Second Trimester Surgical Abortion Care
From 14 to 24 weeks

Safe And Compassionate
Abortion Care

Second Trimester Surgical Abortion Care - From 14 to 24 weeks


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 womb that absorb bodily fluid to cause dilation. The second day, the procedure will be performed. Some procedures are 3-4 days depending on medical history. The first 2-3 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.

We're Here To Help!

Services provided in Bellevue, Nebraska or Bethesda, Maryland

Select Your location


For Abortions up to 11 Weeks

Bellevue, Nebraska

For Abortions up to 28+ Weeks

Bethesda, Maryland

What sets us apart?

CARE can get you in for your appointment within the week. Our usual wait for an appointment is less than 3 days.

CARE was one of the eleven sites in the United States selected to perform the research that lead to the FDA approved version of the French abortion pill (RU-486).

CARE provides all patients with care based on our belief that every patient should be treated with kindness, courtesy, justice, love and respect.

CARE provides 24/7/365 direct access to your physician for your questions, concerns and treatment of any problems.

CARE provides all medicines you need, including pain medication, at no extra cost.

CARE provides you with on site, physician reviewed ultrasound.