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COUNSELING

THE FOLLOWING IS ADDITIONAL INFORMATION ON YOUR COUNSELING

All Women's Clinic provides women that face an unintended pregnancy a private opportunity to discuss issues and concerns regarding all their options, including the right to:

(a) continue the pregnancy and keep the baby (parenting)
(b) continue the pregnancy and give the baby up either temporarily (foster care) or permanently (adoption)
(c) terminate the pregnancy by voluntarily getting a safe and legal abortion.

All Women's Clinic has the ethical and legal responsibility to ensure that our patients receive complete and accurate information and make a voluntary decision freely, without manipulation, coercion or misinformation. Our trained staff will give you and your companion a one-on-one, private counseling session and listen to your thoughts and feelings, answer your questions to your complete satisfaction and help you clarify - (not sway) - your feelings about all your options and your ability to deal with each one.

Patients can expect confidential private counseling and a respectful, not judgmental attitude.

Our physician will personally discuss with you the Informed Consent and make sure that you have given due consideration to parenting, adoption or foster care as alternative options to termination of pregnancy; ask if you know your blood Rh type; and will offer to explain any questions you may still have before you sign. Our doctor will attest to his full compliance with Florida Statute 390.0111 (2012) that mandates that before the patient signs the informed consent for termination of pregnancy, the physician who is to perform the termination personally performs an ultrasound exam, offers to show her the real-time images of the ultrasound exam; affirms that the patient was informed of the gestational age of the fetus; the patient understands the procedure and its alternatives; the potential risks, benefits, and possible complications of undergoing (or not undergoing) each of these alternatives; and that the decision to have the abortion is firm, well informed and voluntary. Patient has the prerogative to either accept or decline the offer to see and receive explanations of the ultrasound images and the materials developed by the Florida Department of Health titled "Fetal Development and Alternatives to Terminating a Pregnancy". These materials provide information on access to health care during the entire pregnancy and post-partum period, infant care, medicaid and adoption programs. They are available upon request and may be downloaded at any time  from http://www.doh.state.fl.us./Family/mch/Alternatives.html

You may obtain additional materials to help you reach a decision from Religious Coalition of Reproductive Choice   (http://www.rcrc.com); and the references listed in our page Useful Links.

DEVELOPMENT OF THE EMBRYO AND FETUS FROM the first day of the menstrual period (LMP) (Reference: Management of unintended and abnormal pregnancy, Paul, Lichtenberg, Borgatta, Stublefield and Crenin. Wiley Blackwell Publishing Ltd, 2009):

Health professionals conventionally use LMP to express the stage of development and viability of the embryo/fetus. Viability is the capability of the fetus that is mature enough to survive outside the uterus Between 3-22 weeks LMP there is zero viability. 

A fertilized ovum  to 3 - 4 weeks LMP is invisible to the naked eye and can not the visualized by ultrasound exam.

The uterine sonolucency that may be found by ultrasound imaging at 5 weeks LMP is usually not diagnostic of pregnancy because the ultrasound visualizes no embryonic-like parts, there is no visible heart activity nor embryonic dependencies. The size of the embryo at 5 weeks LMP is smaller  than a grain of sand.

The size of the embryo at 6 wks LMP is 0.4 cm, which is about half the size of a small grain of rice.

The size of an embryo at 8 wks LMP is 1.4 - 1.6 cm. After 8 weeks untill delivery, the conceptus is called fetus.

 The size of a fetus at 12 weeks LMP is 5.3 cm    

WHICH OPTION IS SAFER? Legal abortion in the USA is far safer than having a delivery. A comparison of the safety of abortion and its alternatives is shown below:

COMPARATIVE MATERNAL MORTALITY RATIOS per 100,000 EVENTS IN THE USA   (The information presented in this table is based on research by the US Centers for Disease Control, Abortion Surveillance Branch; the Alan Guttmacher Institute; and on publications by the National Abortion Federation such as the texbook " management of unintended and abnormal pregnancy", by Paul, Lichtenberg, Borgatta, Grimes, Stubblefield, and Crenin. Wiley-Blackwell Publishing Ltd, 2009)

 

Type of Event

      Risk of Death per 100,00 Events

Safe and Legal Abortions in USA

   0.6

Obstetrical Delivery in USA

  17.0

Ectopic (extra-uterine) Pregnancy

  38.0

Clandestine Abortion, worldwide: 300.0
 

 

REASONS FOR ABORTION

This letter illustrates one of many powerful reasons why women decide to have an abortion: "My mother is 12 years older than me. I accidentally became pregnant and don't want to suffer the hardships she endures. I am a good student and plan to become a layer. I decided not to sacrifice my future to pay for my mistake. Thank you for your help"   

Most women believe that their children are entitled to a stable and loving family, financial security and an adequate level of attention and care.These women will chose to have a child when they feel ready. 

