About your Appointment

Please note: Some people have severe reactions to scented products. Thank you for not wearing perfume and reducing other scents when visiting the clinic.

 

Your appointment will NOT be at the Graham Ave. location. Your appointment will be at WHC Portage – which is located here:

346 Portage Avenue, Unit 2 (2nd Floor)
Winnipeg, Manitoba

Street entrance: Use the door at 350 Portage Avenue; take the elevator or stairs to the 2nd floor.

Medical Abortion

  1. Arrive at WHC at your appointment time.
    Please note: Due to the length of your appointment and the size of our waiting room, we ask that if someone brings you to your appointment, that they drop you off and return to pick you up once you are done.
  2. Fill out forms in the waiting area.
  3. Have an ultrasound to check for gestational dates.
  4. See a counsellor to discuss medical abortion, how to take the medications at home, what to expect after you take the medications, possible complications, and how to take care of yourself in the hours and days after taking the medications, review birth control plan, and how you can get birth control supplies through WHC if needed.
  5. We will take blood for RH testing and Beta HCG (pregnancy hormone) test, and urine for chlamydia and gonorrhea screening. Screening for HIV, syphilis, hepatitis B/C is optional.
  6. See a doctor and swallow the first pill, mifepristone. After taking this pill, the effects are not reversible. Some people may have bleeding after taking this medication. Very few people pass the pregnancy after taking this medication.
  7. Go home and after 24-48 hours, place 4 pills of mifegymiso in your cheeks. Leave these pills in your mouth for 30 minutes. After 30 minutes, swallow the remainder of the pills by drinking a glass of water.
  8. In 30 minutes – 4 hours, you can expect moderate to severe cramps and very heavy bleeding, similar to a very heavy period. Expect clots as large as lemons.
  9. If you saturate 4 large pads in 2 hours, call the Emergency On-Call number you were given at your appointment or proceed to the nearest emergency room. This may be too much bleeding.
  10. Just before passing the pregnancy, you will likely have the most severe cramps and the heaviest bleeding.
  11. You must have follow-up blood work done a week after your first appointment to ensure the abortion was successful. You must also be able to have a phone follow-up with Women’s Health Clinic.
  12. Light bleeding may continue up to 4 weeks after a medical abortion.

Surgical Abortion

  1. Arrive at WHC Portage at your appointment time.
    Please note: Due to the length of your appointment and the size of our waiting room, we ask that if someone brings you to your appointment, that they drop you off and return to pick you up once you are done.
  2. Fill out forms in the waiting area.
  3. Have an ultrasound to check gestational dates.
  4. See a counsellor who will discuss your feelings or concerns about the pregnancy and having an abortion, explain the abortion procedure and the medications we use, answer any questions you have, review birth control plan, and how you can get birth control supplies through WHC if needed.
  5. Get changed into a clinic skirt, and meet with a nurse who will review your medical history, take your blood pressure, start an IV and give you medication (naproxen) to reduce cramps. Note: If you are between 14-16 weeks pregnant, we may use a different method of dilating (opening) the cervix. We will give you medication (called misoprostol) 2-3 hours before the procedure to soften the cervix for easier dilation.
  6. Go into a separate room to have the procedure done. There will be a doctor, a nurse, and a medical assistant in the room with you. The doctor will:
    • review your medical history and answer any questions you have, and offer you strong pain medication to reduce the discomfort of the procedure
    • ask you to lie on an exam table with your legs in rests (like having a pap smear)
    • perform a gentle pelvic exam to determine the size and shape of your uterus
    • insert a speculum into your vagina
    • after taking swabs for gonorrhea and chlamydia screening, your cervix will be gently opened with dilating rods
    • remove the contents of the uterus by using suction
  7. We use the safest and simplest abortion method. The purpose of the procedure is to remove all the tissues of the pregnancy. The abortion procedure itself usually takes less than 10 minutes.
  8. The nurse will take you to the recovery area. You may have a variety of physical and emotional feelings. Normal physical reactions range from feeling fine to feeling dizzy, nauseous or weak. Normal emotional reactions may include feeling sad, or relieved and relaxed. A nurse will review the aftercare instructions with you so you know how to take care of yourself after you leave the clinic.
  9. A follow-up appointment is not required for a surgical abortion.