response To The News

Every pregnancy story is as unique as the individuals who comprise them. When you talk with the father of the baby, remember that he is not you. He has an upbringing and internal compass specific to him. He is male. Depending on his age, he will develop emotionally at a separate pace than you. He is not pregnant. The physical and emotional reality of the pregnancy is much more personal to you. This does not mean he does not care or is incapable of empathy and concern. It means that his response to the news and the journey of the pregnancy will be his own.

One way to share the news of the pregnancy is to share an ultrasound picture (or video). Often, seeing an ultrasound can help a guy process the reality of pregnancy. An ultrasound moves the baby from an idea to a reality. An ultrasound can help a father-to-be bond with the unborn baby.

Toxic Response To Pregnancy

It is possible that when you talk with the baby’s father you will receive a very negative response. In fact, that response may be downright toxic. In order to prepare for this there are a few things to remember and be prepared to stick to as non-negotiable.

Define roles – state early that you are making decisions in this pregnancy. While he is welcome to be a positive participant in the pregnancy, the final say will lay with you and your parents.

Set boundaries – you will set the level of involvement in your pregnancy. In a healthy relationship, an involved father is a wonderful thing. A toxic relationship or toxic response will require that you are steadfast in your beliefs and decisions about your pregnancy.

Establish responsibilities – the birth and care of a child will involve many responsibilities. Set the expectations for yourself and the father of the baby. Unspoken expectations will lead to disappointments, frustrations, and anger.

Seek legal protections – some actions and attitudes may require legal interventions to protect you and your baby. Read more about what to do if your boyfriend wants you to end your pregnancy.

You are not alone.

Hear from other women facing a boyfriend who wants an abortion.

Supportive Response To Pregnancy

Hopefully, when you talk with the father of your baby, he and his family will be supportive of your decision to carry your baby. Even if he is supportive, there will still need to be established roles, responsibilities, and boundaries between you two. Clear expectations will help prevent interruptions in your relationship. Work to foster a positive relationship with the father’s family. They will be grandparents soon, and you can expect them to be part of your child’s life in the future.

Parents can have their own expectations. In some situations, parents may anticipate that marriage will follow childbirth. Marriage can be a wonderful way to strengthen the bond between mother and father and establish a supportive and loving home for the child. But, it must be what you want, and what the baby’s father wants. If you believe that you are being coerced into marriage, there are services available to help you protect your freedom.

Marriage is not the only option available for a positive parenting experience. Some couples may choose to co-parent instead. It is possible to have a healthy parenting relationship with the father of the baby without having to have a romantic one. When you co-parent, the mutual focus of raising a thriving child can unite the mother and father in a common goal. This goal requires open communication, clarity of purpose, and mutually agreed-upon objectives. Parenting is challenging, even for married couples. A good attitude and communication will go a long way to a successful parenting relationship.

Help Him Prepare For Fatherhood

Just as you may be discovering how to be a mother, the young man who is the father of your baby will be discovering how to be a dad. A great place to start is at a local Pregnancy Resource Center.

Both of you can benefit from a listening ear. Plus, you can learn about relationships, childbirth, and parenting through courses. And that’s not all the resources that are available to you at your local center. You both may need help with finding employment or continuing education so that you can help provide for your baby. Choice Care can guide you. Being prepared and proactive will help ensure a good relationship with the father and a healthy pregnancy for you and the baby.

Sources

Summary, A GoodTherapy.org News. “Do Boys and Girls Express Their Emotions Differently?” GoodTherapy.org Therapy Blog, 23 Oct. 2013, https://www.goodtherapy.org/blog/do-boys-and-girls-express-emotions-differently-1226122
Preidt, R. (2014, April 30). Pregnancy ultrasound a big bonding moment for dads-to-be. WebMD. Retrieved October 28, 2022, from https://www.webmd.com/baby/news/20140430/pregnancy-ultrasound-a-big-bonding-moment-for-dads-to-be
Robboy, C. (2022). What are boundaries? Center for Growth Therapy. Retrieved October 28, 2022, from https://www.thecenterforgrowth.com/tips/what-are-boundaries
Forced marriage. The AHA Foundation. (2022, October 17). Retrieved October 28, 2022, from https://www.theahafoundation.org/forced-marriage/

Considering an Abortion? Here’s the Info You Need

Posted on June 16, 2025July 1, 2025 by Elliott Cepin

Considering an Abortion? Here's the Info You Need

Are you pregnant? Do you think you may be pregnant? If so, you may find yourself wondering what your options are. At this point, you may begin looking for abortion information and wondering who to trust. The decisions you’re facing are stressful enough as it is. You need to know the risks, benefits, and alternatives of your choices. Otherwise, you can’t give informed consent for your reproductive health decisions. Our goal is to equip you with the facts about the abortion pill, and surgical abortion so you can make an informed decision about your pregnancy. So how do we start? Well, first things first. You’ll want to confirm whether you’re pregnant or not.

