Hope Clinic for Women Logo

1602 21st Street
Granite City, IL 62040

(618) 451-5722

Abortion 16 to 24 weeks

Abortion 16 to 24 weeks

Where there's Choice, there's Hope.


Abortions for pregnancies over 16 weeks may require multiple visits to the clinic over two to three days. This allows time for the cervix to be safely prepared and open for the procedure. The abortion procedures are most often done by a combination of vacuum aspiration and D&E (dilation and evacuation).

Our physicians are gynecologists with many years experience in second trimester abortions, and will provide you with excellent care.

  • What Is Dilation And Evacuation (D&E) Abortion?

    The cervix is slowly opened or dilated with medications and/or laminaria. When the cervix is ready, the uterus is emptied with a combination of suction and instruments that safely evacuate the pregnancy.

  • How long does a D&E Abortion take?

    The actual surgery takes about 30 minutes, but the entire procedure can take up to 3 days. The patient and her support person need to stay close to the clinic throughout the entire time frame. A list of nearby lodging is available.

    There are cases between 16 and 18 weeks where cervical preparation and the procedure are completed in one day.

  • How effective is D&E?

    The D&E surgical procedure is effective 99% of the time. Repeat surgery is only rarely needed to treat concerns.

  • What are the side effects of D&E?

    Common side effects include abdominal cramping or pain and bleeding, and possible nausea and sweating. Women may also experience spotting for 4-6 weeks following the procedure. Complications are very rare, but can include uterine or cervical perforation, pelvic infection and excess bleeding. Patients are thoroughly educated about warning signs of complications and encouraged to notify us immediately if symptoms occur.

  • Fee

    Fees are based on the gestational age of the pregnancy

    • 16 weeks $850
    • 17 weeks $890
    • 18 weeks $1,030
    • 19 weeks $1,150
    • 20 weeks $1,270
    • 21 weeks $1,510
    • 22 weeks $2,800
    • 23 weeks $3,600

    If you are an Illinois resident, please click here. If you are from another state and need financial assistance, please click here.

    THE FEE INCLUDES ALL OF THE FOLLOWING:

    • ultrasound
    • counseling/education
    • lab work
    • antibiotic
    • abortion procedure
    • pain medication (pills/cervical injection)
    • intravenous (IV) sedation
    • recovery care
    • 24-hour phone access to an on-call provider
  • Optional Additional Service
    • $25 sexually transmitted infection testing; includes treatment if needed
    • $25 optional two-week followup appointment
    • birth control (fees vary by type): pills, injection, or condoms
    • $135 optional private care (private waiting and recovery with room for your support person)
  • Other Information

    If you have an Rh negative factor blood type, Rh immunoglobulin (i.e. Rhogam) will be recommended at the time of your appointment. Click HERE for more information.

  • Have You Had A C-Section?

    If you are more than 13 weeks pregnant and have previously had a C-section, you may need a diagnostic ultrasound to determine the positioning of the placenta and assess for the risk of a condition called "placenta previa". Call us for detailed instructions.

  • What To Bring With You
    • A support person/driver is required to be with you
    • Photo IDs for yourself and anyone who comes with you
    • Payment (cash, credit, debit, money order, or traveler's check)
    • Bottled water (Please eat before you arrive. Food is not allowed in the building.)