When you call for an appointment our nurse will ask you for the first day of your last normal menstrual period. This date lets her estimate the number of weeks you have been pregnant. If you are 13 to 24 weeks pregnant, you are in the Second Trimester of your pregnancy. Abortions performed during the second trimester of a pregnancy are called dilation and evacuation (D&E). A second trimester abortion is performed in two consecutive days. On the first day, cervical dilators will be inserted into the cervix to gently and comfortably dilate the cervix through the night.
p>We ask that you remain with a 50 mile radius from our office after the
laminaria have been inserted. Please remember that you must have an
escort accompany you home on both days. You will return to our Bronx
Office the next morning at 7:30am.
On the second day of your Second Trimester Abortion, you will be attended
by our experienced counselors, anesthesologists, nurses and doctors
will monitor your vital signs and provide you with anesthesia.  For
the second day procedure, you will be asleep for approximately 5-15
minutes.  Once asleep, the pregnancy tissue will be removed.  The surgeon
will insert a speculum in the vagina to improve access to the cervix. 
The cervical dilators will be removed and the pregnancy tissue will
be removed from the uterus via the dilated cervix.  The surgeon will
apply gentle suction to the lining of the uterus to ensure that all
pregnancy tissue was removed.  Finally, the surgeon will massage your
uterus to control bleeding and help
the uterus contract to its normal size.
All second trimester abortion patients
receive prescriptions of medications to take at home.
You will take antibiotics to prevent infection. You
will also take medication to help your uterus
return to its pre-pregnant size.  
You may return to the office for your free postoperative appointment within
2-3 weeks. A healthcare provider will discuss birth control with you
at that time.
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