Am I Pregnant? The Urine Test

A urine test will identify the pregnancy hormone, also known as human chorionic gonadotropin (hCG). They are highly accurate in their detection of hCG levels. But, if you took the test BEFORE the day you were supposed to get your period, you might not get an accurate result. The hCG concentration increases each day during early pregnancy. Now that time has gone by, you’ll get a more accurate reading.

Two Options for Urine Testing

Your first option is the home pregnancy test. These have been on the market for several decades and tend to be quite accurate. If you go this route, make sure your test is not expired and that you carefully follow the instructions.

Taking a pregnancy test can be nerve-wracking. Do you need moral support when you look for one or two pink lines? Rather than testing alone, get a free pregnancy test at NAME OF CENTER.

Going into a clinic for your urine test helps take away some of the stress of human error. Those at the clinic have supported others through this process many times before. You’ll have the assurance that knowledgeable people are helping you. Getting clinical testing is also an opportunity to gather more information in a safe, confidential setting.

Confirming Pregnancy

So let’s say you go to a clinic and take a test that is positive. You’ll probably be told that the test is positive, rather than being told that you’re pregnant. There are many factors involved in a positive reading, and you may wonder about the status of your pregnancy.

*Medical: As effective as these tests are, there’s always the chance for error. That’s why you’ll want to confirm your pregnancy with an ultrasound. This is something we can do for you right here at our office. The ultrasound will confirm whether you have a viable pregnancy. It will also give you a more accurate age of your pregnancy.

*Non-Medical: As effective as these tests are, there’s always the chance for error. That’s why you’ll want to confirm your pregnancy with an ultrasound. If you contact our office for a confidential appointment, we can refer you to a qualified ultrasound technician. This is one of the most important steps in your pregnancy.

Another thing to consider at this point is making an appointment with your physician. Don’t have a physician? No problem. NAME OF CENTER can help you find one right for you. If you don’t already have someone in mind, your physician can refer you to an OB/GYN. Since you’re sexually active, you’ll want to get tested for sexually transmitted infections (STIs).

Not Ready? Educate Yourself with Abortion Information

Many young women go through the steps already mentioned and, for one reason or another, do not feel ready to continue the pregnancy. The most important thing at this point is to gather all the abortion facts you can. This way, you can make an educated decision moving forward. You’re probably asking questions like “What is abortion?” “Is it different at each stage of pregnancy?” and “Are there any risks associated with abortion?” We’ll now take a look at some information on abortion to get a clearer picture.

Abortion Information and Facts

What is Abortion?

No article on abortion information would be complete without a definition. According to the CDC, “legal induced abortion” is “an intervention performed by a licensed clinician…that is intended to terminate an ongoing pregnancy.” That said, there are several types of possible abortions. While there are different ways to break these types down, we’ll simplify it here.

Miscarriage

Miscarriage can be defined as “a pregnancy that ends on its own, within the first 20 weeks of gestation.” This is the most common form of pregnancy loss, with 10-25% of all clinically recognized pregnancies ending in miscarriage. This usually occurs during the first 13 weeks of pregnancy. Miscarriage, while known as “spontaneous abortion,” is not what we mean when we say “abortion.” It is not a procedure by a healthcare provider. It is different from the other information about medical abortions covered here.

What is the Abortion Pill?

Is it the same as Plan B? How much does it cost? Is it safe?

Great questions! The abortion pill is not the same as Plan B, also known as the Morning After Pill. The Morning After Pill, or levonorgestrel, is a form of emergency contraception. Plan B prevents pregnancy by preventing ovulation (the release of an egg), thus preventing conception (the joining of sperm and egg.) If conception and implantation have already taken place, Plan B won’t end an existing pregnancy.

Back to the abortion pill.

