induction abortion
Induction abortion is a method used beyond 14-16 weeks of the pregnancy.
Induction abortion is a method most often used later in pregnancy, typically after 14–16 weeks. This method relies on medications to bring on labor. The medications cause the uterus to contract, dilate the cervix, and eventually expel the pregnancy. Because the process mimics labor and delivery, it can take anywhere from several hours to one or two days, depending on how the body responds.
This type of abortion is not as common—fewer than 1% of abortions in the U.S. occur at this stage of pregnancy. When it is chosen, it is most often due to serious fetal anomalies diagnosed later in pregnancy, or in situations where it is considered the safest medical option for the pregnant person. Some patients and providers also prefer induction abortion because it allows for the possibility of holding or seeing the fetus afterward, which can be an important part of grieving or closure.
What to Expect
You will usually be admitted to a hospital or specialized clinic where the process is closely monitored.
Medications (such as misoprostol, mifepristone, or others) are given in timed doses to stimulate contractions and soften the cervix.
Pain management options—ranging from IV pain medications to an epidural—are often available to help keep you comfortable.
Throughout the process, nurses and doctors monitor bleeding, contractions, and overall wellbeing.
Use of KCL
In some cases, particularly for later gestations, doctors may use an injection of potassium chloride (KCL) or digoxin directly into the pregnancy before induction begins. This step ensures the pregnancy has ended before labor is induced. Not all induction abortions include this step, but some providers or hospitals may recommend it depending on the stage of pregnancy, medical protocols, or legal requirements in certain states.
Why Induction Abortion May Be Chosen
It may be the safest option based on gestational age, medical history, or health conditions.
Some patients prefer it because it allows for the possibility of holding or seeing the fetus afterward, which can be an important part of grieving or closure.
It may be recommended when other procedures (like D&E) are not available locally.
Bottom Line
Induction abortion is a safe, medically supported method of ending a pregnancy in the second trimester or later. While it can be physically and emotionally intense, having clear information about the process, pain control options, and supportive care can make it more manageable.
