1st Trimester Abortion

Abortions before 12 weeks

Abortions can be performed as early as an intrauterine pregnancy can be identified by ultrasound, which is usually about 4-5 weeks after your last menstrual period (LMP). Use our Pregnancy Calculator to find the number of weeks and days you are.

In the first trimester, two options are available: Aspiration is done by a health care provider in the clinic or the Abortion Pill, which you take at home.

(800) 572-4223

Appointment Info

We can assist with transportation, lodging, and provide funding resources.

Our Renton clinic is 15 minutes from SeaTac International Airport.

The Abortion Pill

Medical Abortion up to 11 weeks

Also known as Medical or Medication Abortion, the abortion pill is an option from up to 11 weeks LMP. It is a combination of two medications, Misoprostol and Mifepristone, which, together, induce a miscarriage. Patients who choose this option must be willing to provide a mailing address, have a support network outside of the clinic, stay within 2 hours of a hospital, and return for a required follow-up appointment to ensure the abortion is complete. Occasionally, more than one follow-up appointment may be necessary. A Medical Abortion appointment may include:

Ultrasound (sonogram) to assess stage of pregnancy
Bloodwork
A review of your health history
Giving informed consent
Decision-making about birth control
Learning what to expect during and after the abortion
All of your questions will be answered; all of your options will be explained
The appointment may last anywhere from 3 to 5 hours

What to expect during your appointment

During your appointment, you will receive the first medication, Mifepristone, in pill form, and take it orally. You will be discharged with a bottle of 4 Misoprostol pills, medications for nausea and pain, and a scheduled follow-up appointment time. Then, 24 to 72 hours after swallowing the first pill, you insert the Misoprostol between your cheek and gums, allowing it to dissolve in your mouth. Generally, within 2 to 6 hours of inserting the Misoprostol, the miscarriage process begins, causing your uterus to contract and expel the pregnancy. Heavy bleeding and cramping are normal during this time and usually will lighten up to period-like bleeding or spotting, which may last anywhere from 2 to 8 weeks after using this method of abortion. We will provide you with written instructions along with a 24-hour number where you can reach us if you have any questions or concerns.

Aspiration

Aspiration Procedure from 13 -15 weeks

Aspiration is the medical term for an abortion routinely used up to 13 weeks LMP and on some occasions up to 15 weeks LMP. It is performed in the clinic by a health care provider who specializes in abortion care and takes less than 5 minutes to complete. Sedation is an option for the aspiration procedure. An aspiration appointment includes:

The ultrasound (sonogram) to assess stage of pregnancy
Bloodwork
A review of your health history
Giving informed consent
Decision-making about sedation and birth control options
Learning what to expect during and after the procedure
Performing the aspiration
Your in-clinic recovery time
All of your questions will be answered
All of your options will be explained
The appointment may last anywhere from 3 to 5 hours

What to expect during your appointment

After the abortion, depending on the optional sedation you selected, you recover within the clinic for about 20 minutes and then will be discharged with aftercare instructions, medications to be taken for the next week, along with a 24-hour number where you can reach us if you have any questions or concerns after the procedure. Patients who choose sedation must have a driver. You may return to work or school the next day. We recommend a follow-up appointment within 2 to 4 weeks from your aspiration procedure.

Side-by-side Comparison of Medical and Surgical Abortion

Side-by-side grid of the two options, download Comparison of Medical and Surgical Abortion.

Pregnancy Calculator

Enter the first day of your last period

Please use this calculator to help choose a procedure. Note: Seeing a trained medical professional is the only way to accurately determine the length of your pregnancy and what options are available. We offer free walk-in pregnancy tests at our locations in Renton, Seattle, Tacoma, and Yakima. Call for clinic hours.

Experience quality health care in a safe and responsive environment.

Every patient is treated with dignity and respect.

Our expert health care providers and staff at Cedar River Clinics will provide you with the time, attention, and special care you deserve. Cedar River Clinics is the only AAAHC accredited abortion provider in Washington, our clinics meet the rigorous standards for quality set by the Accreditation Association of Ambulatory Health Centers.

We offer the following support services and resources:

Confidential and secure health care services in clinic and online
Free language interpreters for phone calls and appointments
We accept private medical insurance and WA and AK Medicaid
We offer a sliding fee scale and can assist with funding resources
We can assist with transportation and accommodations
Free walk-in pregnancy test anytime during clinic hours