Over 50% of abortions are medical abortions with the abortion pill. According to the Guttmacher Institute, 54% of US abortions in 2020 were medication abortions.

Medical abortion is actually two prescription pills, mifepristone and misoprostol. Cost can vary from state to state with different insurance, but is in the ballpark of $500. As with any medication, you should be fully informed of possible side effects. You can’t give informed consent for your reproductive health decisions unless you know the risks, benefits, and alternatives of your choices.

Let's start with general abortion pill benefits

You won’t be pregnant anymore unless the pills don’t work. That leads us to some of the abortion pill risks:

Heavy Bleeding

A common risk is heavy bleeding, which can be confusing because the pills abort the pregnancy by causing bleeding. Call your doctor if you have concerns such as fever, vomiting, passing out, or other symptoms listed here.

Infection

If the medical abortion only partially clears out the pregnancy, any remaining tissues can become infected. You’ll need to have a surgical abortion to remove the infection. (Fever is one possible sign of infection.)

Failure and improper use

It’s possible that the drugs won’t end the pregnancy. The abortion pill is less effective as time goes on, and cannot be used after 10 weeks gestation, per the FDA. Failure of the pill starts at 2% before 8 weeks, and increases to 13% at 10 weeks. (Some clinics ignore the FDA and give out pills at 11 weeks without acknowledging the increased risks.)

Risk reduction

Ultrasound can estimate the age of your pregnancy. NAME OF CENTER in LOCATION offers free ultrasounds to check the age and health of your pregnancy. All the services at NAME OF CENTER are no-cost, which means no credit card, no insurance required, and no bias. (The center does not benefit financially from your decisions and won’t give you the hard sell for pills or procedures.) You can schedule a free, confidential visit to talk about all your options. Or if you don’t want to leave the house you can call and chat confidentially over the phone. (We haven’t figured out how to give ultrasounds by phone yet.) Either way, you can talk while non-judgmental staff listen.

Ectopic pregnancies

Ectopic pregnancies are pregnancies that are located outside the uterus, often in the fallopian tubes. They can be life-threatening. Medical abortion does not cause ectopic pregnancies, but it does not abort them either. In fact, taking the abortion pill can make an ectopic pregnancy even more of a threat to your life. Before taking abortion pills, you should get an ultrasound to screen for an ectopic pregnancy.

Regretting the procedure

No one who seeks an abortion thinks they’ll regret it, just like no one who gets a tattoo thinks they will regret it. And yet, after the fact, some people have regrets. (3,000 women reversed their pill abortion and saved their babies.)

That was a ton of information, and we have not covered surgical abortions yet!

Surgical Abortion

One method of surgical abortion is called an aspiration abortion. This is another type of abortion that occurs in the first trimester. The patient must be dilated before the procedure takes place. The abortion practitioner then uses either a plastic cannula or a hand-held syringe to pull the baby out of the uterus. Early-stage aspiration abortions are done between 5-9 weeks. They can, however, be done between 10-14 weeks if using a machine-operated pump.

Another method of surgical abortion is known as dilation and evacuation. This is the method used during the second trimester. It involves vacuum aspiration as well as forceps to remove the baby from the uterus. If it’s been more than 13 weeks since your last menstrual period, a dilation and evacuation is most likely the type of abortion you’ll be having. While this is typically an outpatient procedure, risks increase as your pregnancy progresses.

Risks Associated with Abortion

We just mentioned the fact that risks increase as your pregnancy progresses. That brings up an important topic many women are looking for when seeking abortion information. So what are the risks?

Cervical trauma. According to the Mayo Clinic, “Women who have multiple surgical abortion procedures may also have more risk of trauma to the cervix.” Cervical insufficiency can pose problems like preterm birth for future pregnancies.
Increased risk of breast cancer. Studies have listed “induced abortion” as a risk factor.
Emotional side effects related to abortion, whether the abortion was planned or not.
An increased risk of mental health problems. (For example, substance use and suicidality.)
Increased risk of dying within one year after the abortion. This study compared abortion outcomes with birth and miscarriage. The CDC found that from 2008 to 2013, for every 100,000 reported legal abortions, 0.62 led to later abortion-related deaths. And this statistic is not complete. Only 32 US states provide abortion data through 2020, and 3 don’t provide any data. One of those is California, which hosts a population of over 39 million. That means there are a lot of deaths that are most likely not reported and not included in the data set.

