What Are the Potential Complications of Abortion?

What Are the Potential Complications of Abortion?

Abortion is a deeply personal and often complex decision. If you're considering this option, it's essential to have accurate medical information and caring support to make the best decision for your health and future. We offer no-cost ultrasounds, consultations, and support so you can learn about your pregnancy and understand all your options without pressure.


In this article, we’ll walk through the possible complications of both chemical and surgical abortion procedures, as well as the emotional impact some women experience afterward.


Why an Ultrasound Matters First


Before making a decision, it's important to confirm the location and gestational age of your pregnancy. This can only be accurately determined by an ultrasound.

We provide free ultrasounds for all pregnant women. This important step helps you and your healthcare provider determine which procedures may be available and what risks may be associated with each.


Complications of Chemical Abortion (The Abortion Pill)


A chemical abortion, often referred to as the abortion pill, involves two medications: mifepristone (Mifeprex) and misoprostol. Mifepristone blocks the hormone progesterone, and misoprostol causes the uterus to contract and expel the pregnancy.


According to the FDA’s label for Mifeprex, possible complications include:


  • Heavy bleeding
  • Infection or sepsis
  • Uterine rupture
  • Complications from ectopic pregnancy
  • In rare cases, death

Clinical trials reported that serious adverse events occur in fewer than 0.5% of women. However, a 2023 analysis of over 154,000 chemical abortions found that 11.2% resulted in serious complications, suggesting the need for more transparency and awareness.


 If you’ve taken the first pill and are unsure about continuing, Abortion Pill Reversal (APR) may be possible. This involves progesterone therapy and has a 64–68% success rate when started promptly. For immediate support, call the 24/7 APR Hotline at 1-877-558-0333.


Complications of Surgical Abortion (Dilation and Evacuation - D&E)


Surgical abortion, specifically Dilation and Evacuation (D&E), is generally performed during the second trimester and involves dilating the cervix and removing the fetus from the uterus.


Risks associated with surgical abortion may include:


  • Cervical injury
  • Heavy bleeding
  • Infection
  • Incomplete removal of pregnancy tissue
  • Uterine rupture or perforation

Although many women undergo surgical abortion without immediate complications, the risk can increase with gestational age and previous abortions. A comprehensive review by the National Library of Medicine found that multiple D&E procedures may raise the risk of very pre-term birth (before 28 weeks) in future pregnancies.


Emotional Effects After Abortion


In addition to physical health risks, some women experience emotional side effects following abortion. Feelings such as grief, sadness, regret, loss, and depression can arise—sometimes immediately, and sometimes much later.


At ACPC Women’s Clinic we offer post-abortion emotional support and counseling at no cost. You don’t have to carry these feelings alone—healing is possible, and help is available.


We’re Here for You

Making a decision about abortion can be difficult, especially when you're overwhelmed by conflicting information. We provide free, confidential support so you can explore your options in a safe, judgment-free space.


📅 Schedule a free ultrasound and talk with a licensed medical professional today.



By A Caring Pregnancy Center • September 14, 2026
Key Takeaways Adoption is one possible option for unplanned pregnancy and looks different for every woman and family. Modern adoption plans can allow varying levels of communication and involvement between birth parents and adoptive families. Some women choose adoption because they want to provide long-term stability and opportunities for their child. Exploring adoption does not mean you are committing to a decision immediately. Compassionate support and accurate information can help you better understand your options for unplanned pregnancy. An unplanned pregnancy can bring up many emotions and questions about the future. Some women begin exploring adoption as they learn more about their options for unplanned pregnancy and what each path could look like. Understanding how adoption works, the different types of adoption available, and the support resources available to you helps you feel more informed as you take your next step. What Is Adoption in Simple Words? Adoption is a legal process where a child becomes part of another family that takes on the permanent role of parenting and care. For women experiencing an unplanned pregnancy, adoption can look very different depending on personal preferences, goals, and comfort levels. While some women desire ongoing communication with the adoptive family, others want more privacy. Learning about adoption does not mean you are required to choose it. Exploring information helps you better understand your pregnancy options. What Are the Different Adoption Options? There is more than one type of adoption available for pregnant mothers considering adoption. Common adoption options may include: Open adoption Semi-open adoption Closed adoption In an open adoption, communication between birth parents and the adoptive family may continue over time through visits, photos, or updates. Semi-open adoptions usually involve limited communication through an agency or third party. Closed adoptions involve little or no ongoing contact after placement. Every adoption type looks different, and it’s helpful to understand the differences so you can make a clear decision if you choose adoption. What Is the Most Common Form of Adoption? Open adoption is one of the most common forms of adoption today.² Many women appreciate having: Continued communication Updates about the child Opportunities for future connection At the same time, every woman’s comfort level and circumstances are unique. Choosing an adoption plan is deeply personal, and there is no “right” experience for everyone. Why Do Some Women Choose Adoption? Women choose adoption for many different reasons. Some women who are considering adoption: Want additional stability for their child Feel unprepared to parent Want to continue educational or career goals Desire a different long-term family situation for the child Need additional support or resources Your unique situation is personal and emotionally complex. Exploring adoption options does not make you selfish or weak. If you are feeling overwhelmed by an unplanned pregnancy, talking through your thoughts with someone supportive may help you feel less alone during the decision-making process. What Is the Best Option for Adoption? While there is no “best” adoption option for everyone. The right adoption plan depends on: Your comfort level Your relationship preferences Your emotional needs Your long-term goals Your support system Some women feel more comfortable with ongoing communication, while others prefer privacy. Understanding your adoption options may help you better understand what feels most supportive for your situation. Can You Choose the Adoptive Family? One aspect of modern adoption that surprises many women is the ability to have input in choosing the adoptive family. Depending on the type of adoption plan, you could: Meet potential adoptive families Review family profiles/backgrounds Discuss future communication preferences Share hopes or values that matter to them Having a voice in the adoption process can help you feel more comfortable and informed as they explore their options. Pregnant and Want to Make an Adoption Plan? Many women searching for information about adoption plans during an unplanned pregnancy are trying to process difficult emotions and better understand what the adoption process may involve. For some, making an adoption plan is a thoughtful and loving decision made after carefully considering their circumstances, future goals, and hopes for their child. You deserve space to ask questions and learn about your pregnancy options without pressure or judgment. If you would like support as you explore your options for an unplanned pregnancy, a confidential appointment may provide a safe place to ask questions and learn more about available resources. Understanding Your Pregnancy Options An unplanned pregnancy comes with lots of layers when you are trying to think through important decisions about the future. You could feel scared, uncertain, emotional, or simply unsure where to begin. No matter what you’re facing around your pregnancy decision, know that you are not alone and that non-judgmental support is available. Whether you are exploring your pregnancy options or simply looking for a safe place to talk, resources are available. Scheduling a confidential appointment may help you feel more informed and supported as you consider your next steps. Sources Child Welfare Information Gateway – Understanding Adoption American Adoptions – Open Adoption Overview
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