The most common reason given to postpone childbirth and terminate the pregnancy is financial insecurity resulting from being unmarried; having inadequate support from her partner; having inadequate living space; relationship and income problems; interference with their education, with their job, their career, their responsibility to another child or dependents; did not feel mature enough or were too old to have an/other baby and way-past-that-stage of their lives. In general, women that decide to terminate a pregnancy believe that given their life circumstances, taking responsibility for a new baby would be a mistake and that they are not ready for an/other child.

Each woman has the responsibility to balance the risk and benefits of pregnancy termination versus continuing the pregnancy and decide which is the option that is most appropriate in light of her personal circumstances, values and goals. Legal abortion, like contraception, allows women to safely postpone childbearing to a time when their life circumstances are more suitable. The ultimate decision to get an abortion is a personal matter and not an act of selfishness. It can be an act of caring about yourself and about others.

Who Has Abortions?

Fifty percent of U.S. women obtaining abortion are younger than 25.  Women aged 20-24 obtain 33% of all abortions. Teenagers obtain 17% of all abortions.

37% of abortions occur with black women, 34% with non-Hispanic white women, 22% to Hispanic women and 8% to women of other races.

Women who obtain abortion represent every religious affiliation. 43% of women obtaining abortion identify themselves as Protestant; 27% of abortion patients are Catholic; and 13% describe themselves as born-again or Evangelical Christians.

Most women receiving abortion (83%) are unmarried. Women who have never married obtain two-thirds of all abortions; and 16% are separated, divorced, or widowed. Married women are significantly less likely than unmarried women to resolve unintended pregnancies through abortion. About 60% of abortions are obtained by women who have one or more child.

The abortion rate among women living below the federal poverty level ($9,570.) is nearly four times that of women above 200% of poverty (112 vs. 29 per 1000 women).

About half of unintended pregnancies occur among the 11% of women who are at risk for unintended pregnancy but are not using contraceptives. Most of these women have practiced contraception in the past.

 

 

 

               COUNSELING CHECK LIST,  AFTERCARE  INSTRUCTIONS AND  24-HOUR  FOLLOW UP CALL                                                (COUNSELOR MUST INITIAL EACH OF THE FOLLOWING LINES, WHICH INDICATES AFFIRMATIVELY THAT PATIENT WAS COUNSELED ABOUT EACH ITEM LISTED)            BY THE END OF THE COUNSELING SESSION, HAVE YOU?

 

____  REQUESTED PATIENT'S AUTHORIZATION TO BE CONTACTED BY OUR DOCTOR OR REGISTERED NURSE 24 HRS AFTER THE ABORTION TO ASSESS HER                                   RECOVERY:   GRANTED  [__] OR DENIED  [___]   PATIENT'S CEL PHONE #_________________________ E-MAIL ADDRESS ______________________________

____  REASSURED PATIENT THAT WHAT SHE TELLS US WILL BE HELD IN THE STRICTEST OF CONFIDENCE, IN COMPLIANCE WITH HIPPA LAW                                               ____  ASKED PATIENT THE PHONE NUMBER OF HER EMERGENCY CONTACT AND IF HE/SHE KNOWS OR NOT ABOUT THIS ABORTION YES (___) NO (___)

__ _    ASKED PATIENT IF OUR STAFF MAY LEAVE A MESSAGE WITH HER CONTACT PERSON; AND DEMONSTRATED TO HER HOW TO FILL OUR CUSTOMER                                                     SATISFACTION SURVEY; AND HOW TO SEARCH FOR INFORMATION IN OUR WEBSITE  AT:    ALLWOMENSCLINIC.COM 

____   ASCERTAINED THAT PATIENT’S PREGNANCY TEST IS POSITIVE (___) AND PATIENT IS (___) WKS PREGNANT FROM HER LAST MENSTRUAL PERIOD (LMP)

_____ASKED IF SHE HAS ANY MEDICAL CONDITIONS: ANEMIA, HEART OR KIDNEY DISEASE, HIV, HIGH BLOOD PRESSURE, DIABETES, SMOKER, DRUG ADDICTION,                   ALLERGIES, OR ANY OTHER CONDITIONS AS PER  HISTORY INTAKE (PAGE ONE); AND TO LIST ALL CURRENT MEDICATIONS                                            _____DISCUSSED THE ALTERNATIVES TO ABORTION, INCLUDING PARENTING, ADOPTION, AND FOSTER CARE; AND THE RISKS OF EACH ONE                                _____ASKED IF SHE WOULD CONSIDER ADOPTION INSTEAD OF HAVING AN ABORTION AND IF SO, OFFERED TO PROVIDE PRINTED INFORMATION ON ADOPTION ____  ASKED IF SHE WOULD LIKE TO SEE AND HAVE EXPLAINED THE REAL-TIME ULTRASOUND EXAM THAT OUR DOCTOR WILL PERFORM  BEFORE THE ABORTION _____DISCUSSED THE RISKS OF AN ABORTION; POSSIBLE COMPLICATIONS OF ABORTION; AND THE POST-PROCEDURE CARE                                                                   ___    EXPLAINED TO PATIENT THAT FOR SAFETY REASONS, WE DO NOT OFFER GENERAL (“TOTALLY ASLEEP”) ANESTHESIA                                                                         

