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 evidence-based medical information and caring support to make the best decision for your health and future. At CORE Healthcare for Women, 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.

At CORE Healthcare for Women, 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, typically 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

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• Infection or sepsis

• Uterine rupture

• Complications from ectopic pregnancy

• In rare cases, death

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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 started a chemical abortion and are feeling uncertain about continuing, there is a protocol known as Abortion Pill Reversal, which involves progesterone therapy. Early studies have shown a 64–68% success rate. For immediate support, you can call the 24/7 Abortion Pill Reversal 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 CORE Healthcare for Women, we offer confidential, compassionate post-abortion support and professional counseling referrals for any woman who is struggling emotionally after an abortion experience. You don’t have to carry that weight alone. Healing is possible, and we’re here to walk with you.

We’re Here for You

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