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Abortion
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- We
have been offering a medical abortion alternative to
women since 1995 when it was apparent that RU-486 was not
going to make it quickly into this country. The use of
methotrexate was already well established for treating
ectopic pregnancies, and we participated in some of the
first large scale trials of its use for elective early
abortion in San Francisco in 1994-1995.
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- We
are now pleased to offer the recently FDA-approved
RU-486. This drug ends pregnancy in the first 7 weeks and
only requires a 2-3 day process. Although the cost of the
medication raises the price, it saves time and most women
who use this method would choose to do so again if
necessary.
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- Currently,
25-30% of women with early pregnancies (less than 9 weeks
from last menstrual period) opt for the non-surgical
program (NSAP). They pay about the same as they would for
an abortion under general anesthesia, but instead are
able to have a "miscarriage" at home in private and
surrounded by friends and/or family. There is an
ultrasound done before and after the program is
initiated, and the usual blood type and count testing are
done.
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The
NSAP experience at BVWCC has been extremely satisfying to
patients and to staff. We are able to offer the option
six days a week and have so far taken care of thousands
of women in this way. Our success rate is 99%, almost the
same as the published rates of successful surgical
abortion. When we do have a failure or a woman becomes
impatient with the process (it does take 5-6 days to
complete) we offer a standard surgical abortion for no
extra cost.
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- If
the patient decides to have a non-surgical abortion, it
is best to begin as early in the pregnancy as possible.
This results in the least bleeding and best success
rates. Medical abortion is at least as safe as
surgical abortions, but does require a follow-up
visit.
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