What surgical abortion means
A surgical abortion is a procedure in which a trained healthcare professional ends a pregnancy in a clinical setting. “Surgical” can sound alarming, so it is worth being clear: it describes a procedure, as opposed to medication. Your clinician will explain exactly what the procedure involves for you.
How eligibility is determined
As with any abortion care, the starting point is an assessment. Your clinician will establish how far along the pregnancy is, ask about your medical history and any medicines you take, and check for anything that would affect how your care should be provided.
Why the duration of pregnancy matters
Pregnancy duration is the single most important factor in planning care. It influences:
- which methods are clinically appropriate
- what preparation is needed beforehand
- who may legally provide the service
- the circumstances in which the law permits a termination
South Africa’s Choice on Termination of Pregnancy Act sets out different conditions for the first 12 weeks, for weeks 13 to 20, and after the 20th week. Our guide to termination of pregnancy law in South Africa explains these in plain language.
What the consultation involves
The consultation is your opportunity to understand your options before deciding anything. You can expect an explanation of the procedure, the risks and alternatives, the pain relief available, how long you are likely to be at the clinic and what recovery involves. You can ask for anything to be repeated or explained differently.
What happens before the procedure
You will be given instructions that are specific to you — for example about eating and drinking, medicines, what to wear and bring, and getting home. Follow the instructions your clinician gives you rather than general advice found online.
What you can expect afterwards
Some cramping and bleeding afterwards is expected. Before you leave you will be told what is normal, what is not, how to look after yourself, and who to call. Many people find it helpful to have a quiet day planned.
Aftercare
Aftercare includes written instructions, a way to reach us with questions, and follow-up to check that you are recovering well. Contraception can be discussed if you would like. Read more about aftercare and follow-up.