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HOWHOW TOTO GETGET AA N N ABORTIONABORTION II N N OKLAHOMAOKLAHOMA CONTENT UPDATED BY OCRJ VOLUNTEERS 2014-2019 "No matter "No matter what happens, what happens, or how bad it seems today, or how bad it life does go on, seems today, and it will be better tomorrow." life does go on, and it will be bet- ter tomorrow." - Maya Angelou 4FREEDOM MEANS CHOICE PLEASE READ: FREEDOM MEANS CHOICEThis information is NOT intended as a guide for medical care or advice and does NOT replace the care or professional guidance of a healthcare provider. This was written to simply commu- nicate how to go about getting an abortion in Oklahoma. If you suspect you are pregnant, take a pregnancy test immediately. If you do not have a healthcare provider, please see the list of resources at the end of this article. In addition, the views, opinions, and facts stated in this pub- lication do not represent the views or opinions of any organization or entity mentioned herein If you live in Oklahoma and are in need of an abortion or are considering abortion as an option, this booklet: Outlines what clinics are most readily accessible to you. Describes how to access financial aid Describes available abortion procedures Informs you of the laws governing abortion restrictions Shares local resources for help and further assistance Shares information on legislation and opportunities for activism. Although it’s not often discussed, abortion is not an uncommon experience because unintended pregnancy occurs across racial, ethnic, class, and gender lines. In fact, it is estimated that one in four child-bearing people have an abortion by the time they reach 45; over half are individuals who already have children. Abortion is completely legal and is one of the safest surgical procedures in the United States. Abortion at any gestational age is typically 14 times safer overall than carrying to term. Disclaimer This information is NOT intended as a guide for 4medical care or advice Where can I go? A list of all the clinics within a reasonable 8distance of the Oklahoma area How can I afford it? Information on the cost of abortion 12procedures, including Oklahoma restrictions The Procedure 14Explanation of the abortion procedure The Laws Information on the current Oklahoma laws 18dealing with abortion Myths & Facts Refuting the biases and myths surrounding 20abortions Legislation & Activism Information on how you can get involved 24 Resources 25A list of available resources Sources 26The information that helped make this zine Where can I go? Where OKLAHOMA 8 Tulsa Women’s Clinic 6136 East 32nd Place Tulsa, OK 74135 1-800-821-7237 www.tulsawomensclinic.com Surgical Abortion up to 18 weeks, Medication Abortion up to 10 weeks Mon – Sat Abortion Surgery Center 2453 Wilcox Drive Norman, OK 73069 405-329-8120 or 1-800-734-5811 www.abortionsurgerycenter.com Surgical Abortion up to 12 weeks, Medication Abortion up to 10 weeks Mon - Fri Trust Women South Wind Women’s Center 1240 SW 44th Street Oklahoma City, OK 73109 405-429-7940 www.itrustwomen.org Surgical Abortion up to 21.6 weeks, Medication Abortion up to 10 weeks Mon - Fri Comprehensive Health of Planned Parenthood Great Plains 619 NW 23rd Street Oklahoma City, OK 73103 405-528-2157 www.plannedparenthood.org/planned- parenthood-great-plains Medication Abortion up to 10 weeks Tues, Wed, Fri, & Sat KANSAS Trust Women South Wind Women’s Center 5107 E. Kellogg Avenue Wichita, KS 67218 316-260-6934 www.itrustwomen.org Surgical Abortion, Medication Abortion Monday - Saturday Planned Parenthood Great Plains Wichita Health Center 2226 E. Central Wichita, KS 67214 316-263-7575 www.plannedparenthood.org/planned-parenthood- great-plains Medication Abortions on Thurs Planned Parenthood Great Plains Comprehensive Health Center 4401 W. 109th Street, Ste. 100 Overland Park, KS 66211 913-345-1400 www.plannedparenthood.org/planned-parenthood- great-plains Surgical Abortion, Medication Abortion Tues – Sat Center for Women’s Health 4840 College Blvd. Overland Park, KS 66211 913-491-6878 or 1-800-733-2404 www.hodesnauser.com Surgical and Medication Abortion up to 21.6 weeks MISSOURI Reproductive Health Services of PPSLR 4251 Forest Park Avenue Saint Louis, MO 63108 314-531-7526 www.plannedparenthood.org/health-center/missouri/ saint-louis Surgical Abortion, Medication Abortion Where can I go? Where 10 ARKANSAS Planned Parenthood Great Plains Little Rock Health Center 1501 Aldersgate Road Little Rock, AR 72205 501-666-7526 www.plannedparenthood.org/planned-parenthood- great-plains/ppgp-health-centers/ppgp-in-arkansas Medication Abortion Little Rock Family Planning Services 4 Office Park Drive Little Rock, AR 72211 501-225-3836 or 1-800-272-2183 www.lrfps.com Surgical Abortion, Medication Abortion up to 21 weeks TEXAS Whole Woman’s Health of Forth