Pulmonary thromboembolism (a blood clot in the lung) is an infrequent yet serious complication of induced abortion. Risk factors include obesity, use of oral contraceptives, previous thrombophlebitis, or type A blood.

So What's Right For You?

It’s important for you to gather accurate pregnancy and abortion information so you can make an informed decision. You hold key insights as to what’s going on in your life and what your future will look like. But people are here waiting to help. Do you need someone to talk to?

Call, email, or visit NAME OF CENTER to learn more about abortion, parenting, and adoption. You’ll get a thoughtful, non-judgmental response on the other end. Please note, our center doesn’t provide or perform abortions but can provide the abortion information you need. We’re here to help you choose the best next steps for your life.

Abortion Pill Side Effects: Allergies and Interactions

You may be allergic to mifepristone, misoprostol, or one of their ingredients. You must avoid eating grapefruit. These drugs may interact with over-the-counter and prescription drugs you take. Tell your doctor if you have an IUD or are breastfeeding. Before any medical procedure, you should talk to your doctor about your health history.

Disclaimer: This website and blog does not provide medical advice, diagnosis or treatment.

Content from this website is not intended to be used for medical diagnosis or treatment. The information provided on this website is intended for educational use only and is not intended to be a substitute for professional medical advice.

Free Pregnancy Test

Posted on June 5, 2025June 5, 2025 by Eric Lewis

Pregnancy Signs and Symptoms

Posted on June 5, 2025June 16, 2025 by Eric Lewis

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 Choice Care we have compiled this list of questions to determine whether you may be pregnant. Please contact Choice Care 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:

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.

How do I track my period so I can know if I'm late?

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.

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.

My morning sickness is more than just the morning and has been constant through my pregnancy. When should I be concerned?

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).

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.

What can I do to relieve some of this discomfort from breast changes?

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).

Do you have swollen, tender breasts or nipples?

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).

How long does spotting and cramping last through my pregnancy?

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).

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.

Am I allowed to take painkillers to help with the headache pain?

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).

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.

Will my cravings make me gain a lot of weight?

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.

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.

Will frequent urination last throughout my pregnancy?

According to What to Expect, frequent urination will likely last throughout your pregnancy. The change in frequency may or may not affect you much, depending on your personal arrangement of internal organs – it varies from woman to woman. To reduce the frequency, lower your caffeine intake and limit your fluids before bed (11).

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.

Is there a way to help the dizziness?

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).

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.

When will my moods feel stabilized again?

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 Choice Care we are here to listen! Contact us to book a consultation.

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.

Is there anything I can do to ease the fatigue?

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).

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.

What can I do to get rid of the metallic taste?

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).

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.

How do I ease the 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.

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.

What causes the heartburn and how can I stop it?

Despite being called “heartburn,” it has nothing to do with your heart. The burning sensation is caused by acid reflux, which happens when stomach acid travels up from your stomach into your esophagus (19).

Cleveland Clinic recommends easing heartburn by

Eating yogurt
Drinking milk, or
Chewing gum to neutralize the acid (19).

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 Choice Care call 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. Choice Care 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 Choice Care at 301-932-8811.

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.

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 Choice Care at 301-932-8811.

Citations:

What to Expect from an Early Ultrasound Scan

Posted on May 20, 2025May 20, 2025 by Rudy

WHAT TO EXPECT FROM AN EARLY ULTRASOUND SCAN

Many pregnant women thinking about getting an early ultrasound have questions. We want to answer your questions so you know what to expect.

A few things to know about early ultrasound scans:

Ultrasounds at Choice Care are free
Ultrasounds are safe
We can help you prepare – and you do not have to go alone
How early ultrasounds work and what they look like
Common reasons for an early ultrasound

If you have more questions after reading this article, we would love to talk with you. Schedule an appointment with us, below.

Are You Pregnant?

Find out for sure with a free test at Choice Care

Get My Free Test

ULTRASOUNDS AT CHOICE CARE ARE FREE, EVEN IF YOU DO NOT HAVE INSURANCE.

Thanks to our generous donors, we are able to provide you with a free ultrasound. You do not need insurance. We provide this as a service to you and your unborn baby. Our pregnancy center is a nonprofit organization, and we are here to support you. We keep your information completely confidential and do not profit from any decision you make. For more information about pregnancy centers, click here. (1)

WHEN DONE BY A CERTIFIED HEALTH CARE PROVIDER, ULTRASOUNDS ARE SAFE FOR YOU AND YOUR BABY.

