Precautions being taken at the clinic in light of COVID-19 (Coronavirus)
Our clinic is open and providing abortion services. However, in light of the COVID-19 (Coronavirus) outbreak, our clinic is taking additional precautions to ensure the health of all clients and staff.
- We are offering assessment over the telephone to minimize time in the clinic.
- Medication abortion is available without a clinic visit entirely, if appropriate.
- Appointments for IUD insertions, removals, and checks are available.
- Until further notice, we are unable to offer Paps and STI testing.
Do I need a referral from a doctor?
You do not need a referral or note from a doctor to book an abortion at our clinic. However, if you do see a doctor beforehand or if a doctor or clinic refers you to our clinic, please give us their name when you book your appointment.
Can I buy contraception at the clinic?
Yes, we offer both prescriptions and the opportunity to purchase contraception. You can buy contraception at the time of your appointment. If you would like further information about purchasing contraception, please call the clinic at (604) 736-7878, Monday to Friday between 8:30 AM to 4:30 PM. Our clinic accepts Cash, Debit, Visa, Mastercard, and Union Pay.
Do you serve trans, non-binary, and Two-Spirit people?
Yes. Our staff have been trained in providing safe, non-judgmental care to trans, non-binary, and Two-Spirit clients. We are always interested in feedback regarding additional ways that we can improve our services for clients from these communities.
Is your staff trained to provide culturally safe and competent services to Indigenous people?
Elizabeth Bagshaw Clinic is situated on the unceded territory of the xʷməθkwəy̓əm (Musqueam), Skwxwú7mesh (Squamish) and Səl̓ílwətaʔ/Selilwitulh (Tsleil-Waututh) Nations. We are committed to understanding what it means to operate on unceded territory, to recognizing Canada's history of colonization and ongoing harms to Indigenous people, and to meaningfully incorporate this knowledge into the health services that we deliver. In 2019, we committed to increasing the cultural competency of our clinic and all members of our team. We continue to carry out organization-wide training and work on policy development in order to meet this commitment. If you have cultural, spiritual, family, and/or language needs, please let us know when you book your appointment and we will work with you to ensure you feel well cared for during your time at our clinic.
Is abortion safe?
Yes, abortion is a safe procedure. Aspiration abortion is one of the safest surgical procedures available. The medications used for medication abortion have been safely used around the world since 1988.
Does an abortion hurt?
- Aspiration abortion: You will probably feel some pinching, definitely some pressure, and possibly some cramping. You will be offered IV medication to help you relax and manage any discomfort. We also numb your cervix with a local anesthetic to minimize discomfort.
- Medication abortion: Most clients do not experience any cramping or bleeding after taking the first medication (mifepristone). After taking the second medication (misoprostol) 24 - 48 hours later, you will experience cramping and bleeding. Cramps can be mild to severe for a few hours during this process. Pain medication will be offered to you and can help.
How can you ensure my privacy when you call or email me back?
When you book your appointment, you will be asked whether we can call you, text you, email you, and/or send mail to your home address. It is completely up to you how and when we contact you. Respecting client privacy is a top priority for our clinic at all times.
Will my medical information be kept confidential?
Absolutely. We do not share any information about you to anyone or acknowledge that you have been to our clinic without your permission. We will only contact you in the way you instruct us to. If your procedure is billed to the Medical Services Plan (MSP), they will maintain a record of your personal data and what procedures are billed to MSP in your name. MSP is held confidentially by the Province of British Columbia. For more information about MSP, go here. If you elect to have a medical abortion, your prescription for Mifegymiso will be on PharmaNet, which is the province-wide network that records every prescription dispensed in BC. For information about privacy and PharmaNet, go here.
Is your clinic wheelchair accessible?
Yes, our clinic is wheelchair accessible. When booking your appointment, please advise us if there is anything we should know about your mobility or health circumstances that will assist us in ensuring you receive the best possible care while you are at our clinic.
Do I need parental consent if I am a youth?
No, you do not need consent from your parents if you are a youth. Consent is based on capacity, not age. If the physician and clinic staff feel you understand the procedure and its risks, you may consent to medical care at our clinic.
Can you assist if I have been told my pregnancy is not viable or I am having a miscarriage?
Through ultrasound and other testing, some pregnancies are deemed “non-viable.” When a pregnancy ends on its own, it is called a spontaneous abortion or miscarriage. Our clinic provides care for clients who are experiencing a miscarriage. Depending on how far along your pregnancy is, there is a range of options available to you. Our counselling, nursing, and physician team will provide you with information about your medical options and assist you with a decision on how best to manage the miscarriage. Our counsellors can provide resources and referrals in the community for support after a miscarriage.
What services are available if I am outside the lower mainland?
Please refer to this list of resources, or call our office for information about other abortion services in BC.
Questions about your appointment
Do I have to make an appointment?