Worth 3256 Lackland Road Forth Worth, TX 76116 817-924-6641 www.wholewomanshealth.com Medication Abortion up to 10 weeks, Surgical Abortion up to 17.6 weeks Mon - Sat For the most up to date list of services provided at each clinic please visit your preferred clinic’s website. Please note that certain abortion procedures can only be performed during the first trimester. Consult with your abortion care provider to find out what services will be available to you. PLEASE NOTE THAT ABORTION PROCEDURES TYPICALLY INCLUDE: Education and Counseling Routine laboratory work Ultrasound for gestational age determination Pre-operative medications Routine post-procedure medications 24 hour on-call medical assistance Post-procedure check-up TIP: Call the clinic to schedule an appointment as soon as possible; The 72 hour consent is done over the phone. The patient will simply have to listen to someone from the clinic read the required information. To reduce the wait times, go online and print out any patient information forms. Fill them out and bring them to your appointment. How can I afford it? How can I afford 12 The cost of an abortion is an impediment to most women. In Oklahoma, abortions typically cost between $650 and $2,100. Public funds such as Medicaid cannot be used to pay for the procedure. If you cannot afford an abortion, please contact the clinic where your procedure is at and ask them about funding for your procedure. Depending on which clinic you choose, you may have access to additional funds through NAF – The National Abortion Federation or NNAF – The National Network of Abortion Funds. Patients will have to meet federal poverty guidelines and live in Oklahoma. NAF can only give set amounts to patients based on their gestation, but if the patient has extraordinary circumstances or is facing a price change or procedure change, the clinic can ask for an exception to allow the patient to receive more funding. If they do the clinic has to also contribute their own funding or discount to the patient’s cost. Patients coming to Trust Women or Reproductive Services in Tulsa will typically do an intake with the clinic staff, but they can still call the NAF hotline. It’s 1-800-772- 9100. Roe funding is extremely limited right now so most funding for Oklahoma patients is coming from NAF. Patients from Arkansas, Texas, Missouri or Kansas can access other funds depending on where they live. If the situation is extraordinary the clinic may be able to provide additional help with lodging or other needs. Other restrictions on abortion funding in the state of Oklahoma: Abortion is not covered in private insurance policies unless the person’s life is in danger or unless an optional rider (an addition to your insurance policy) is purchased at an additional cost Health plans offered in the state’s health exchange under the Affordable Care Act can only cover abortion in cases when the person’s life is endangered, unless an optional rider is purchased at an additional cost Abortion is not covered in insurance policies for public employees unless the person’s life is in danger. TRICARE (military insurance for service members and dependents) does not cover elective abortion, but has covered it in cases of medical necessity, fetal abnormality, or rape. The Procedure 14 A medical abortion is the most common and least invasive method of abortion. For this method, Mifiprex and Misoprostol pills are used and end an early pregnancy up to 70 days from your last menstrual period. The cut off for medication abortion is 10 weeks for both Trust Women’s and Planned Parenthood. Mifiprex blocks the hormone progesterone, a naturally occurring hormone that prepares the uterus for a fertilized egg and helps maintain pregnancy. Without progesterone the pregnancy cannot continue and the lining of the uterus softens, breaks down, and bleeding begins. Mifiprex is followed by a prostaglandin, Misoprostol, which causes the uterus to contract and expel the pregnancy. Some people describe the process as similar to a miscarriage. This medication can begin to work immediately, or it can take up to 72 hours to be completely effective. Make sure you’re at home or in a safe and comfortable place. Please note, there will be bleeding and cramping because your body is excreting the lining of your uterus. For a lot of people, the abortion is complete within 4 or 5 hours of taking the Mifiprex and/or Misoprostol but for others, it can take a few days. As with any medical procedure, please make sure to follow up with a healthcare practitioner. Patients are likely to have period type bleeding or heavier for at least two weeks with the medication abortion even after the pregnancy has passed. It is also extremely important to have a follow up appointment as it has a 3 to 5% failure rate leading to tissue or a continuing pregnancy in the uterus.