Philosophy of Care

Hope Medical Group has been providing quality abortion care since 1980. We are members in good standing of the National Abortion Federation and subscribe to NAF's Practice Policy Guidelines for the provision of abortion care. Hope Medical Group believes that ALL women have the right to quality abortion care tailored to meet their personal needs. Additionally, Hope Medical Group recognizes that deciding to terminate a pregnancy requires courage and is a decision worthy of respect. We treat women seeking abortion care with dignity and kindness — we do everything we can to ensure your visit to Hope Medical will serve your personal needs.

24-Hour State Requirement

Louisiana law requires that women receiving abortion services meet with a doctor for a state-mandated information session at least 24 hours prior to the performance of an abortion. This “doctor information” session can occur several days or weeks before the termination but MUST occur at least 24 hours before surgical abortion or administration of the abortion pill. The fee for this session is $50. Hope provides this physician consultation every day except Sunday at different times and it takes about one hour. So, for example, if you want to have your procedure on Saturday, you can have your consultation on Friday (or any other day of the week) and return on Saturday for the abortion. The state required doctor session takes approximately one to one and a half hours and includes filling out forms and talking individually with a trained, caring counselor and physician. We provide an ultrasound exam to determine your exact length of pregnancy so that you have all the information you need to decide what you need to do next. Hope Medical Group's orientation is toward serving you, and we will do anything we can to expedite this process to help you receive the quality care you are seeking. Limited financial assistance is available to help cover the cost of the procedure. Eligibility is based on income and family size and your counselor can help determine your eligibility during this first visit.

This state required doctor session appointment does not obligate you to terminate the pregnancy. So remember, if you are late, be early and schedule this appointment as soon as possible.

Medication Abortion: The "Early Option" Abortion Pill

Often termed the “early option” pill, medication abortion is a non-surgical method of terminating a pregnancy. This medication is not available through a pharmacist. Receiving Mifeprex (the abortion pill) requires that you come to Hope Medical Group to confirm the pregnancy is terminated after you have received the pill.

To receive Mifeprex, you must:

  • Be less than 56 days from the first day of your last menstrual period
  • Receive the state mandated counseling session by a physician in person at least 24 hours in advance
  • Be willing to undergo a surgical abortion if Mifeprex fails to terminate the pregnancy
  • Have a telephone and access to transportation
  • Be willing to return to Hope Medical Group for a check up to complete Mifeprex provision of care

You must have the state required doctor session at least 24 hours prior to receiving Mifeprex. During this visit you will review additional information to determine if Mifeprex is the right choice for you. State required “doctor sessions” are offered six days a week and include an ultrasound exam to determine your exact length of pregnancy. Hope Medical Group also offers early surgical abortion starting at three weeks from the last menstrual period (or one week pregnant) so if you are very early into your pregnancy either Mifeprex or early surgical abortion may be available to you.

If you decide on Mifeprex and meet the requirements, you can return on Tuesday morning, Thursday afternoon, or Saturday to receive the pill. It is also available on some Mondays and Fridays. After an examination, you will be given Mifeprex, to take orally. You will receive a prescription for four tablets of Misoprostol to use 24 to 48 hours after the Mifeprex. These tablets will be placed between your cheek and gum where they should remain for 45 minutes. This medicine causes your uterus to contract and expel the pregnancy. Most women will miscarry four hours after this but sometimes it can take up to ten hours to pass the pregnancy. Strong cramping and bleeding is not unusual as this medicine is inducing a miscarriage. Prescriptions for nausea and pain will be given.

When using Mifeprex you must be willing to return to Hope for a checkup in three weeks so we can ensure the termination is complete. If Mifeprex does not terminate the pregnancy you must be willing to undergo a surgical termination.

