Hope Clinic for Women Logo

1602 21st Street
Granite City, IL 62040

(618) 451-5722

What to Expect

What to Expect on Your Appointment Day

Where there's Choice, there's Hope.


When you come to Hope Clinic for an abortion, you can expect outstanding medical treatment that is offered with respect and compassion.

You should expect to be here for four to six hours. We know this is a long day, but we want to provide every woman with the excellent, complete care that she needs and deserves. Although each person's needs are different, your day will go something like this...

  • Before You Leave Home
    • Review fee information ( Medication/Pill Abortion, Abortion under 16 weeks,Abortion 16 to 24 weeks)
    • Reminder that all fees must be paid in full on the date of the appointment
    • Acceptable methods of payment (credit card or cash accepted)
      • Financial Assistance arrangements must be made in advance (see this link)
    • Wear comfortable/warm clothes
    • Expect to be here 4 to 6 hours - bring a book/iPad/appropriate chargers/ something to do
    • We do not allow food/drinks (except water) in the building
    • Children/pets/other visitors:
      • We are not able to accommodate guests under 13 years old in the building.
      • For safety, we cannot allow children or pets to stay in a parked car.
  • Transportation/Driver
    • You must have safe transportation home
    • You MUST have a driver to go home with if:
      • You desire anesthesia/sedation medication
      • Your pregnancy is over 14 weeks
      • You require a multiple day procedure (most pregnancies over 16 weeks)
    • Your driver may leave but must return to pick you up. Your driver will be called about 30 minutes prior to your discharge.
    • You may drive yourself ONLY for the medication/pill abortion or abortion under 14 weeks
  • Arrival
    • Park in front of Hope Clinic for Women, or if that lot is full, in the back.
    • Unfortunately, on most weekends there are protesters on the sidewalks. They do not know you and the circumstances of your life, so do your best to ignore their harassment. Please do not speak to them or take anything from them. It is illegal for them to touch you, block your path, or move onto the clinic property. If you believe they have done something illegal, please report it to the guard. Some women wear hoodies and headphones to block out the noise. On Saturdays, we have clinic escorts wearing purple vests who help shield you from the protesters as you enter the clinic. The ultrasound van on the street belongs to the protesters, not the clinic, so don't be fooled into going there.
    • Move as quickly as possible to the guard's desk by the front door.
  • Check-In
    • First you and your support person will check in with the guard by the front door. All people entering the building must have a valid ID.
    • No weapons are allowed in the building.
    • We ask that no food/drinks except water be brought into the building.
    • Inside, you will be given several papers to complete relevant to your visit to the clinic. This includes a medical history.
    • Your driver will fill out best contact information and be given the option to leave and pick you up after your procedure.
    • NOTE: due to construction we have LIMITED waiting space

  • Ultrasound
    • The next step is to get your ultrasound. This is required, even if you had an ultrasound somewhere else. It is necessary for our doctor to verify the length of your pregnancy and to be able to see the pregnancy.
  • Lab Work
    • The lab technician will do a finger prick for blood work to check your blood count and Rh status (negative or positive).
    • Your vital signs (i.e. blood pressure, heart rate, oxygen saturation, temperature, etc.) will be evaluated.
    • Women who are more than 11-12 weeks pregnant may be given misoprostol (Cytotec) to help prepare the cervix for the procedure.
  • Counseling
    • You will be seen by a counselor in a private setting.
    • The counselor will discuss your procedure in detail and go through the informed consent which reviews the alternatives, risks and benefits of your procedure.
    • Counselors will review contraception options with you, if you desire.
    • Counselors are also available to discuss your pregnancy options of adoption or continuing your pregnancy with available referral resources, if you are interested.
  • Payment
    • Acceptable payment methods are cash, credit, debit, money order, and traveler's check. You may divide the total into different payment methods if you like.
    • If you are using Illinois Medicaid, please bring your proof of active coverage with you.
    • If someone else is assisting with payment, that person must be present.
    • Other arrangements can be made, please discuss with staff prior to your procedure.
    • If you are receiving or need financial assistance please arrange this prior to your visit.
  • Procedure
    • A staff person will call your name when they are ready to take you to the surgical area for your procedure.
    • You will receive an antibiotic and potentially oral pain medication prior to the procedure.
    • If you have chosen the abortion pill, the process will be explained to you in detail including emergency care information. You will receive medications and instructions for medications to go home. A doctor will administer the Mifepristone.
    • If you are having a one day surgical abortion, you will go to a dressing room to change. If you are receiving sedation, "the Comfort Shot," an IV port will be placed. In the operating room, the sedation will be given before the procedure. The procedure takes about 15 minutes. You will be taken via wheelchair to the recovery room.
    • If you are having a second trimester surgical abortion (14+ weeks,) it will be similar to the above. The doctor will use medication(s) and/or laminaria to dilate the cervix to prepare for surgery.
    • If your blood type is Rh negative, you will be given a shot of Rh immunoglobulin (i.e. Rhogam).
  • Recovery
    • In the recovery room, you will recline and rest while the nursing staff monitor your vitals and bleeding. Most women are in recovery for about 30-60 minutes, but some may take slightly longer.
    • Your driver will be notified of your arrival in the recovery room – they will need to be ready to drive you home in approximately 30 minutes.
    • You will be given follow-up instructions and a number to call if you have questions or concerns. This will be presented verbally and in written form for you to take home to review.
    • When you have met all criteria, you will be discharged.
  • Home Again
    • Follow the post-abortion care instructions you were given.
    • Most women can return to their usual routines in 1-2 days.
    • Phone the on-call provider if you have concerns.