What are the Immediate Risks of Abortion?

June 8, 2011
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Before you decide what the end result of your pregnancy will be, you deserve to have all the information you need to make a decision you’ll never look back on with regret. If you need more information about abortion procedures, check out our blog by clicking here.


Abortion, like any medical or surgical procedure, carries several different risks. Serious medical complications such as bleeding, infection and damage to organs can occur during and/or after an abortion. There is also a higher chance of complications with later-term abortions compared with early abortions (1). Due to the fact that many women do not report their abortion, there is limited information about complications linked to abortion but the resources available report the following risks:


Heavy Bleeding

Some bleeding after abortion is normal. However, there is a risk of severe bleeding known as hemorrhaging if the cervix is torn or the uterus is punctured during the abortion. Whenever there is severe bleeding, a blood transfusion may be necessary. Severe bleeding can occur after both a surgical abortion and after taking the abortion pill. One in 100 women require surgery to stop the bleeding after taking the abortion pill (2).


Infection

Whenever medical instruments are inserted into the uterus, infection can develop. Infection can also occur if fetal parts are not completely removed during the procedure, known as an incomplete abortion. Bleeding and/or pelvic infection may require antibiotics and scarring is possible for the pelvic organs. There is always the possibility for the need of a surgical procedure to fully empty the uterus (3).


Anesthesia Difficulties

Complications with local or general anesthesia during an abortion procedure can lead to seizure, cardiopulmonary arrest, and death (4).


Damage to the Organs

The cervix and/or uterus may be cut, torn or punctured by abortion instruments. This may cause excessive bleeding requiring surgical repair. Abortion instruments may cause permanent scarring of the uterine lining. The risk of these types of complications increases with the length of the pregnancy. If complications occur, major surgery may be required, including removal of the uterus (known as a hysterectomy). If the uterus is punctured or torn there is also a risk that damage may occur to nearby organs such as the bowel and bladder (3).


Rh Factor

What is the Rh Factor?


Types of antigens on blood cells help determine whether someone’s blood type A, B, AB, or O. Antigens are proteins on the surface of the blood cells and one of those proteins is the Rh factor. If a person has the Rh factor, they are considered Rh-positive. If a person does not have the Rh factor, they are Rh-negative. Pregnant women who are Rh-negative should receive the Rhogam injection. If an Rh-negative woman does not receive Rhogam, her body can develop antibodies which causes her body to respond as if it is allergic to the baby if the baby is Rh-positive. (3)


Abortion and the Rh Factor


It is important to understand the seriousness of the Rh factor. Rh sensitization can occur any time the fetus’ blood mixes with the mother’s blood, which includes miscarriage, ectopic pregnancy, or abortion. Therefore, before a woman decides on an abortion, it’s important that she understand the risk of how the Rh factor may affect future pregnancies if not treated correctly.


Death

In extreme cases, complications from abortion (excessive bleeding, infection, organ damage from a perforated uterus and adverse reactions to anesthesia) may lead to death. The risk of death immediately following an induced abortion performed at or below 8 weeks is extremely low (approximately 1 in a million) but increases with length of pregnancy. From 8 weeks to 16-20 weeks, the risk of death increases 30 times, and from 8 weeks to 21 weeks and over, it increases 100 times (3).


Sources:

