Is Late-Term Abortion Safe?

Finding out you are further along in your pregnancy than you expected can feel overwhelming. You may be asking hard questions:

Is abortion still an option?
Is it safe this far along?
What would the procedure involve?
Will it be painful?

If you are considering a later abortion, you deserve clear, factual information and space to process your next steps carefully. This guide explains what late-term abortion is, how it is performed, possible risks, pain expectations, and what California law allows.

What Is Late-Term Abortion?

The term “late-term abortion” generally refers to abortions performed in the second or third trimester of pregnancy.

Abortions later in pregnancy are uncommon, but they do occur. In 2022, about 6.1% of abortions in the United States were performed between 14 and 20 weeks. About 1.1% occurred at or after 21 weeks.[1]

One of the most important first steps if you believe you are further along is confirming how far along you actually are. An ultrasound provides accurate dating and helps determine what options are available.

At CAPS, we offer free ultrasounds so you have accurate information before making any decision. Schedule an appointment today.

Is Late-Term Abortion Legal in California?

In California, abortion is legal up until viability.[2]

Viability refers to the point in pregnancy when a fetus is developed enough to survive outside the womb with medical support. This generally occurs around 24 weeks of pregnancy.[3]

How Is a Late-Term Abortion Performed?

The most common procedure later in pregnancy is called dilation and evacuation (D&E).[4]

in a clinic or hospital and may take place over one to two days.[4]

Step 1: Cervical Preparation

Before the procedure, the cervix must be gradually opened. This may involve dilators that slowly expand over time or medication such as misoprostol.[4]

Step 2: The Procedure

Once the cervix is dilated, the provider uses suction to remove fetal and placental tissue and may use surgical instruments to ensure the uterus is completely emptied.[4]

The procedure itself typically lasts between 10 and 30 minutes, though patients often remain at the facility longer for monitoring.

What Are the Risks of Late-Term Abortion?

As with any surgical procedure, late-term abortion carries medical risks. In general, the likelihood of complications increases as pregnancy progresses.[4]

Possible risks include cervical injury, infection, heavy bleeding, uterine perforation, uterine rupture, incomplete abortion requiring additional procedures, and surgical repair of the cervix or uterus.[4]

Many women find it helpful to speak with a healthcare professional. At CAPS, we’re here to discuss these risks openly, helping you weigh your options and make an informed decision. Make an appointment to get started.

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Do Late-Term Abortions Hurt?

Pain levels vary from person to person. Late-term abortions often involve more physical discomfort than earlier abortions because of the pregnancy’s progression. Research has shown that many women who undergo late-term abortions report experiencing more pain than they expected.[5]

Considering Late-Term Abortion? Get the Facts at CAPS.

Discovering you are further along can feel isolating. You do not have to navigate this alone. CAPS is a safe place to ask the hard questions, process your emotions, and get the care you deserve. We’re here to help you make the best decision for your health and future!

Give us a call at (619) 337-8080 or make an appointment online. All services are confidential and free of charge!

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Please be aware that CAPS does not provide or refer for abortion services.

Frequently Asked Questions

How late is “too late” for an abortion in California?

Generally, abortion is available up to viability, which is around 24 weeks.[2][3]

However, exceptions can be made if a physician determines abortion is necessary to protect the life or health of the pregnant woman.