Early ultrasounds are medical diagnostic procedures. An ultrasound machine is safe when used by a certified health care provider. If you schedule a prenatal ultrasound with us, you and your baby will be free of any dangerous risks. (2)

We understand if you are anxious to see your ultrasound image and we are happy to show you images from your ultrasound scan. Keeping that in mind, the reason for an early ultrasound is to help you know about your health and your developing baby. For that reason, we encourage you to view this procedure as a medical process that serves your health and your baby’s health. There is more information about common reasons for early ultrasounds below.

PREPARING FOR YOUR ULTRASOUND

There are a few things you might find helpful to know before scheduling an appointment with us. The first thing to know is that we may ask you to drink fluids and avoid urinating for a specific amount of time before the procedure. (More about this in the next section.)

We also want you to know that you do not have to come to your appointment alone. If you would like, you may bring your husband or boyfriend, a parent, or another supporter. It may be helpful for them to be aware of how things are developing with your pregnancy as well.

HOW EARLY ULTRASOUNDS WORK AND WHAT THEY LOOK LIKE.

A fetal ultrasound, also called a sonogram, produces images of your baby in the womb by using high-frequency sound waves.

Early ultrasounds are done in the first 14 weeks of pregnancy and show images of the baby’s early development stages. (3) Routine ultrasound images are typically black and white. They are usually somewhat fuzzy but are detailed enough to show us what we need to know about fetal growth. For this reason, it may not be easy for you to identify exactly what you are seeing on the screen. We’ll help you understand what we’re seeing and what it means. We will also give you the option of keeping a few printed images from the scan.

There are a few things you will notice when you look at the ultrasound screen. You will see a white image of your baby and umbilical cord, against a dark background. Your doctor will learn a lot of important information about your developing baby by observing these images.

For example, a 7-week old baby is just the size of a blueberry, but already has developed limb buds, outer ears, and nearly complete eyelids. At this stage, your baby also has an increased heart rate since the last week and cells that are developing muscles and a spinal column. (5)

We share more details about what we can learn together after we cover the two types of ultrasounds.

THERE ARE TWO TYPES OF EARLY ULTRASOUNDS: ABDOMINAL AND VAGINAL.

The transabdominal or standard ultrasound is what you’re probably picturing. (4) To prepare for transabdominal ultrasounds, we ask you to drink a few glasses of water a couple of hours before the procedure. This is because a full bladder helps the high frequency sound waves move more easily, to help provide a clear picture. (6)

This is a painless procedure and it usually takes about 20 minutes. To begin, we will ask you to lay on your back on an examining table. Next, we will apply a gel to your abdomen and move a scanner over it. The scanner is a small, hand-held device that is connected to a screen which instantly shows images.

Vaginal Ultrasounds

Another type of ultrasound is transvaginal ultrasound. These are usually done for the early stages of pregnancy, or when the images from a transabdominal ultrasound are not quite clear enough. We do not provide this type of ultrasound, but it may be helpful to know about it because it is common.

For this procedure, your health care provider will likely ask you to change into a gown and undress from the waist down. Next, you will lie down on an examining table and place your feet in stirrups.

For this process, your health care provider will use a small, slender scanner. The scanner is shaped like a wand. It is covered with a plastic sheath and lubricated before being placed into your vagina. The process is also about 20 minutes long and may cause some discomfort, but shouldn’t be painful. (3)

Both types of early ultrasounds are for early pregnancy, in your first trimester. To learn more about additional ultrasounds in the second trimester or third trimester of pregnancy, click here. (7)

COMMON REASONS FOR AN EARLY ULTRASOUND.

One of the most common reasons for an early ultrasound is to confirm pregnancy, which your doctor can also confirm with a blood test. Other reasons include: checking if there is more than one baby and determining your baby’s gestational age, health, and location. Gestational age estimates the weeks of gestation to determine your baby’s due date.

When it comes to your baby’s health, we will be checking on your baby’s heartbeat, muscle tone, movement, and determine if there are any birth defects. (3)

Location is something we will look for, because in certain cases a baby may be developing outside the main cavity of the uterus. This is called an ectopic pregnancy. Most ectopic pregnancies are in the fallopian tube and you can learn more here. (3) Additionally, we will be able to examine the health of your ovaries and uterus. (2)

LIMITS OF EARLY ULTRASOUND

Your ultrasound test will be 2D, not 3D images or 4D ultrasound. However, there is a lot of useful information we can learn together from your pregnancy ultrasound.

