Low Income Patients | HERSmartChoice

Low Income Patients

Abortion For low income 

Unwanted pregnancy can put a lot of stress on the physical and mental health of a woman. In such situations, Termination of Pregnancy (TOP) or abortion can be a blessing for her. The
termination can be safely performed until the end of the second trimester as per state law. There are two types of procedures available for Termination of Pregnancy.

● Medical Abortion: Use of medicines for termination of pregnancy upto 10 weeks or 70 days.
● Surgical Abortion: Use of surgical methods for termination of pregnancy

 

How to Qualify for Free Abortion 

As a Medi-Cal , Family PACT and Presumptive Eligibility (PE) Medi-Cal Provider, Her Smart Choice has the ability to enroll financially qualifying patients at the time of their appointment, allowing us to provide abortion services at NO COST. Patients have to bring in proof that they live in California and fill out a form about details of their income. Our staff will verify the information. The total time needed to verify your qualification will be less than an hour. If the patient qualifies, the abortion services will be free of cost.

Abortion Pill

When to choose medical/chemical abortion?
● If a woman prefers medications over a surgical procedure
● Up to 70 days of pregnancy, it is considered more effective than surgical abortion
● If a woman has congenital deformity of uterus or narrowing of the lower part of uterus (cervix)
● The woman can take some medications at home, which is more convenient

 

Pre-abortion procedures:

Abortion can be a mentally stressful procedure, so counselling holds an important place in pre-
abortion procedures. The main objectives of this counselling are
● Help the woman to take an informed decision
● Provide knowledge about the procedure
● Remove the anxiety related to the procedure

This counseling can be performed by a nurse, doctor or even an experienced counselor. During counseling the woman is given pregnancy options counselling and informed consent related counselling. A woman may have variety of reasons for opting for an abortion. The counselling helps in taking the correct decision without any mental stress. The counselling also gives an opportunity to prepare the woman for possible adverse effects of the medical abortion. Your doctor will have to ascertain few things before he/she can administer the procedure. These include following investigations.

● Ultrasonography for confirmation of pregnancy and estimation of duration of pregnancy
● Measurement of vital signs (Temperature, Pulse, Blood Pressure, Respiratory Rate, )
● Blood grouping
● Lab tests for sexually transmitted diseases

How this regimen is used (FDA regimen)?

3 days and at least 2 visits to a clinic are required for this method.

Day 1

During initial visit, history is taken and examination of the woman is done followed by pre- abortion counselling and investigations. Once the consent is obtained and contraindications are excluded, a tablet containing 200 mg of Mifepristone (RU-486) is given orally to the woman and advised to re-visit on day 2-or 3

Day 2 0r 3

She is given the second tablet containing misoprostol (800 microgram) on day 2 or 3 at clinic. Usually following consumption of second tablet, there will be bleeding from vagina and cramps will be felt in the abdomen. This is due to contraction of uterus and expulsion of aborted products of pregnancy. Antibiotics may also be given to prevent the infection. A pain killer medicine can be given to alleviate the pain.

Follow up visit-

She is advised to visit on day 15 for re-examination and to ascertain that the abortion is complete. It also gives an opportunity for a doctor to check the health status of the woman. Just like in the earlier regimen the woman is asked for a follow up visit on the 15th day. Call us to find out contraindications of regiment.

VIDEO OF THE PRACTICE :

 

Her Smart Choice Video 2 :

 

Her Smart Choice Planned Parenthood
Same day appointments available Usually have to wait 2 to 3 weeks for

an appointment

Physician available 24/7 for
questions and phone consult
Difficult to reach any Staff
Minimal Waiting time under 1 hour Usually takes up to 3 or 4 hours
We answer immediately for
appointments and other questions
You need to wait 15-30 minutes to get
someone on the phone.
Low income eligibility for free
abortion pill done within 30
minutes
Patient have to spend more than 4
hours to determine they are eligible
Walk-in patients welcome at all
times
You need appointment to be seen

 

Frequently Asked Questions:

According to guidelines by Food and Drug Administration of United States, these regimens are highly effective and should be used for termination of pregnancy of less than 70 days.

The pain associated with medical abortion is varied but one should expect some degree of mild to moderate abdominal pain depending on their pain threshold and the gestational age of the pregnancy.

The price of a medical abortion would depend on the center where the abortion is carried out, the type of abortion that is done and the gestational age of the pregnancy.

Most insurance companies do cover medical abortion but it is always important to check with your insurance provider to confirm.

Minors generally require parental consent, but it is also important to find out about abortion laws relevant to your state of residence.

Women who are rhesus negative would need to receive this anti-D immunoglobulin after a medical abortion to prevent miscarriages in subsequent pregnancies.

After taking the second tablet, you may feel abdominal cramps as you begin passing the products of pregnancy. You may take pain killers to relax you and allow the pill to work.

Consult your doctor on this matter. You may be advised not to take a bath immediately. This is to prevent infection due to water entering the exposed area.

You may choose to do so, but remember that it can take 40-60 days before the pregnancy test becomes negative. If you take a test immediately afterwards, you will still get a positive result.

If you are working with qualified doctors and nurses, they will always maintain patient confidentiality. There is no need of worry about your privacy or information being leaked.

It is said that medical abortion is more effective than surgical abortion in the early stages of pregnancy. For pregnancy of less then 7 weeks old, this method will be 98% effective. After that the effectiveness will decrease, but still remains as high as 95%.

Yes. Mifepristone and methotrexate need some time for their work. Only after that the misoprostol will be effective in expelling all the content. So you need to keep some distance between two pills.

There are alternative regimens available, but they are used less. Sometimes a single pill is used but studies have shown that to be 70-85% less effective than the combination of 2 pills.

For mild to moderate pain, you can take Tylenol (500-1000 mg). If pain is more severe, you may take ibuprofen (200-600 mg). In extreme cases, codeine may be prescribed.

If you have fever, nausea, vomiting, diarrhea, or lower abdominal pain after medical abortion, you can suspect infection. You should immediately contact a doctor as this is a dangerous condition.

If medical abortion fails, it can be followed by repeat medical or surgical abortion. There are not enough evidences available to show that abortion pills can cause anomaly in embryo except for methotrexate.

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