Fact

Pregnancy options and decision support

Someone facing a decision about a pregnancy generally has three options. They are continuing the pregnancy and parenting, continuing the pregnancy and placing the child for adoption, or ending the pregnancy. Which are available in practice depends on personal circumstances, on how far along the pregnancy is, and on local law. Qualified non-directive support exists, and it is different from a service that has already decided what you should do.

This page describes the options and points to qualified support. It does not recommend an outcome, score your answers, or hold anything you write. There is no quiz here.

What this page is and is not

This is a publication about abortion procedures. That is a fact worth stating plainly, because a page about options should be honest about where it sits.

What that does not mean is that this page recommends abortion. It does not. It does not recommend anything, it does not present one option in warmer language than another, and it does not hide the other options in smaller type at the bottom.

There is no quiz here, no scoring, and no form. Nothing you think while reading this page is recorded anywhere.

The options

Continuing the pregnancy and parenting. Practical questions here include prenatal care, cost, work and leave, housing, childcare, and support. A clinician, a social worker, or a benefits advisor can usually help work through these.

Continuing the pregnancy and arranging adoption. Adoption arrangements vary considerably in structure and in law, and the differences matter, including how much contact is agreed and what is legally binding. Independent legal advice is worth having before signing anything.

Ending the pregnancy. What is involved is described on the types of abortion page. Which methods apply depends on pregnancy duration, health, available services, and local law.

Which of these are practically available differs by person and by place. Legal rules affect this and are separate from medical facts. The law and policy section explains where to check the official record.

What non-directive support means

Professional guidance describes pregnancy options counselling as person-centred: the person's own values and circumstances lead, and the counsellor's job is to inform rather than to steer.

Ways to tell what you have found:

  • A non-directive service answers your questions, tells you what it does and does not provide, does not delay you, and does not require you to view or listen to anything before it will help.
  • A service with a predetermined answer may present one outcome as obviously right, may be vague about what services it actually provides, may create urgency or delay, or may respond to a direct question about what it offers with something other than a direct answer.

A useful question to ask any service directly: "What services do you provide yourself, and what do you refer out?" A clear answer is a good sign.

Questions people find useful

There is no correct answer to any of these, and nothing here is scored.

  • What matters most to me about my life over the next year, and the next five?
  • What would I need in order to feel able to continue this pregnancy?
  • What would I need in order to feel able to end it?
  • Who in my life is involved in this decision, and who is not?
  • Whose reaction am I most worried about, and how much weight do I want to give it?
  • What is driving the timing here, and how much of that is real?
  • What do I still need to find out before I can decide?
  • If money, distance, and time were not obstacles, would my answer change?

Writing the answers down somewhere private often helps. This site is not that place, and it offers no field to type them into, because it does not want your health information.

If someone is pressuring you

Pressure toward continuing a pregnancy, and pressure toward ending one, are both coercion. It can come from a partner, a family member, or someone else with power over your housing, money, immigration situation, or safety. Interfering with someone's contraception, or controlling their reproductive decisions, is a recognised form of abuse.

Time, without false urgency

Time matters here in a specific way: which options are available narrows as a pregnancy progresses, and appointments and travel take time to arrange. That is a practical fact and it is worth knowing.

It is not a reason to decide before you are ready, and no one on this site will tell you that you have to decide today. If it helps to find out what your options actually are while you think, doing that is not the same as choosing one.

Where to find help

The access section links a verified provider search and a national hotline that can discuss options and costs. For continuing a pregnancy, a clinician, a midwife, or a social worker at a health service is usually the most direct route. This site does not maintain its own directory of services, because a list that is not actively verified can send someone to the wrong place.

A useful next step

Find qualified non-directive support

Sources

Each entry states what the source supports on this page and what it cannot support. Where a source and this page disagree, read the source.

  • American College of Obstetricians and Gynecologists Primary source

    Person-Centered Pregnancy Options Counseling (opens www.acog.org)

    Publisher date
    July 2026
    Checked by this publication
    What it supports here
    Supports the non-directive structure of the pregnancy options page and the rule that this publication does not recommend an outcome.
    What it cannot support
    Written for clinicians providing counseling. It describes a professional standard of care, not a self-guided process a reader completes alone.
  • National Domestic Violence Hotline Navigation or context only

    Reproductive coercion (opens www.thehotline.org)

    Publisher date
    6 March 2025
    Checked by this publication
    What it supports here
    Supports the plain description of reproductive coercion and routes a reader to confidential support.
    What it cannot support
    A support organisation rather than a clinical or legal authority. It is not used as the sole support for any clinical claim.
  • RAINN Navigation or context only

    National Sexual Assault Hotline and support resources (opens rainn.org)

    Publisher date
    Not stated by the publisher at the last check
    Checked by this publication
    What it supports here
    Used only to route a reader to sexual-assault support. It never supports a clinical or legal claim.
    What it cannot support
    The publisher blocks automated requests, so this link is confirmed by a person at each release rather than by the scheduled checker.
  • AbortionFinder Navigation or context only

    United States abortion clinic locator (opens www.abortionfinder.org)

    Publisher date
    Not stated by the publisher at the last check
    Checked by this publication
    What it supports here
    Used only to route a reader to a verified provider search. It never supports a clinical or legal claim on this site.
    What it cannot support
    An external service with its own data practices and its own privacy policy. This site does not maintain, verify, or mirror its listings.

Change history

Every material change to this page is dated here. Typo fixes that do not change meaning are not listed and do not move the update date.

  1. Editorial change. Replaced generic availability wording with specific references to methods, services, and local law.
  2. Published. First publication, written from ACOG guidance on person-centred pregnancy options counselling and verified support resources.

Found something wrong

If a fact, a date, a source link, or a definition on this page is wrong or out of date, the corrections process explains how to report it and what happens next. Substantive corrections are logged in public with a date. You can also write to corrections@abortionprocedure.com.