It will also be helpful for you to know about a few things that an early ultrasound cannot determine. First, it cannot determine your baby’s sex. This is because early ultrasounds are done in the first trimester, and a baby’s gender can only be determined after the second trimester, after 18 to 21 weeks of pregnancy. (3)

Second, ultrasounds in the first six to eight weeks of pregnancy cannot determine the presence of Down syndrome. Doctors don’t perform a nuchal translucency ultrasound for Down syndrome until 14–20 weeks gestation, and then only if a past screening test showed a problem. (3) For other types of ultrasounds and how they work, click here. (2)

What we learn about your health, and the health of your baby will help you make decisions that are best for you both. This is the first step in the process and we would love to go on the journey with you.

Ready to See Your Baby?

Book a Free Ultrasound with Us at Choice Care

Get My Free Ultrasound

Sources:

(1) Care Net. What is a pregnancy center?: Care net pregnancy centers. Pregnancy Centers.
https://www.care-net.org/what-is-a-pregnancy-center

(2) Mayo Foundation for Medical Education and Research. (2020, November 6). Fetal ultrasound. Mayo Clinic.
https://www.mayoclinic.org/tests-procedures/fetal-ultrasound/about/pac-20394149

(3) March of Dimes. (2019, October). Ultrasound during pregnancy. https://www.marchofdimes.org/pregnancy/ultrasound-during-pregnancy.aspx

(4) Riley, L., & Isidro-Cloudas, T. (2019, December 2). What to expect at your first ultrasound. Parents. https://www.parents.com/pregnancy/my-baby/your-babys-first-ultrasound/

(5) Riley, L., & Gough, K. J. (2009, November 5). Week 7 ultrasound: What it would look like. Parents. https://www.parents.com/pregnancy/week-by-week/7/your-growing-baby-week-seven/

(6) Better Health Channel. (2014, August, 31).
Pregnancy tests – ultrasound.
https://www.betterhealth.vic.gov.au/health/healthyliving/pregnancy-tests-ultrasound

(7) Harris, N., & O’Brien, T. (2022, June 14). Pregnancy ultrasounds week by Week. Parents. https://www.parents.com/pregnancy/stages/ultrasound/ultrasound-a-trimester-by-trimester-guide/

(8) March of Dimes. (2017, October). Ectopic pregnancy. https://www.marchofdimes.org/complications/ectopic-pregnancy.aspx

(9) American Pregnancy Association. (2022, February 11).
Ultrasound: Sonogram.
https://americanpregnancy.org/prenatal-testing/ultrasound/

Medical Abortion Experience: Nobody Told Me

Posted on May 20, 2025May 20, 2025 by Rudy

Medication Abortion Experience: 'Nobody Told Me'

Trigger warning: pregnancy termination (Medical Abortion or MA)

Harper* thought MA would be as easy as taking Tylenol for a headache. She took a pregnancy test early and wanted a self-managed abortion in the privacy of her own home. She had easy access to pills online, and assumed ending a pregnancy would be like miscarriage. Plus, she guessed she was about 10 weeks since her last menstrual period. She didn’t have to travel out of state for her abortion experience.

What does grapefruit have to do with induced abortion? Taking the pill isn’t going to be as safe and effective when there’s grapefruit in the mix!

Abortion Care

Harper took the first pill, mifepristone, as directed, and then a few hours after taking misoprostol (the second drug in the abortion pill regimen) she threw up and experienced severe cramping. The experience was worse than what they said. She was expecting period cramps, not labor.

“I literally gave birth, and nobody told me it would be like that. The contractions were so intense it was unbearable. About 15 mins before it was out I started telling my partner to call someone because I couldn’t handle it anymore.”

Next, her water broke, and then another push later baby came out quickly along with big clots. She immediately felt relief, so she grabbed a glove and fished the embryo out of the toilet. Harper noticed the legs were moving and she could feel the heartbeat in her hand. The heartbeat slowly faded and the embryo stopped moving. Harper was in shock and unsure what to do, after experiencing the most pain she’d ever felt in her whole life.