1. http://emedicine.medscape.com/article/795001-overview#showall

2. Mifeprex Package Insert FDA-approved label, July 2005.

3. Option Line: http://www.optionline.org/questions/considering-abortion/#note-21#note-21

4. http://emedicine.medscape.com/article/795001-clinical

September 30, 2026
If you took the first abortion pill, it’s possible to start wishing you hadn’t. The regret may have hit you immediately, or it might have taken a few hours to realize that you want to continue the pregnancy. Either way, there may still be something you can do: abortion pill reversal (APR) may be an option. The first drug used in the abortion pill regimen is usually mifepristone. If you have taken mifepristone but now want to continue your pregnancy, call the Abortion Pill Reversal Network at 1-877-558-0333 right away. Their Helpline is available 24/7 and can connect you with a medical provider who can administer APR. If You Have Only Taken the First Pill Mifepristone works by blocking progesterone. Progesterone helps maintain the lining of the uterus during pregnancy. When this hormone is blocked, the uterine lining thins, and the pregnancy ends. The second drug in the abortion pill regimen is misoprostol , which causes the uterus to contract and expel the pregnancy. Abortion pill reversal involves giving progesterone after mifepristone in an effort to allow the pregnancy to continue. Don’t Wait for Symptoms Before Calling You may wonder whether you should wait before deciding what to do. But if you want to try to continue the pregnancy, call first.  It’s critical to start the protocol as soon as possible, ideally within 24 to 48 hours of taking mifepristone. However, you should still call even when more time has passed; it may not be too late. A medical provider can determine whether APR may still be appropriate. Does Reversal Always Work? Abortion pill reversal cannot guarantee that the pregnancy will continue. One published study reported ongoing pregnancy rates of approximately 64% to 68% with certain progesterone regimens, but individual outcomes vary. The important thing is to get medical guidance quickly rather than trying to determine your chances on your own. What if You Already Took Misoprostol? If you have already taken misoprostol, contact a healthcare professional promptly and explain exactly what you took and when. You should also seek immediate medical attention if you develop symptoms that concern you or believe you may be experiencing a medical emergency. Make the Call Now Changing your mind after taking mifepristone can be frightening, especially when you’re unsure whether there is still time to act. You don’t need to figure that out yourself. Call the Abortion Pill Reversal Network at 1-877-558-0333 as soon as possible and tell them when you took mifepristone. They can explain whether abortion pill reversal may still be an option and connect you with an appropriate provider. You can also contact Collage if you need someone to speak with while you work through your next steps. We’re here to help you. *Collage does not provide or refer for abortions; however, we do offer pre-abortion screening through our no-cost services. **All abortion information in this blog is based on accurate information at the time of writing.
September 7, 2026
Seeing another positive pregnancy test after having had a past abortion may bring up memories or emotions from that experience. If you already know you don’t want another abortion, you may be wondering what other choices you have and whether either feels realistic for your life right now. You have time to learn about your options and the available support. Collage is here to give you a place to discuss your circumstances so you can decide what’s right for you. Schedule a no-cost appointment today to learn more about your pregnancy and what your next steps could look like. And read on to learn more about your pregnancy options besides abortion. Consider What Parenting Would Require You may want to parent but have concerns about whether you can make it work. Finances, housing, childcare, your relationship, work, or school can all influence how possible this option feels right now. Before deciding that those challenges make parenting unrealistic, it can help to identify your biggest concerns individually. Some of those concerns may have solutions you haven’t considered yet. Think about the support you already have, along with what you would need during pregnancy and after your baby arrives. Knowing where the gaps are can make it easier to find resources rather than trying to solve everything at once. Learn More About Adoption If you don’t want another abortion but aren’t ready to parent, adoption is another option. Today, a woman making an adoption plan can have a significant role in deciding what that plan looks like. Depending on the type of adoption, you may be able to choose an adoptive family and decide what level of contact you would like after placement. Open, semi-open, and closed adoption offer different levels of communication and privacy. Speaking with a licensed adoption professional can help you understand these differences, your rights, and what the process would involve before you make any commitments. Discuss Your Options in a Confidential Space Having had an abortion before does not mean you have to make the same pregnancy decision again. Your feelings, circumstances, priorities, or perspective may be different this time. If you know you don’t want another abortion, start by learning what parenting and adoption could realistically look like in your current situation. Collage provides a place to talk about your pregnancy and the concerns influencing your decision. We can also connect you with adoption agencies and community organizations that provide the support you’re seeking. Reaching out doesn’t lock you into a specific decision. Schedule a no-cost appointment with Collage today to get your questions answered and explore the options available to you. Collage does not provide or refer for abortions; however, we do offer pre-abortion screening through our no-cost services.
August 11, 2026
If your girlfriend is facing an unexpected pregnancy and considering the abortion pill, you're probably wondering about costs and whether insurance will cover it.
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