_____TOLD PATIENT THAT ADVANCED  IV MODERATE SEDATION PROVIDES  COMFORT, SLEEPINESS AND THE ABILITY TO TOLERATE  THE PROCEDURE WELL

_____ASKED IF PATIENT KNOWS HER BLOOD RH TYPE: Rh POSITIVE _____ Rh NEGATIVE _____ (WE WILL CONFIRM PATIENT'S Rh- TYPE, ANYWAY)

_____MADE PATIENT AWARE OF POSSIBILITY OF SPECIAL SITUATIONS THAT MAY INVOLVE EXTRA CHARGES: Rh--NEGATIVE BLOOD; IF PREGNANCY OVER 12 WEEKS                  AND PRIOR C/SECTION;  IF NO PREGNANCY IS FOUND ON THE PRELIMINARY ULTRASOUND;  IF SHE MAY HAVE/ OR HAS AN ECTOPIC PREGNANCY

_____ MADE CERTAIN THAT THE PATIENT'S DECISION TO TERMINATE THIS PREGNANCY IS VOLUNTARY, WELL INFORMED AND HAS BEEN MADE FREELY
_____INFORMED PATIENT THAT TODAY SHE MAY SPEND ABOUT 3-­-4 HOURS AT OUR FACILITY, UNTIL IT IS SAFE FOR HER TO BE DISCHARGED                           

 _____EXPLAINED THE ABORTION METHODS, AND THE CONSENTS FOR VACUUM ASPIRATION AND FOR A LIMITED ULTRASOUND EXAM

_____APOLOGIZED FOR INTRUDING ON HER PRIVACY WITH QUESTIONS ABOUT HER INCOME IN ORDER TO OBTAIN FINANCIAL ASSISTANCE OR NAF FUNDING
_____ADDRESSED THE IMPORTANCE OF SAFE SEXUAL PRACTICES AND EFFECTIVE CONTRACEPTION.
ASKED IF SHE HAS A PRIOR HISTORY OF STD

_____OFFERED PATIENT A CHOICE OF BIRTH CONTROL: THE PILL ___ DEPO PROVERA ____ IUD ___ VAGINAL RING ___ CONDOM ___ IMPLANON ____ VAGINAL                          DIAPHRAGM ___ TUBAL LIGATION ___ VASECTOMY ____ ABSTINENCE ____ BACKUP MORNING AFTER PILL____

_____OFFERED TO FILL THE PRESCRIPTION OF ANTIBIOTICS AND/OR PAIN MEDICATIONS HERE IN OUR OFFICE  OR GIVE THE PRESCRIPTION FOR A PHARMACY
_____ASKED IF SHE IS CURRENTLY BREAST FEEDING; AND IF SO, INSTRUCTED PATIENT NOT TAKE DOXYCYCLINE TO PREVENT AN INFECTION
_____INSTRUCTED PATIENT ON THE FOLLOWING POST- PROCEDURE INSTRUCTIONS:

                (A) MUST BEGIN TAKING THE DOXYCYCLINE TODAY  WITH HER NEXT MEAL,  EVERY 12 HOURS, AND  AVOID SUNBATHING, ALCOHOL, SPICY FOOD                                    (B) BEGIN THE BIRTH CONTROL PILL THIS SUNDAY (THE FIRST SUNDAY AFTER THE ABORTION),  PREFERABLY AFTER  DINNER

                (C) MOTRIN (IBUPROFEN) SHOULD BE TAKEN ONLY FOR PAIN, AND NOT TO EXCEED 2400 MG IN 24 HRS (ONE 800 MG TABLET 3 TIMES A DAY)
                (D) DO NOT INSERT ANYTHING VAGINALLY FOR THE NEXT 2 WEEKS, INCLUDING CREAMS, VAGINAL DOUCHES AND SEXUAL INTERCOURSE

                (E) REST AS MUCH AS POSSIBLE AND DO NOT DRIVE FOR 24 HOURS AFTER THE PROCEDURE.
                (F) INSTRUCTED PATIENT TO CALL THE DOCTOR AT (954) 772-0933 IF HAVING FEVER OVER 100.4 DEGREES AFTER THE FIRST FOUR HOURS FOLLOWING THE                PROCEDURE; SKIN RASH, PERSISTENT NAUSEA, VOMITING, DIARRHEA, HEAVY BLEEDING OR HEMORRHAGING FOR MORE THAN 12 HRS. REMEMBER  IT IS                          NORMAL IF YOU DO NOT HAVE ANY BLEEDING OR IF YOUR  BLEEDING IS INTERMITTENT, AS LONG AS ITS AMOUNT IS NOT EXCESSIVE.                              

