Surgical 2-Day Abortion Services in Baltimore

(18–22.6 Weeks)

At FemiCare, we provide specialized care for patients seeking later abortion services during weeks 18–22.6 of pregnancy. Our two-day protocol is designed to ensure your safety and comfort, with advanced medical techniques and compassionate support throughout the process. We proudly serve patients in Baltimore and surrounding areas, including Timonium, Lutherville, Towson, Roland Park, and Mt. Washington. The experienced Femi-Care medical team is committed to offering confidential, expert care in a nonjudgmental environment.

Two-Day Protocol for Later Abortion Procedures

Your first visit includes:

  • Comprehensive Consultation: Private discussion with your physician to review your medical history and answer your questions.
  • Lab Work and Ultrasound: Confirm pregnancy gestation and assess overall health.
  • Mifepristone Medication: Taken to prepare your body for the procedure.
  • Feticidal Injection (If Over 20 Weeks): Administered as necessary to ensure the safest process.

After your first visit you can return home and resume normal activities, with no restrictions on light daily tasks. Our office may give you additional instructions on the first day.

Your second visit includes:

  • Morning Arrival: Begin your procedure day with support from our caring staff. (You must have a driver present at the time of check-in)
  • Cervical Preparation with Misoprostol: Gentle preparation to ensure a safe procedure.
  • The Procedure: Performed under moderate sedation by experienced physicians using advanced dilation and evacuation (D&E) techniques.
  • Recovery and Monitoring: Rest in our private recovery area with professional monitoring and light refreshments.
  • Same-Day Discharge: Most patients are discharged within 30-45 minutes after the procedure is completed and can continue recovery at home.

The two-day protocol is required for all patients seeking abortion services at 18 weeks or beyond (exceptions apply). You must bring a driver on your second day. Additional planning may be needed for:

  • Minors: Please call the office to discuss scheduling. 
  • First Pregnancies: May require more cervical preparation.
  • Medical Conditions: Such as high blood pressure or diabetes.
  • History of Cesarean Sections: May need adjustments in care protocols.

Our team will work closely with you to create a plan tailored to your specific needs.

Financial Considerations: We accept most insurance plans and provide financial assistance for qualified patients. During your consultation, we’ll review transparent pricing and payment plans to ensure you have all the information you need. Visit our Fees page for more info.

Your Care, Your Choice — We’re Here for You

Ready to schedule your visit? Call us at 443-394-0520 or book your appointment online. Same-day appointments are often available, and we’re here to assist with insurance verification and financial assistance inquiries.

After Your Procedure: What to Expect

Bleeding

  • Light to moderate bleeding is common and may last 5–7 days for early procedures and slightly longer for mid-trimester procedures.
  • Irregular spotting may occur until your next period, which typically returns in 5–8 weeks.
  • Dark discharge (similar to coffee grounds) is normal and part of the healing process.

 

Pain Management

Mild cramping is common after the procedure. Recommended options include:

  • Ibuprofen: 800mg every 8 hours (4 regular-strength over the counter pills – Advil, Motrin).
  • Naproxen: 500mg every 12 hours (2 Aleve).
  • Acetaminophen: 1000mg every 4–6 hours if needed (2 extra strength Tylenol)
  • Use a heating pad to ease discomfort.

Activity Guidelines

First 24 Hours:

  • Rest with light activity.
  • No driving or alcohol consumption.
  • Have a support person present.

Next 7 Days:

  • Return to work/school within a day but avoid strenuous activity.
  • No tampons or sexual activity.
  • Showers are fine; limit baths/pool time to under 30 minutes.

First Two Weeks:

  • Avoid douching.
  • Modify activity as tolerated.

Follow-Up Care

Follow-up care is essential for ensuring your recovery and well-being:

  • Schedule a follow-up appointment 10-14 days after (virtual options available).
  • Start birth control immediately if desired.
  • Access our 24/7 medical support for any questions or concerns.

When to Call Us (24/7 Emergency Line)

Contact us immediately or go straight to the emergency room if you experience:

  • Fever of 100.4°F or higher.
  • Heavy bleeding (soaking 2 maxi pads per hour for more than 2 hours).
  • Blood clots larger than a lemon or continuing clots beyond 24 hours.
  • Severe pain not relieved by medication.

Our team is available around the clock to address any concerns.

Frequently Asked Questions

Yes, the two-day protocol is designed to ensure your safety and comfort, especially for advanced-stage procedures.

You may experience light to moderate bleeding and mild cramping. Detailed aftercare instructions will be provided, and our team is available 24/7 for support.

No, you will need a support person to drive you home due to the effects of sedation. The driver is required to be present at the time of check-in on the second day. 

Most patients can resume work or school the day after the procedure, depending on how they feel.

At Femi-Care, procedures are considered 2-day procedure when completed after 18 weeks. Gestational age will be determined or confirmed by ultrasound during the intake process. For more info, visit our pregnancy dating services page.

Yes, you’ll need a driver or support person to accompany you to check-in if you are getting IV sedation. 

Frequently Asked Questions

Yes, surgical abortions are safe when performed by experienced professionals using advanced techniques. Complications are rare, and our team is trained to ensure your well-being.

At Femi-Care, surgical abortion procedures can be performed between 5-22 weeks. Gestational age will be determined during the ultrasound during the intake process. For more info about our pregnancy dating services, click here.

For most patients, the procedure is completed in a single day using our advanced protocols. We may recommend a follow up appointment depending on your individual circumstances. 

You may experience mild cramping and moderate to light bleeding, which can be managed with over-the-counter medications. Detailed aftercare instructions will be provided.

Contact us at 443-394-0520 if you experience symptoms like fever, excessive bleeding (soaking 2 maxi pads per hour for more than 2 hours), or severe pain not relieved by medication.

With moderate sedation and advanced pain management options, most patients feel comfortable and relaxed throughout.

Yes, you’ll need a driver or support person to accompany you to check-in if you are getting IV sedation. 

Why Choose FemiCare Surgery Center?

At FemiCare Surgery Center, we are devoted to providing confidential and compassionate women’s health care in a supportive, private environment. We understand the difficult decisions that may bring you to our office, and our dedicated team is here to ensure your experience is as comfortable and stress-free as possible.

medical record

Certified, Experienced Physicians

Our certified physicians bring years of expertise in abortion care & women’s health, ensuring the highest standard of medical attention.

Aesculapius symbol

Experienced Medical Staff

Our caring and skilled medical professionals prioritize your comfort and well-being throughout your experience at FemiCare.

Same Day Appointments often available

Minimal wait times that ensure timely access to the care you deserve.

Affordable and Accessible Services

Most insurance accepted, financial assistance available, payment plans discussed during consultation