Appointments for voluntary pregnancy termination may be made by calling
the Cleveland Surgi Center, Inc at (216) 295-3330.
Our toll-free number is 1-800-858-8980.
The professional staff of Cleveland Surgi-Center (CSCI) is comprised
of Board certified or Board eligible OB GYN physicians who are not
employees of the center. These physicians are doctors with private
practices who are independent contractors. We are also staffed
with a licensed anesthesiologist group, registered nurses, certified
counselors, and other professionally trained staff. When a woman
makes the decision to terminate her pregnancy, the safest methods
provided are either vacuum aspiration in the first trimester (6 through
12 weeks), or dilation and evacuation in the second trimester(13 through
The counselor's role is to aid in the mutual exchange of information,
and to explore the concerns of the patient. The abortion decision
is always that of the individual patient, with the questions of medical
eligibility determined by her CSCI physician.
Remember, a woman has a legal right to terminate her pregnancy if
she chooses to do so: however, the State of Ohio has imposed a 24
hour waiting period after the initial visit to our clinic.
At the initial visit, the woman will receive information concerning
the abortion procedure from the physician, this includes:
1. The nature, purpose, and medical
of the abortion procedure.
2. The medical risks in carrying
a pregnancy to term.
3. Copies of the state of Ohio
published material. The patient has the right to choose not
to accept the literature.
During the initial visit, the patient will receive an ultrasound (sonogram)
- a picture using painless sound waves to determine the gestation
age of the pregnancy. Other routine tests, prior to the abortion,
at the initial visits:
-urinalysis (albumin, sugar, acetone)
After the state mandated 24-hour waiting period, the patient will
have either one or two appointments, depending on the gestational
age of the pregnancy. She will also meet with the CSCI physician,
in a private setting, prior to the abortion procedure.
The procedure is
performed by the insertion of a thin plastic tube into the
uterus. The contents of the uterus are then removed
with gentle vacuum action. (as a matter of information,
early pregnancy termination are ten times safer then a tonsillectomy).
The procedure itself takes only five or six minutes.
The patient will remain in the Recovery Room approximately
|Patients who are 13-17 weeks gestational age will have
a dilator inserted into the cervical canal. The dilator
is a thin piece of special material that expands like a tampon
and causes the canal to gradually, and safely, dilate.
Surgery will be two or three hours later. The patient
is made comfortable and she will remain at the clinic until
the procedure is completed, unless she must return the next
morning to complete the procedure.
patients who are beyond 17 weeks(18-24 weeks) will have the
dilator inserted: leave the clinic, stay in the Cleveland area
overnight, and return to the clinic the next morning to complete
*Sedation (deep twilight)
*Local (awake) - the physician numbs and relaxes the cervix ( opening
into the uterus) by an injection into the muscle. The patient who
chooses either the General or Sedation anesthetic must have an escort,
sign a release form that he or she will escort the patient to her
The Local anesthetic requires no escort.
Patients who choose to be sedated or have a general anesthetic will
be required to have someone accompany them to the clinic, sign a
form of release and be present to take the patient home. The patient
is also required to refrain from eating, drinking or smoking after
midnight the evening prior to the procedure.
The patient is encouraged to have a check-up three weeks after the
procedure. She may come to Cleveland Surgi-Center, or
see her own physician. The CSCI physicians perform the follow-up
examination and there is a fee for a PAP test.
The patient is guided by the CSCI physician and counselor in choosing
the means of birth control best for her. If she chooses the
oral contraceptive, she will be given a one month's supply of birth
control pills after the procedure or at follow-up. In order
to receive a prescription for her pill, the patient must show evidence
that she has had a normal result from a PAP test within the past
year, and bring evidence that the test indicated a normal result.
She may elect to have a PAP test as part of the follow-up examination.
A urine test for pregnancy is available without an appointment and
without charge. A small amount of the first morning urine
specimen may be brought to CSCI Monday through Saturday during the
hours of 9:00 a.m. to 2:00 p.m.
The patient will find that the Cleveland Surgi-Center maintains
a very competitive posture in the Cleveland area. Our mission
has always been to enable women to exercise the right to make an
informed choice in the matter of reproductive fertility.
Cleveland Surgi-Center requires partial payment at the time of the
first appointment. The balance is paid at the second visit
- after the state mandated 24-hour waiting period has elasped.
Money orders, certified checks, travelers checks, MasterCard Visa
and Discover are acceptable means of payment. Verifiable health
insurance is also accepted.
CSCI will not accept personal checks or cash. There are reduced
fees for Ohio ADC patients and fulltime students.
Call (216) 295-3330 or 1-800-858-8980 for a fee schedule.