Emergency department visits after abortions performed under the supervision of a physician are rare (Cleland et al. Obstet Gynecol 121(1):166–71, 2013; Upadhyay et al. BMC Med 16(1), 2018). Induced abortions may be medical, utilizing an oral drug regimen, or surgical, including dilation of the cervix and evacuation of the uterus. These generally occur in the first or second trimester though timing may vary depending on local regulations. Complications can be divided into immediate or delayed and depend on gestational age, procedure performed, provider experience and maternal comorbidities (Ferris et al. CMAJ 154(11):1677–85, 1996). These can be relatively benign, such as mild vaginal bleeding and cramping, or carry considerable risks, such as hemorrhage with uterine atony, endometritis, or amniotic fluid embolism. Workup may require laboratory testing, ultrasound or advanced imaging and gynecologic consultation. With the increase in abortion restrictions, emergency clinicians may encounter more patients performing self-induced abortions which can carry considerable risks.