Is Late-Term Abortion Safe?

If you’ve just discovered you’re further along in your pregnancy than you thought, it’s normal to feel overwhelmed. You likely have many serious questions, such as:

Is abortion safe when I’m further along?
What is the process like?
Will it be more painful?

This guide explores late-term abortion, including procedures, risks, pain, and legal considerations in North Carolina. Keep reading to learn more.

What Is Late-Term Abortion?

Late-term abortion refers to procedures performed in the second or third trimester of pregnancy.

Late-term abortions are rare, but they do happen. In 2022, about 6.1% of abortions in the United States occurred between 14 and 20 weeks. Roughly 1.1% took place at or after 21 weeks.[1]

Knowing exactly how far along you are is one of the most important first steps. At Caldwell Pregnancy Care Center, we offer free ultrasounds so you have accurate information before making any decision. Schedule an appointment today.

Is Late-Term Abortion Legal in North Carolina?

Effective July 1, 2023, most abortions are illegal in North Carolina after 12 weeks gestation. However, exceptions can be made through 20 weeks in cases of rape and incest and through 24 weeks for “life-limiting” fetal anomalies and medical emergencies.[2]

How Is a Late-Term Abortion Performed?

The most common late-term abortion procedure is called dilation and evacuation (D&E). Abortion providers usually perform it in a clinic or hospital over one to two days.

Here’s what typically happens[3]:

Cervical Preparation

A day before the procedure, the cervix is gradually softened and opened using:

Dilators (small sponge-like rods that expand over time)
Medication such as misoprostol

The Procedure

The procedure itself is typically performed in an abortion clinic or hospital. Once the cervix is dilated, the provider:

Inserts a cannula (a thin tube) into the uterus, connected to a suction device to remove tissue
May also use forceps to ensure the uterus is completely empty

What Are the Risks of Late-Term Abortion?

As with any surgical procedure, late-term abortion carries potential risks. The likelihood and severity increase slightly the further along the pregnancy is. Possible complications can include[3]:

Cervical injury
Infection
Heavy bleeding
Uterine perforation (a hole in the uterus)
Uterine rupture (tearing of the uterus)
Incomplete abortion (remaining tissue in the uterus)
Need for surgical repairs to the cervix or uterus

Many women find it helpful to speak with a healthcare professional. At Caldwell Pregnancy Care Center, we’re here to discuss these risks openly, helping you weigh your options and make an informed decision. Make an appointment to get started.

Do Late-Term Abortions Hurt?

Pain levels vary from person to person, but late-term abortions often involve more discomfort than early-term procedures due to the pregnancy’s progression. Studies have found that women who received late-term abortions experienced more pain than they expected during their procedures.[4]

Considering Late-Term Abortion? Get the Facts at Caldwell Pregnancy Care Center.

We understand. Considering a late-term abortion may feel overwhelming and lonely. Caldwell Pregnancy Care Center is a safe place to ask the hard questions, process your emotions, and get the care you deserve. We’re here to help you make the best decision for your health and future!

Give us a call at 828-757-9555 or make an appointment online. All services are confidential and free of charge!

Please be aware that Caldwell Pregnancy Care Center does not provide or refer for abortion services.

Frequently Asked Questions

How late is “too late” for an abortion in North Carolina?

Effective July 1, 2023, most abortions are illegal in North Carolina after 12 weeks gestation. However, exceptions can be made through 20 weeks in cases of rape and incest and through 24 weeks for “life-limiting” fetal anomalies and medical emergencies.

Typically, abortion becomes riskier the further along you are. Potential complications include:

Cervical injury
Infection
Heavy bleeding
Uterine perforation (a hole in the uterus)
Uterine rupture (tearing of the uterus)
Incomplete abortion (remaining tissue in the uterus)
Need for surgical repairs to the cervix or uterus

How much pain should I expect with a late-term abortion?

Every woman’s experience is different. Studies show that women who had late-term abortions felt more pain than they expected during the procedures.

How long does a late-term abortion procedure take?

Cervical preparation may take 4–24 hours. The procedure itself usually takes 10–30 minutes. However, you’ll have to spend several hours at the clinic for monitoring afterward.

Make an Appointment