“Definitely [sic] the most traumatic thing either of us have been through. 🙁 ” she wrote. [1]

Are two pills safer than Tylenol? Your reproductive health matters. Legal abortion does not necessarily mean safe abortion.

More Abortion Experiences

Likewise, other individuals who decided to terminate their pregnancy share their stories about abortion at home.

“I had a MA at 14 weeks when I was 17 with pills I got online. I bled so much and it was the most horrifying, painful experience of my life. I would have been saved so much trauma if I had been able to consult with a doctor first who could’ve warned me that I’d see this and have to decide what to do with it.” [2]

Common themes include feeling unprepared by the abortion clinic, pain and bleeding, and other complications from medication abortion (infection, heavy bleeding for longer than 21 days). Often individuals have to seek a surgical evacuation for incomplete abortion.

Fast Facts about Medication Abortion

MA has a four times higher complication rate than surgical abortion [3]
Risks increase as the pregnancy progresses (pills are not FDA-approved after 10 weeks, regardless of your state’s legislation, or what Planned Parenthood says.) [4]
Skipping ultrasound runs the risk of undetected ectopic pregnancy (pregnancy outside the uterus). Half of women who have an ectopic pregnancy do not have known risk factors, per ACOG. [5] Two pills won’t treat an ectopic pregnancy.
People are not being screened for coercion or abuse. 67% of women described their abortions as either “accepted but inconsistent with their values and preferences” (43%) or “unwanted or coerced” (24%). Only 33% identified their abortions as wanted. [6]
Abusers may try to dose their pregnant victims without their knowledge or consent. For example, Robert Kawada is facing numerous charges including poisoning, assault, and battery for allegedly tricking his ex-girlfriend into taking pills to end pregnancy. [7]

Before You Get an Abortion

Want to talk to someone who won’t profit from your decision? Pre-abortion consultations at Choice Care exist to answer your reproductive questions. While you’re there, get a [referral for] an ultrasound.

When it comes to unplanned pregnancy, making the right choice can be extremely difficult. Each story is unique.

Another poster commented about health care professionals not giving people access to appropriate information:

“I’ve had the same.. they really should tell the patient this may happen. I was 9 ish weeks, came out the same. This is incredibly painful, emotionally damaging and not an easy decision to make. I wish people were more compassionate.” [8]

After Terminating a Pregnancy, Now What?

Did you numb out after your abortion? Or feel a mix of relief and regret? Whether you felt unprepared to see your unwanted pregnancy outside the womb, or your abortion was done in a clinic, find support for abortion healing.

Process your abortion procedure with our staff, some of who have their own abortion stories.

Disclaimer: We do not provide or refer for abortions.

Sources

*Harper’s story is an aggregate of women’s stories.

di Fiore, B. (2024, May 7). “I just want my baby back”: Reddit poster shares traumatic abortion pill experience. Live Action News. https://www.liveaction.org/news/baby-reddit-traumatic-abortion-pill-experience/
Short-Size838. (2023, July 21). 10 week old fetus. MedicalGore. https://www.reddit.com/r/MedicalGore/comments/155atyt/comment/jsx4qxz/
Niinimäki, M., Pouta, A., Bloigu, A., Gissler, M., Hemminki, E., Suhonen, S., & Heikinheimo, O. (2009). Immediate complications after medical compared with surgical termination of pregnancy. Obstetrics and gynecology, 114(4), 795–804. https://doi.org/10.1097/AOG.0b013e3181b5ccf9
Center for Drug Evaluation and Research. (2023, September). 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-mifepristone-medical-termination-pregnancy-through-ten-weeks-gestation
American College of Obstetricians and Gynecologists. (2020, April). Ectopic pregnancy. ACOG. https://www.acog.org/womens-health/faqs/ectopic-pregnancy Last reviewed: May 2024
Reardon D C, Rafferty K A, Longbons T (May 11, 2023) The Effects of Abortion Decision Rightness and Decision Type on Women’s Satisfaction and Mental Health. Cureus 15(5): e38882. doi:10.7759/cureus.38882
Pelisek, C. (2024, May 29). How a Mass. man was caught allegedly tricking his ex-girlfriend into taking pills to end pregnancy. People.com. https://people.com/man-allegedly-tricked-woman-pills-abortion-8655337
Otherwise_Grape262. (2021, July 21). 10 week old fetus. Medical Gore. https://www.reddit.com/r/MedicalGore/comments/155atyt/comment/jstuumw/