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On the day of your abortion 

MSI Reproductive Choices UK 20230605_0554

Home      What to expect from an abortion      On the day 

After your consultation: arranging treatment 

At the end of your consultation, your abortion treatment will be arranged. What will happen on the day of your treatment appointment will depend on the type of treatment you are having. 

If you are having a medical abortion, you will either be offered an appointment at one of our clinics (if you are required to have a scan), or you will be you will be booked for a phone call with one of our nurses where you will decide whether the abortion pills will be posted to you, or whether you will collect them from one of our clinics. In both cases, you will take the abortion pills at home. 

If you are having a surgical abortion, you will attend a clinic. Depending on your gestation (how many weeks pregnant you are), you may have to attend between 2 – 3 appointments. 

Keep reading to learn what to expect on the day of your appointment for each treatment type. 


What to expect on the day of your medical abortion appointment at one of our clinics

  • Please arrive 10 minutes before your appointment time. Please attend your appointment on time or your appointment may not go ahead. 
  • You should be prepared to be at the clinic for up to 90 minutes.
  • Please bring any medication being taken, any relevant referral or medical paperwork (if applicable).
  • During your appointment, you will pick up the abortion pills and our nurses will give you clear, detailed instructions on how to take them. They will also give you a medical abortion treatment and aftercare booklet which details how to take the pills, and the pain relief you may find useful.  
  • You may be asked to take the first pill (mifepristone) at the clinic. If this applies to you, this will be explained during your appointment. 
Nurse telling client how to take abortion pills

What to expect on the day of your medical abortion at home (telemedicine) 

During your phone call with a nurse, it will be decided whether you will collect pills from one of our clinics, or have them sent to you in the post.  

If the pills are sent to you in the post, they will be delivered in a discreet package that fits in your letterbox and sent first class. Please allow 48 hours following your consultation with the nurse for your package to be delivered. If after 48 hours you haven’t received the package, you may call us back. 

How to take abortion pills 

Whether you’ve visited a clinic for a scan, picked up your pills at the clinic or received the pills in the post, a nurse will give you detailed instructions on how to take the pills.
  
If you want to know the steps on how to take the pills, visit our medical abortion page.  

What to expect on the day of your surgical abortion appointment 

Depending on your gestation (how many weeks pregnant you are), you may have to attend between 2 and 3 appointments, as follows:

  • Your first appointment will be your pre-assessment appointment. If you are under 19 weeks, this will be followed by your surgical treatment appointment. 
  • If you are over 19 weeks, you will have to attend 2 further appointments (cervical preparation appointment and surgical treatment appointment). 

Nurse using scan machine

The first appointment you will attend: surgical pre-assessment

  • You should be prepared to be at the clinic for about 1 hour. 
  • You will see a healthcare professional who will review your medical history and carry out relevant pre-treatment tests. 
  • At your appointment you will have a scan and relevant tests.
  • The cervix (neck of the womb) needs to be prepared before the procedure. If you are below 19 weeks, this is done with tablets. You will be provided with information about when to take the tablets – this will be either 2 days before your procedure, on the day of the procedure or both.  
  • You will be booked onto the next available surgical appointment list on a different day. 
  • Please bring any medication being taken, your referral paperwork and scan documents you may have (if applicable). 
  • Please attend your appointment with a full bladder as you may need to be scanned. This helps to give a clearer picture. 
  • The healthcare professional will explain the surgical treatment process and go through some forms with you, which you may be asked to sign. 
  • At the end of the pre-assessment appointment, your healthcare professional will confirm that you know what to expect and your surgical treatment appointment will be booked. 

The next appointment you will attend: surgical treatment 

Before a surgical abortion, we will check that your blood pressure and pulse rates are at a safe level. We understand that times of stress or anxiety can affect blood pressure and pulse rate. If your pulse and blood pressure are high, we may suggest that you have a little walk or a sit down to try to relax. When you feel more relaxed, we can assess your blood pressure again.   

You should be prepared to be at the clinic all day. 

Shortly after arriving for your appointment, you will see a healthcare professional who will carry out some checks in preparation for your treatment. 

Depending on how many weeks pregnant you are and your medical history, you may have already taken the tablet to prepare your cervix. If not, you will be asked to take some tablets then wait 1-3 hours before you are ready for your treatment. 

Your treatment will then take place under a light anaesthetic and lasts around 10-15 minutes. If you are less than 12 weeks pregnant, it may be possible to have the treatment under local anaesthesia, however this is subject to assessment by the surgeon and cannot be guaranteed before the surgical treatment appointment. If you are considering local anaesthesia, please discuss it with the nurse during your pre-assessment appointment. 

You cannot drive yourself home after treatment under light anaesthetic. 

If you are over 19 weeks gestation, your surgical treatment involves two different stages that happen over two days. 

Stage 1: Cervical preparation 
If you are over 19 weeks of pregnancy, the cervix (neck of the womb) will need to be prepared before your surgical treatment. The involves placing small rods in the cervix that gradually expand overnight to make it soft and stretchy. 

This short (around 10 minutes) procedure is like having a cervical smear test or gynae examination. You will be awake, and it may be a little uncomfortable but is not usually painful. 

You can eat and drink as normal before and after this procedure. 

If you are over 22 weeks of pregnancy, an additional procedure called feticide may be performed during your cervical preparation appointment. We will discuss this with you during the appointment.
  
Stage 2: Surgical treatment preparation 
You should be prepared to be at the clinic all day. 

Your surgical treatment will take place on the day after your cervical preparation appointment.  
Shortly after arriving for your appointment, you will see a healthcare professional who will carry out some checks in preparation for your treatment. 

Your treatment will then take place under a light anaesthetic and lasts around 15-30 minutes. 

You cannot drive yourself home after your appointment. 

Nurse walking client through consent form

Consenting to your abortion  

Before consenting to your abortion, we will explain all of the known side effects, risks, and possible complications of your abortion treatment to you.  

If you have any questions, a nurse will be able to answer them for you, so please feel free to discuss anything.  

Ahead of your appointment, you will be sent a consent form so that you have time to familiarise yourself with it and prepare any questions you may want to ask during your appointment. 

We will not proceed with abortion treatment unless you are certain of your decision. We have counsellors that you can speak to on the telephone ahead of your appointment if you would like. 

Abortion aftercare 

We are here to support your recovery after an abortion. Recovery time after an abortion will be different for everyone, but you’ll usually feel better within a few days. We have a 24-hour dedicated aftercare line, where you can talk to one of our nurses about your aftercare and recovery: 0345 122 1441


Learn more about abortion 

Visit the pages below to learn about how to support your recovery and aftercare after an abortion, find out about how to access contraception as part of abortion care, and read abortion stories from our clients. 

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Abortion aftercare and recovery 

Learn more about what to expect following an abortion and how to support your recovery. 

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Post-abortion contraception  

Learn more about contraception as part of NHS-funded abortion care.  

MSI Reproductive Choices UK 20230612_0680

Abortion stories 

Read abortion stories from our clients to find out what to expect.