Patient Safety and Consent

[To print this page use your browser's print option.]
To download in a PDF file click here.

As with any medical procedure, you have a right to know all of the risks and any other information that might affect your decision to have an abortion. However, if you don't ask for this information you may forfeit that right.

Here are some important issues you will want to discuss before you sign the doctor's consent form to have an abortion.

1.) Will it hurt?

2.) What options and supportive services are available to me if I choose to not abort?

__________________________________________________________

__________________________________________________________

3.) What is the unborn child like right now? What can it do? What can it feel?

__________________________________________________________

4.) What are the chances that I will experience any of the following problems?

Physical

__ Retained Products of Conception
__ Damage to the Cervix
__ Hemorrhage
__ Infection
__ Perforation of the Uterus
__ Sterility
__ Complications of Future Pregnancies

Psychological

__ Depression
__ Anniversary Syndrome
__ Sexual Dysfunction
__ Suicidal Thoughts
__ Interference with Personal
     Relationships


5.) Will you treat me for complications?

__________________________________________________________

6.) If I need to be hospitalized, at which hospital do you have privileges?

__________________________________________________________