The State of Kentucky requires a face-to-face consent 24 hours before your procedure. This consent can take place in-person at EMW or by video consent via your computer or smartphone. For information can be found here
1) Dilation and Curettage (D&C)
This is a surgical procedure that can safely be performed in one day as an outpatient. This procedure is typically done for pregnancies in the first trimester. Patients can expect to be at EMW Women’s Surgical Center for approximately five to six hours.
First trimester services include ultrasound, urinalysis, Rh blood type, complete blood count, and physical exam. Counseling services are also included and consist of medical informed consent, individual pre-abortion counseling, and contraceptive counseling and prescribing.
2) Dilation and Evacuation
(D&E) One-Day Surgery
For 2nd trimester patients between 13-16 weeks gestation, this procedure can safely be performed in one day as an outpatient. Because the woman is further along in her pregnancy, the cervix must be dilated gradually before surgery. This dilation process is accomplished by inserting laminaria, thin pieces of sterile material, in to the cervical opening. The laminaria expands as it absorbs moisture from the body allowing the cervix to dilate or open gradually. Laminaria are placed in the morning and surgery is performed later in the afternoon to reach maximum dilation. This will make the surgical procedure as safe as possible. Patients can expect to be at EMW Women's Surgical Center for approximately six to seven hours.
For 2nd trimester patients greater than 16 weeks gestation, this procedure can safely be performed in two days as an outpatient. Because the woman is further along in her pregnancy, the cervix must be dilated gradually for 24 hours before surgery. Patients must make arrangements to stay overnight in Louisville. Patients must also expect to be at EMW Women's Surgical Center for approximately four hours each day.
Second trimester services include ultrasound, urinalysis, Rh blood type, complete blood count, and physical exam. Counseling services are also included and consist of medical informed consent, individual pre-abortion counseling, and contraceptive counseling and prescribing.
Pain Control Options
EMW is able to offer three methods for pain control. Depending on the date of your appointment some methods may not be available.
1. Local Anesthesia
You are awake during your procedure. At least 20 minutes before your procedure, you are given a medication by mouth to relieve anxiety. At the start of your procedure, an injection is administered into the cervix to help relieve pain.
2. Moderate Sedation
You are awake during your procedure. Before your procedure is started, intravenous (IV) medications are given to relieve anxiety and pain.
3. Deep Sedation
You are not awake during your procedure. Before your procedure is started, intravenous (IV) medications are given to induce a state of deep sleep.
Please be aware of the type of sedation available on the date of your appointment.
Our staff is trained in the administration of the methods we offer. You will have qualified staff monitoring your vital signs and level of consciousness until it is safe to discharge you. If you will receive any level of sedation you must have a driver to escort you home from the clinic. Also, for the next 12-24 hours following your procedure, you must not drive, operate machinery or make important decisions.
• You must arrive at 8:00 AM.
• Do not eat or drink after midnight on the day of your appointment.
• You must have a driver to sign you in and sign you out at discharge since you will be given medications for surgery.
• You and your driver must have a valid photo ID.
• If you are under the age of 18 you must have one parent or guardian to consent for your procedure. Please call for forms of identification required.
• If you cannot bring a parent or guardian, then a judicial bypass is required. Please call for details.
• You must bring your full fee with you in cash, certified check, Visa or MasterCard. We do not accept personal checks.
• There are parking garages nearby where you can park. There is also meter parking on the streets. If you park at a meter, you can use coins or you can download the Passport parking application prior to your appointment.
• If you do not read, speak, or understand English, you must have an interpreter who is at least 18 years of age to translate for you.
• We cannot accommodate children, so please make other arrangements for their care while you are here.
• For the protection and privacy of other patients, your partner and other support people are not allowed back in to the patient care space.
• There are protestors in front of the clinic. Please look for volunteer escorts in orange vests to help you reach the clinic entrance safely.
What to Bring
• A valid photo ID
• Comfortable clothes including underwear
• Socks for warmth and comfort
• A couple of Maxi pads
• A book, magazine, or quiet activity to pass the time
• If you are taking medications please bring them with you
<return to top>