                         ALL WOMEN'S CLINIC EMERGENCY NUMBERS ARE (954)772-0933 AND (954) 805-5821 TOLL-FREE 1 (800) 867-1693  

                (G) INSTRUCTED PATIENT TO CALL 911 AND GO TO THE CLOSEST HOSPITAL EMERGENCY ROOM IF HAVING RAPID PULSE (OVER 100 BEATS PER MINUTE); AY                        ANY  UNUSUAL BEHAVIOR, FEELS DISORIENTED OR DIZZINESS, EXPERIENCES SHARP OR STABBING ABDOMINAL PAINS OR EXCESSIVE VAGINAL BLEEDING                        THAT COMPLETELY SOAKS ONE THICK SANITARY PAD OR FILLS ONE CUP WITH LARGE CLOTS WITHIN ONE HOUR

                (H) EXPLAINED THE DIET AFTER THE PROCEDURE, NAMELY, TO BEGIN TAKING FLUIDS AS SOON AS POSSIBLE. THE FOLLOWING FLUIDS WILL BE MOST EASILY                          TOLERATED AND ARE RECOMMENDED: WATER, GATORADE, BROTH, JELLO AND ICE TEA. IF FLUIDS ARE WELL TOLERATED, YOUR DIET MAY BE QUICKLY                          INCREASED TO NORMAL. AVOID ALCOHOLIC BEVERAGES, GREASY AND SPICY FOODS. AVOID HEAVY LIFTING OVER 35 LBS                                         

                (J)   TOLD PATIENT SHE SHOULD NOT DRIVE FOR 24 HOURS

_____ TOLD PATIENT TO KEEP A  COPY OF THIS COUNSELING AND INSTRUCTIONS CHECKLIST, AND THE PINK COPY OF HER RECEIPT, FOR FUTURE REFERENCE

_____ MADE AN APPOINTMENT FOR A FREE FOLLOW-­-UP EXAM IN 2 WK (IF SHE HAD A MEDICATION ABORTION); OR IN 3 WK (IF SHE HAD A SUCTION CURETTAGE)

_____ ADVISED PATIENT THAT SHE CAN GET A LOW COST PAP TEST (CERVICAL CYTOLOGY TESTING) OR AN INTRAUTERINE DEVICE (IUD) AT HER FOLLOW-UP VISIT

_____ ASKED PATIENT IF I CAN ANSWER ANY ADDITIONAL QUESTIONS AND ADVISED HER TO VISIT  ALLWOMENSCLINIC.COM AT ANY TIME

 

I UNDERSTAND THAT IF I SEEK TREATMENT FROM ANY PHYSICIAN OR MEDICAL FACILITY OTHER THAN FROM ALL WOMEN'S CLINIC, SUCH CARE WILL BE AT MY OWN FINANCIAL EXPENSE. I ALSO UNDERSTAND THAT ANY PROBLEMS AND/OR COMPLICATIONS THAT ARE MADE WORSE BY MY FAILURE TO OBTAIN A BLOOD TESTING THAT HAD BEEN ORDERED BY OUR PHYSICIAN; OR FROM NOT RETURNING TO SEE US WITHIN THREE WEEKS FOR THE FOLLOW UP EXAM ARE MY RESPONSIBILITY, NOT THAT OF THE CLINIC, ITS DOCTOR(S), OR ANY OTHER CLINIC PERSONNEL

 

I HEREBY CERTIFY THAT I WAS GIVEN A PRIVATE OPPORTUNITY TO DISCUSS ISSUES AND CONCERNS ABOUT MY ABORTION; THAT ALL MY QUESTIONS WERE ANSWERED TO MY COMPLETE SATISFACTION; AND THAT I RECEIVED A BLANK COPY OF THIS FORM

OUR 24-HOUR EMERGENCY NUMBERS ARE (954) 772-0933 AND (954) 805-5821 TOLL-FREE 1 (800) 867-1693.     WE RECOMMEND YOU VISIT

OUR  INFORMATIVE WEBSITEALLWOMENSCLINIC.COM

 

If you would like more information, you may contact us at any of the following numbers:

Toll Free: (800) 867-1693 Local calls: (954) 772-HELP (4357) or (954) 772-0933
You also may text your message to: (954) 805-5821

All calls are kept strictly confidential


Our address is: 2100 E Commercial Blvd, Fort Lauderdale, Florida 33308-3822




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