Facing an unplanned pregnancy can be an overwhelming experience, filled with complex emotions and difficult decisions. At Mosaic Virginia Pregnancy Resource Centers, we understand the challenges that can come with such situations and are committed to providing comprehensive support and guidance throughout each stage of your pregnancy journey. We want to ensure you have access to accurate information, health services, and the choices you need to make the best decision for your unique situation.

Why is Options Counseling important?

When confronted with an unplanned pregnancy, it’s essential to have access to accurate information and a safe space to explore your options. Mosaic offers Options Counseling, where our trained providers are ready to listen, inform, and support you in understanding your choices – continuing your pregnancy and birth, considering adoption, or choosing to terminate your pregnancy. Knowing all of your options is important and we are here to listen and help you with resources and referrals so that you can make the best decision for your unique situation.

Types of Abortion

Medication Abortion:
The Abortion Pill, also known as medication abortion, is a method for ending early pregnancies, generally within the first 10 weeks since the onset of your last menstrual period. The mechanism of the Abortion Pill involves two distinct medications: Mifepristone and misoprostol. Mifepristone, often referred to as the “first pill,” plays a pivotal role. It’s a synthetic steroid that blocks the effects of progesterone, a hormone that is vital for the growth of the baby. Though used less often than Mifepristone, Methotrexate can also be used as the first medication in a medication abortion. Methotrexate inhibits cell growth, thus causing death to the baby. This step sets the stage for the subsequent process. Several days later, misoprostol is introduced, the “second pill” which triggers uterine contractions that facilitate the expulsion of the embryo from the vagina.
Before you decide to take the abortion pill we recommend you make an appointment with a nurse at Mosaic, who will confirm your pregnancy with a medical grade test and provide a confirmation ultrasound that will determine the location of the pregnancy and the gestational age of the baby. This medical protocol ensures both your health and safety.

Knowing the Risks of Medication Abortion

It is important for those considering this option to be aware of the risks in order to make an informed decision. Here are some of the risks associated with medication abortion:
  •  Incomplete abortion: In some cases, the medication may not completely terminate the pregnancy. This can lead to an incomplete abortion, where some pregnancy tissue remains in the uterus. If this occurs, a surgical procedure may be necessary to complete the abortion.
  • Heavy bleeding: Medication abortion can cause heavy bleeding, which is a normal part of the process. However, in rare cases, the bleeding can be excessive and may require medical intervention. It is important to closely monitor the amount of bleeding and seek medical advice if it becomes unusually heavy or if you soak through more than two sanitary pads per hour for two consecutive hours.
  • Infection: There is a small risk of infection associated with any abortion procedure, including medication abortion. Signs of infection may include fever, severe abdominal pain, and an unpleasant-smelling vaginal discharge. If you experience these symptoms, it is important to seek prompt medical attention.
  • Allergic reaction: While rare, some individuals may have an allergic reaction to the medications used in a medication abortion. Signs of an allergic reaction may include difficulty breathing, hives, or swelling of the face, lips, or throat. If you experience any of these symptoms, seek immediate medical help.
  • Emotional impact: It is important to be aware of the potential emotional impact associated with medication abortion. Some individuals may experience a range of emotions, including sadness or guilt. It can be helpful to have a support system in place and to consider counseling or support resources to help navigate these emotions. 

Surgical Abortion:


Surgical abortion is a medical procedure that involves the removal of the baby from the uterus to end a pregnancy. It is typically performed in a clinic or hospital setting by a healthcare professional. 

There are different types of surgical abortion procedures, including:
  •  Vacuum aspiration (also known as suction curettage): This is the most common type of surgical abortion. It involves using a suction tube to remove the embryo and uterine lining from the uterus. 
  • Dilation and curettage (D&C): This procedure involves dilating (opening) the cervix and scraping the uterine lining with a curette to remove the pregnancy tissue. It may be used in cases where vacuum aspiration is not feasible. 
  • Dilation and evacuation (D&E): This procedure is usually performed in the second trimester of pregnancy. It involves dilating the cervix and using suction and instruments to remove the embryo and uterine lining. 
The specific procedure used will depend on factors such as the gestational age of the pregnancy and the woman’s health. Schedule an appointment with a nurse at Mosaic, who will confirm your pregnancy with a medical grade test and provide a confirmation ultrasound that will determine the location of the pregnancy and the gestational age of the embryo. This medical protocol ensures both your health and safety.

Knowing the Risks of a Surgical Abortion:

Surgical abortion is a medical procedure that involves the removal of the baby from the uterus. Like any medical procedure, there are certain risks associated with surgical abortion. It is important for individuals considering this option to be aware of these risks to make an informed decision about their healthcare. We provide detailed information about the surgical abortion process and potential risks to your health.
Complications from a surgical abortion include:
  •  Infection: Like any surgical procedure, there is a risk of infection following a surgical abortion. The uterus is vulnerable to infection during and after the procedure.
  • Hemorrhage: In rare cases, surgical abortion can lead to excessive bleeding or hemorrhage. This can happen if the uterus is not properly evacuated or if there is damage to blood vessels during the procedure. 
  • Damage to the uterus or other organs: Though rare, there is a possibility of injury to the uterus or adjacent organs during a surgical abortion. This may occur if the instruments accidentally penetrate the walls of the uterus or if there are pre-existing conditions that make the procedure more challenging.
  • Anesthesia complications: Surgical abortion procedures generally involve the use of anesthesia to ensure patient comfort. While serious complications are rare, there is always a small risk associated with anesthesia, such as allergic reactions or adverse effects on the respiratory or cardiovascular systems. 
  •  Emotional impact: While not a physical risk, it is important to consider the potential emotional impact of a surgical abortion. It is common for individuals to experience a range of emotions, including sadness, guilt, or anxiety, following the procedure. It is recommended to seek appropriate emotional support, such as counseling or support groups, to address any concerns or emotions that may arise.

Post-Abortion Support:

We recognize that emotions and feelings following an abortion, whether medication or surgical, can be complex and overwhelming. You don’t have to face these emotions alone. At Mosaic, we offer a free post-abortion support program that provides a safe and non-judgmental space to address grief or unsettled feelings. Our post-abortion counselors are here to help you process your emotions, find healing, and move forward towards emotional well-being. We understand that everyone’s journey is unique, and we tailor our support to your specific needs.

At our Mosaic clinics, we are committed to supporting individuals facing unplanned pregnancies with compassion, respect, and a commitment to their health and well-being. Our comprehensive services, including Options Counseling and Post-Abortion Support, are here to guide you through this journey, ensuring that you are well-informed, emotionally supported, and provided with helpful health services and resources. Remember, you have options, and you don’t have to face this challenging time alone – we are here for you.

Options Counseling

If you are facing an unplanned pregnancy and now you are considering pregnancy options counseling, we’re here to help. At Mosaic, we are here to inform you of your options and to empower you to make the best choice for your situation.

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Navigating the Emotional Journey: Finding Post-Abortion Support

At Mosaic we recognize that women may experience unresolved feelings following an abortion. You do not have to face the emotions of abortion alone. Contact us to learn more about our free abortion recovery program.

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Lifestyle Classes

Pregnancy and parenting are filled with lots of uncertainty. Our Earn While You Learn and Lifestyle Classes help to answer many of the questions you have and to ease your anxiety.

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