American Women's Services

We’ve tried to provide answers and clear information on what to expect in seeking abortion access on this site because, we get it, we know sometimes it can be hard to know what exactly to ask. However, speaking to a knowledgeable counselor can actually feel great.  

These are two great options if you want to talk to someone:

On the Phone:
[ALL-OPTIONS](https://www.all-options.org/find-support/talkline/) talkline is a great resource to speak to someone about… all of your options. You can talk to them if you’re trying to decide what to do about a pregnancy, or if you’re feeling complicated emotions about a decision you’ve already made. They’re happy to talk about anything related to pregnancy, abortion, adoption, and parenting related. Their hotline is toll free and available Mon-Fri 10-1am, Sat-Sun 10-6pm EST  

CALL 1-888-493-0092  

On the internet:
If you're still not ready to pick up the phone and struggling to make a decision, there's an incredible community on reddit at [/r/abortion/](https://www.reddit.com/r/abortion/), ready to help. You can sign up and create a "throwaway" account to message the group. 

If you'd still like to do some personal research before talking to anyone, check out this [Pregnancy Options Workbook](https://www.pregnancyoptions.info/pregnancy-options-workbook) from Cedar River Clinics.  

Have a suggestion for another question we should include on the site? [Let us know!](https://docs.google.com/forms/d/e/1FAIpQLSelQAcndVVe8ro4ahdGbrfW67L6sFRjeLNb8QcwyVJVC7vqEQ/viewform)

Medication abortion is a way to terminate an early pregnancy by using medications. It’s often called the ‘abortion pill’, and it’s an option during the first ten weeks of pregnancy.  

It works through a combination of two drugs: Mifeprex and Misoprostol. At the clinic, you will swallow a tablet of Mifeprex. This pill is designed to stop the growth of the pregnancy and prepare your body to pass pregnancy tissue. Your provider will send you home with tablets of Misoprostol and instructions for the next step.  

At home, you should expect to have cramping and bleeding. You may also experience nausea, vomiting, diarrhea, and fever and chills. For most people, the abortion will be complete within 24 hours. Most clinics will schedule a followup appointment to confirm the pregnancy has been terminated.  

Because you're in your state, you can skip the clinic an order pills online via [Abortion on Demand](https://abortionondemand.org/) or [carafem](https://carafem.org/at-home-abortion-pills/) - both members of the Abortion Care Network.

For more information on the abortion pill and ordering online, [check out Plan C's website](https://plancpills.org/faq). For one person's account with ordering online, [check out this Reddit post](https://www.reddit.com/r/abortion/comments/hq0rtl/aid_access_is_amazing_my_misoprostol_experience/).
  
If you have additional questions about medication abortion or need assistance while having one, there is a [hotline run by medical professionals](https://www.mahotline.org/). Contact them at 1-833-246-2632. They're available via call or text for 18 hours a day.

If you'd like peer support and info throughout the process of planning or having an abortion will pills at home, call or text [Reprocare](https://abortionhotline.org/) - open 7 days a week at 833-226-7821

In the US, the average cost of a first-trimester abortion (up to 12 weeks) averages between $500-600 in most of the country. 

The average cost of second-trimester abortion often goes up by week of pregnancy. It can vary from $500 to $12,000. Some health insurance plans, depending on your state, do cover abortions. There are also abortion funds and practical support organizations that can help cover the costs of the abortion.

When calling a clinic, it may be helpful to ask what the price of an abortion is based on how long ago your last period was. If you need help paying for an abortion, let the clinic know. They may be able to offer help or connect you with a local abortion fund. 

Patients who qualify for state medical assistance can obtain public funds for an abortion.

For information on Maryland Medicaid and abortion, visit [http://mdmedicaidabortion.org/](http://mdmedicaidabortion.org/)/

Abortion in Maryland is legal.

