Medical and surgical termination of pregnancy
We care for people experiencing pregnancy loss as well as medical and surgical termination of pregnancy for all reasons, including fetal anomaly (abnormality) and maternal health conditions. You will be seen in a private and specialized outpatient setting. We will provide detailed counseling about pregnancy options and available procedures. We offer a full range of birth control services. If you have an emergency, you can reach us 24 hours a day. Our health care team is compassionate and sensitive to your individual needs.
To make an appointment for these services, please speak with a scheduling specialist at 503-418-4500. Your privacy, comfort and convenience are a priority.
Medication can be used to end a pregnancy at home, up to 11 completed weeks of pregnancy (77 days). Medical abortion uses two medications to end a pregnancy. You take the first pill, mifepristone, in the office with us. You take the second medication, misoprostol, at home one or two days later. These two medications work together to safely end the pregnancy. Learn more about medical abortion with mifepristone and misoprostol.
During the process, you will experience cramping and bleeding similar to a heavy period. After the medical abortion, it is normal to continue to have some spotting and/or bleeding, no heavier than a period, for about two weeks but sometimes as long as four weeks.
You will need a follow-up appointment to ensure that the abortion is complete. Medical abortion is about 95-98 percent effective. Counseling and support options are available to help you throughout the process.
Options for surgical abortion depend on the length of the pregnancy (gestational age) and other health considerations. We will carefully explain your options and what you can expect during and after treatment. Depending on the type of pain control management you desire, a procedure for a person with a pregnancy less than 12 weeks can occur during one visit. Beyond 12 weeks, it may take one or two clinic visits to gently prepare the cervix in order to safely perform the procedure. Counseling and support options are available to help you throughout the process.
Pain management options
- Local anesthetic with numbing medication around your cervix
- Oral medications to help you relax and to help control pain
- Moderate sedation with intravenous (IV) medication
- Deep sedation and general anesthesia (performed in the operating room)
Ending a pregnancy due to fetal abnormalities or maternal health concerns can be an extremely difficult choice. We provide both surgical and medical options if you have decided to end the pregnancy. We can perform genetic testing in cases of pregnancies with abnormalities. Counseling and support options are available to help you throughout the process.
Experts at the OHSU Fetal Therapy program and perinatology group specialize in high-risk pregnancy and fetal abnormalities and are available for consultation throughout the process. They can provide information about possible risks in future pregnancies.
- Pregnancy Choices: Raising the Baby, Adoption, and Abortion (English and Español ), from ACOG
- Unsure about Your Pregnancy: A Guide to Making the Right Decision (English and Español ), from NAF
- Pregnancy Options - This website has three guides with accurate, non-biased infromation about options.
- All Options - This website promotes judgment-free support for people no matter their decisions and experiences with pregnancy, parenting, abortion and adoption.
- Faith Aloud - This website offers compassionate, judgment-free support from trained clergy and religious counselors for those who are considering their options or want to talk about an abortion experience.
- Exhale - This website provides emotional health and well-being support after an abortion.
- Open Adoption and Family Services - This Pacific Northwest non-profit provides compassionate and supportive services related to parenting, abortion and adoption.