A D&E (dilation and evacuation) procedure is performed to end pregnancy between the 14th and 24th weeks from the first day of the last menstrual period (LMP). At our practice, we strive for an induction abortion for patients who are more than 22 weeks. The procedure is usually a 1-3 day process, depending on how many weeks pregnant you are and medical history. First, an ultrasound will be done. This is done by passing a microphone-like instrument over your abdomen which measures the size of your pregnancy. The final decision as to whether the D&E may be performed in the clinic will depend on your medical history, physical exam, lab tests, and the doctor’s evaluation. The first day of the procedure you will have laminaria (FDA approved dilators) inserted into the opening of the cervix that absorb bodily fluid to cause dilation. The second day, the procedure will be performed. Some procedures are 4 days depending on medical history. The first 1-2 days are used for dilation; the procedure will be performed on the last day where the doctor removes all of the pregnancy tissue and empties the contents of the womb. 

After this, you will spend as much time as you need in the observation room with a patient care technician. When your condition is stable and you are ready to leave, you will receive the necessary prescriptions and follow-up instructions, including what you should do in the event of a complication.