Maryland does not require mandatory counseling or a waiting period before accessing abortion. Minors under 18 are required to notify a parent. For information on Maryland Medicaid and abortion, visit [http://mdmedicaidabortion.org/](http://mdmedicaidabortion.org/).

Take care to avoid crisis pregnancy centers or [fake clinics](https://www.ineedana.com/fake-clinics/). In many states, there are more of these than actual abortion providers, and they will come up when you search Google or the phone book. All providers on ineedana.com have been verified as real providers.

We work diligently to keep this site as updated as possible. If you find something that is out of date on this site, please fill out [this form](https://airtable.com/appFRkI5rK2tGjOHA/shrH3zC5rc0ISWk1A).

An in-clinic abortion takes place in a clinic or hospital. They’re medically very safe and 99% effective. There’s a variety of names used for in-clinic abortions, as well as different types. Some names you might come across are surgical abortion, procedural abortion, dilation and evacuation (D&E), dilation and curettage (D&C), or vacuum aspiration. It can be a bit overwhelming keeping track of all of these! What’s important is they’re all very safe and effective.


With a first trimester in-clinic abortion (up to 12 weeks), your doctor will numb and dilate your cervix in order to insert a narrow flexible tube into your uterus. The tube will then remove the pregnancy tissue with suction. The suction portion takes about a minute and the entire procedure takes around 10 to 20 minutes.


If you need an abortion later in pregnancy (over 13 weeks), you’ll likely have what’s called a dilation and evacuation (D&E). It may take place over two consecutive days and require multiple visits to a provider. This procedure also involves suction to empty your uterus.


One thing to keep in mind is that in-clinic abortions later in pregnancy cost more with fewer providers to choose from. That’s why it’s helpful to contact a verified clinic as soon as you’re able to.


Some clinics offer pain and sedation medications to help you feel more comfortable before, during, and/or after the procedure. Be sure to ask the clinic before you arrive about your options.


If you can't afford an abortion, or the costs associated with travel, there are [organizations ready to help.](https://www.ineedana.com/advanced-search/support).


We'll display this data to all users, but are currently only asking logged in users this question

These organizations have criteria that providers must meet annually to maintain membership. 

in|is Currently Closed

Sometimes flying can be cheaper than driving if you need to travel out-of-state for an abortion.  Here are some recommended flight paths from

Looking for abortion care in [X]? Find abortion resources available to you from our list of verified clinics and other abortion pill options

Find an Abortion Provider in [X]

Abortion laws and provider services are frequently changing in the United States. The information on these pages and everything else on ineedana.com are updated daily.

How to get an abortion - find your local & verified abortion providers, funding & support organizations, and laws. Updated daily.

I need an abortion

You are a minor

Flying is often faster and sometimes cheaper than driving. [Learn more](https://www.ineedana.com/blog/deciding-to-travel-for-an-abortion) about things to consider when deciding to travel.

Given your distance from your closest clinic, flying may be faster and cheaper than driving. 

You have {X} {CLINICS} within {RADIUS} that offer in-clinic abortions.

[Your closest clinic]({CLINIC_URL}) is {RADIUS} away in {CITY}.

We estimate total costs, including travel, to start at {COST} 

We estimate total costs, including travel, to start at ${COST} ([don't worry, there's $ help!](/advanced-search/support))

Pills can be ordered from a variety of online providers that can offer video, phone, or chat support.

Pills can cost an estimated $150 or less and arrive in as few as 2 days. Taking pills on your own is medically very safe, but may come with [legal risk](https://www.reprolegalhelpline.org/legal-rights-and-risk).

Given you're more than 12 weeks pregnant, US-based providers won't prescribe pills, but they are still accessible online. For more information on pills after 12 weeks, contact the [M+A Hotline](https://mahotline.org).

You can also access abortion pills at {X} {CLINICS} within {RADIUS}. Physical clinics may be more able to accept insurance.

American Women's Services in Silver Spring, Maryland is Currently Closed