An appointment must be scheduled in advance by telephone or through the online booking page. We are not able to book appointments in person or accept patients without an appointment. Please go to the “appointment” section of this website or call us at 604-736-7878, Monday to Friday from 8:30 AM to 4:30 PM to book an appointment. The clinic is open some Saturdays as well.
Which days do you book appointments for abortions and IUDs?
- The clinic provides abortion care services Tuesdays to Fridays, as well as one Saturday per month. The first appointment is 8:30 AM and the last appointment begins at 2:45 PM.
- We offer IUD insertions Tuesdays to Fridays, and on every second Monday.
- If you are coming to the clinic for an abortion, you can have an IUD inserted immediately post-procedure.
How long will I be at the clinic for my appointment?
- If you are less than 10 weeks pregnant and choose to have a medication abortion, you should expect to be at the clinic for approximately 2 hours.
- Afterwards, we require a follow up to confirm that the pregnancy has ended. You may choose to come back to the clinic for an ultrasound or go to Lifelabs for two blood tests.
- If you are less than 14 weeks pregnant, you should expect to be at the clinic for 3 - 4 hours for an aspiration abortion. The abortion procedure is very brief but you will need time to see the counsellor and nurse, and then recover after your abortion.
- If you are between 14 and 17 weeks pregnant, you will be scheduled for a two-day abortion procedure. You can expect to be at the clinic for 2 - 4 hours on each day.
What do I need to do to prepare for an aspiration or medication abortion?
Please refer to this page for information on how to prepare for your procedure and what to expect during and after.
Do I have to pay for my abortion?
If you are a BC resident and have valid Medical Service Plan (MSP) coverage (BC Care Card), your abortion will be completely covered by the plan. If you are from another province, you will have to pay for services at our clinic. However, you can apply for partial reimbursement from your provincial health plan. If you are a visitor to BC or wish to pay privately for other reasons, the following fees will apply:
- If you are under 10 weeks pregnant and choose a medication abortion, the fee for your appointment is $375, and the medication will cost $332.75.
- If you are under 12 weeks pregnant, an aspiration abortion will cost $500.
- If you are between 12 weeks and 14 weeks pregnant, an aspiration abortion will cost $550.
- If you are 14 weeks pregnant and over, an aspiration abortion will cost $650.
If you are facing financial barriers that may limit your ability to access our services, please contact our office.If you are a status First Nations person in BC and want to register for MSP, please contact the First Nations Health Authority. In addition to coverage for abortion services, First Nations Health Authority clients receive coverage for certain forms of birth control. Please contact the First Nations Health Authority or our office for additional information on what is covered. Our clinic accepts Cash, Debit, Visa, Mastercard, and Union Pay.
Can I bring a support person with me to the clinic?
You may bring one support person with you to the clinic. For security and confidentiality reasons, your support person must show photo ID to enter the clinic. Please provide us with the name of the person who will be coming with you when you book your appointment. Feel free to let us know if your support person's photo identification does not accurately reflect their name, gender marker, or current gender presentation. We recognize that for some trans and non-binary people, their photo identification might not accurately reflect who you are. No children are permitted into the clinic.
Is my support person allowed into the procedure room or the recovery room with me?
No, only clients are allowed in the medical areas of the clinic. Support people can wait in the waiting room throughout the appointment, or leave the clinic and return when the appointment is coming to an end.
Can I have an IUD inserted on the day of the abortion?
It is safe to insert an IUD (intra-uterine device) immediately following your procedure. You may bring a pre-purchased IUD with you to your appointment or you may purchase one from us. You can make an appointment with a counsellor to discuss whether an IUD is the right choice for you and review the various options to decide which one will meet your needs.
Questions about after your abortion
When can I go back to work?
- Aspiration abortion: Many clients return to work or school the next day. We recommend that you do not do anything physically strenuous for 24 hours. Please remember that you are not permitted to drive for 24 hours following the procedure.
- Medication abortion: You can return to work after taking the first medication, mifepristone. When you take the second medication, it will initiate bleeding and cramping within 1-4 hours. Depending on what time of day you take it and how you manage it, you may want to take the following day off work.
Will having an abortion affect my ability to get pregnant in the future?
Your fertility will not be affected when you have an uncomplicated abortion performed by qualified health professionals. You will be offered testing for sexually transmitted infections at the time of your abortion and will be offered preventative antibiotics if necessary. If your tests show that you have an infection, you will be contacted for further treatment. You will also be given instructions on how to care for yourself after your abortion. The abortion procedure will not prevent you from having children later on.
Can I drive after my aspiration abortion?
No, you must not drive after your aspiration abortion. You are having a procedure with medications, which means you cannot operate a motor vehicle for 24 hours after you leave the clinic. You must arrange for transportation to and from the clinic on the day of your abortion. We strongly advise that you have someone take you home after your procedure, or alternatively you can take a taxi which we will arrange for you upon request.