Also Serving Broward County, Dade City, and Hialeah, FL
All Women's Clinic has the ethical and legal responsibility to ensure that our patients receive complete and accurate information and freely make a voluntary decision without any 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 regarding unintended pregnancy and your ability to deal with each one.
You have the following options:
(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.
You will be able to ask us any questions you may need answered to make a well informed decision about your pregnancy. You can expect confidential private counseling and a respectful, not judgmental attitude.
If you decide to terminate the pregnancy, you will also discuss the informed consent to abortion with our physician.
The doctor will verify that you have given due consideration to parenting, adoption or foster care; explain any questions you may still have; and confirm that your decision to have the abortion is firm, well informed and voluntary. Our doctor must attest to his full compliance with Florida Statute 390.0111 (2012) that governs the informed consent to abortion.
Florida Statute 390.0111 (2012) 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 and explain to patient the ultrasound images; informs her of the length of her pregnancy; and confirms that patient understands the abortion procedure, its alternatives, potential risks and benefits; and possible complications of undergoing (or not undergoing) each option.
In addition, the doctor will offer to provide you printed materials developed by the Florida Department of Health titled "Fetal Development and Alternatives to Terminating a Pregnancy". These materials present information on access to health care during the entire pregnancy and post-partum period; infant care; and medicaid and adoption programs. They are available upon request and may also be downloaded at any time from http://www.doh.state.fl.us./Family/mch/Alternatives.html..
You are free to obtain other materials from the Religious Coalition of Reproductive Choice (http://www.rcrc.com); or visit the website www.lin3campaign.org
You have a choice to either accept or decline any or all the above offers. If you ultimately decide to terminate the pregnancy, you will sign the Informed Consent to Abortion and chose the method of abortion that is best for you.
If you are having a vacuum abortion, our physician will explain in advance each step of the procedure, so that you know what to expect. You should be reassured knowing that Doctor Lehrer's 35-year safely record is second to none; the procedure takes only a few minutes to complete; and we will make you as comfortable as possible. All Women's Clinic has an above average rate of patient satisfaction and would be happy to show you our copies of our Patient Satisfaction Surveys.
DEVELOPMENT OF THE EMBRYO AND FETUS FROM the first day of the menstrual period (LMP) (Reference: ManagEment of unintended and abnormal pregnancy, Paul, Lichtenbeerg, Borgatta,Stubleld and Crenin. Wiley Blackwell Publishing Ltd, 2009):
Please click-in Fetal Development on the left side table of this page.
A fertilized ovum at 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 it visualizes no embryonic-like parts, there is no visible heart activity nor embryonic dependencies. The size of an 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 to delivery, it is called fetus. A fetus measures 5.3 cm at 12 weeks LMP.
By definition, abortion is the expulsion of a fetus that is not mature enough to live outside of the uterus (it is not viable). If we define fetal viability as the stage of development with at least a 50% chance of survival, the age of fetal viability begins at 26 wks LMP.
At 26 wks LMP or under, the risk of survival with severe neurological conditions such as cerebral palsy is more than 70%
IS ABORTION SAFE?
Abortion is one of the safest surgical procedures. Fewer than 0.5% of women obtaining abortions experience a complication.
The risk of death associated with legal abortion in the USA is less than one-tenth of the risk associated with childbirth. Legal abortion in the USA is far safer than having a delivery. A comparison of the safety of abortion relative to the alternatives to abortion is shown below:
(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 textbook "Management of Unintended and Abnormal Pregnancy", by Paul, Lichtenberg, Borgatta, Grimes, Stubblefeld, and Crenin. Wiley-Blackwell Publishing Ltd, 2009)
COMPARATIVE MATERNAL MORTALITY RATIOS per 100,000 EVENTS IN THE USA:
Type of Event
Risk of Death per 100,00 Events
Safe and Legal Abortions in USA
Obstetrical Delivery in USA
Ectopic (extra-uterine) Pregnancy
|Clandestine Abortion, worldwide:
REASONS FOR ABORTION
The following letter illustrates one common reason: "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"
You can read forty more stories like this written by Advocates for Youth Org at htpt://www.1in3campaign.org
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 was 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 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 ABORTION?
Fifty percent of U.S. women obtaining abortion are younger than 25: Women aged 20-24 obtain 33% of all abortions, and teenagers obtain 17%.
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, and 27% as Catholic; and 13% of abortion patients 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. 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.
AUTHORIZATION FOR 24-HOUR POST-OP FOLLOW UP CALL, INSTRUCTIONS AND COUNSELING CHECK LIST (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?
____ AUTHORIZATION FOR OUR DOCTOR OR REGISTERED NURSE TO CALL HER WITHIN 24 HOURS AND ASSESS HER RECOVERY: GRANTED (___) DENIED (___) PATIENT'S CELLULAR PHONE #_________________________PATIENT'S PHONE ABLE TO TEXT? YES (___) NO (___) HER E-MAIL IS:____________________________
_____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 (___)
_____ALSO ASKED PATIENT IF OUR STAFF MAY LEAVE A MESSAGE WITH HER CONTACT PERSON
_____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 ANTIBIOTIC DOXYCYCLINE TODAY WITH HER NEXT MEAL, EVERY 12 HOURS, AND AVOID SUN BATHING, ALCOHOL, SPICY FOOS (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); 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 WEBSITE IS: ALLWOMENSCLINIC.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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