Further Information on Mifeprex can be found at:

Surgical Terminations

Surgical termination services at Hope now are offered earlier than ever before. There is no need to wait. Hope Medical Group begins early surgical termination as early as three weeks from the first day of the last menstrual period in a procedure that takes less than five minutes and feels like a hard, fast period. Medication is provided so a driver is required on the day you have a surgical procedure. Women are often surprised at how quick and simple the procedure is! When women leave the clinic they will feel like they are having a normal period and pregnancy symptoms begin to lessen almost immediately. Most women return to work or school the next day.

The procedure for abortion services up to 14 weeks LMP (last menstrual period) is vacuum aspiration. From 14 through 16.5 weeks LMP, the procedure is D&E (dilation & evacuation) which involves two to three hours of dilation. The dilation process and the abortion are performed in one day; however, the state required doctor session must be done at least 24 hours before the procedure is performed. Both vacuum aspiration and D&E are the safest and most modern methods known for these lengths of pregnancy.

First Trimester Abortion

Hope Medical Group can begin performing early surgical terminations as early as three weeks from the first day of the last normal period — two weeks into the pregnancy. First trimester procedures are performed by vacuum aspiration, the safest and most modern method known. This procedure can be done up to 14 weeks after the first day of your last menstrual period. The entire process — examination, counseling, lab test, abortion procedure, and recovery — is completed in one visit of approximately two to three hours. The procedure itself takes less than 10 minutes. Patients experience cramping similar to menstrual cramps as the uterus contracts and returns to its normal size. Patients are given medication prior to the procedure. When patients leave us they feel like they are having a normal period as the uterus returns to its normal size. Most women return to work or school the next day.

Second Trimester Abortion

This is performed by D&E (dilatation and evacuation), the safest and most modern method known for this length of pregnancy. It is done from the 14th week to 16.5 weeks after the first day of your last menstrual period. The dilation process and the abortion are performed in one day. Patients are given medication prior to the procedure The patient can expect to be at the clinic three to five hours and when patients leave us they feel like they are having a normal period as the uterus returns to its normal size. Most women return to work or school the next day.

Patients receiving first and second trimester abortion care at Hope Medical Group will need to have a driver as analgesic medication is given.

Our Schedule

Abortion services are provided on Tuesday mornings, Thursday afternoons, and Saturdays. All patients MUST receive the state mandated doctor session at least 24 hours before receiving a surgical or medicine abortion in the state of Louisiana. You can expect to be at the clinic approximately two hours when you come in for your abortion appointment; however, the procedure itself takes less than 10 minutes. If you are receiving surgical abortion care we ask that you have a driver as you will be medicated.

We provide the state required doctor sessions at different times every day except Sunday. These visits take about one hour and include an ultrasound exam. State law requires that these sessions be done at least 24 hours before the abortion but can occur several days or weeks before the procedure.

Parental Consent/Judicial Bypass for Minors

The state of Louisiana requires that all abortion patients under the age of 18 have written and notarized consent from a parent or legal guardian OR have permission from a judge.

Minors are encouraged to tell their parents about the abortion and have them sign a consent form which must then be notarized. The notarized form must state that the parent or guardian knows of the pregnancy and gives permission for the abortion. A notary can be recommended by a clinic staff member, or patients and their parents can write out the statement and have it notarized themselves (most banks have notaries on staff).

Minors who are unable to tell a parent about the abortion have the option of speaking with a judge to request a judicial bypass. By law, the bypass must be issued in the parish where the minor resides or the parish where the abortion is to take place. Hope Medical Group will provide the minor with the necessary forms at the first state required doctor session. If the bypass is sought in Caddo Parish, the minor will need to meet with a judge (we will provide directions to the juvenile court complex) to prove that she is of sound mind to make the decision without a parent.

Patients under the age of 18 who are married or have been married do not need parental consent or a judicial bypass (a valid marriage license must be brought to the clinic).

 

© 2011 Hope Medical Group for Women  210 Kings Highway, Shreveport, LA 71104  318-221-5500  Toll-free 800-448-5004

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