Do you have pregnancy questions?
We have pregnancy answers.

Request an Appointment or Call 425‑329‑4569


Q:What are pregnancy symptoms?

Pregnancy symptoms may vary because not all women are alike nor are all pregnancies alike. The most significant symptom is a missed period but the following can also be signs of pregnancy:

  • Missed Periods
  • Spotting
  • Tender Breasts
  • Fatigue/Tiredness
  • Nausea/Morning Sickness
  • Backaches
  • Headaches
  • Frequent Urination
  • Darkening of Nipples
  • Food Cravings or Food Aversions
  • Dizziness

Keep in mind that all of these symptoms could also be related to something other than pregnancy.

Q:Do I need an appointment to come in for a pregnancy test at Next Step?

To minimize wait times we encourage appointments, but walk-ins are acceptable. Pregnancy tests appointments take about 30 minutes and are done between 1:00 to 5:15 pm M-F.

All medical services are provided under the direction and supervision of a Washington State licensed physician.

Q:Do I need to bring anything to my appointment?

The only thing you need to bring is photo ID so we can take a copy of it and keep it in your chart. If you don’t have photo ID we will take a pictured of you when you arrive. This is to protect your privacy rights.

Q:Will my visit be confidential?

Next Step has a very strict confidentiality policy. We will not tell anyone about your visit unless you give us permission. When you arrive, we will do all that we can to make sure your visit is private and you are comfortable. There are certain circumstances where we are required by law to report to the state or law enforcement and these include the following: If you are homicidal, suicidal, under age and being abused, or if you are abusing someone.

We understand an unintended pregnancy presents a lot of emotion and we want to be a safe place for you to get honest answers to your questions.

Q:If my test is positive will I be given a Proof of Pregnancy for insurance?

Yes, and the pregnancy test we offer is a nurse administered urine test that is 99.7% accurate to detect pregnancy 10-14 days after conception. If you don’t have insurance we will refer you to a pregnancy case manager who will assist you in obtaining medical insurance coverage for your pregnancy.

Q:Can I bring a friend with me?

Yes, you can bring anyone you are comfortable with ~ a friend, boyfriend, parent or relative. We will talk with you privately to begin with and then your support person can join you. If you have young children, however, we suggest that you make arrangements to have someone watch them during your appointment.

Q:Why should I have an ultrasound?

Although a positive pregnancy test can accurately determine you are pregnant, up to 1 in 4 pregnancies will end in miscarriage. Having an ultrasound will determine if you have a viable pregnancy (a pregnancy that will continue to full term) and the gestational age of the baby. Performing ultrasound tests during pregnancy is a very safe and painless procedure.

Our ultrasound exams are provided free of charge and are completely confidential.

Q:What are the different abortion procedures?

We do not refer for or perform abortions at Next Step but our medical staff is qualified to answer your questions about this option. Abortion is the termination of a pregnancy. Natural abortion can occur spontaneously due to complications during pregnancy. This is commonly known as miscarriage. Induced abortion is a surgical or medical procedure that terminates a pregnancy. There are several types of abortion procedures, including:

Suction Aspiration Abortion
This is a surgical abortion that is commonly performed from 4-12 weeks gestation. As the name implies, this procedure removes the embryo by suction.

Suction Curettage
This surgical abortion procedure requires the doctor to physically stretch open the cervix prior to using the suction machine to remove the embryo.

Dilation and Evacuation, also known as dilation and extraction
This abortion procedure literally refers to the dilation of the cervix and the surgical evacuation of the contents of the uterus (the baby).

The Abortion Pill (RU486)
This drug is used for very early pregnancies to chemically cause an abortion. Please know that this method is not for everyone and, just like surgical abortions, there are significant health risks in using the abortion pill.

This is only a brief summary of the abortion procedures most commonly used today. More complete details will be given to you by one of our qualified staff members when you come in for your appointment.

Q:Are there risks involved with having an abortion?

As with any medical procedure, there are possible risks to any abortion procedure. Those risks include heavy bleeding, infection, damage to cervix, damage to the uterus or uterine lining, damage to other internal organs, sepsis (total body infection caused by RU486), loss of future fertility and death.

When you come in for your appointment, you will be given complete information on the health risks associated with abortion.

Q:Can I get birth control or the morning after pill Next Step?

We don’t provide or refer for birth control or the morning after pill. If you have questions or concerns regarding these medications, please contact your medical provider.

Q:What about adoption, how does that work?

An unplanned pregnancy can be overwhelming. You have questions. You’re scared and feel alone. It’s ok ~ these are all very normal emotions at this time.

Give yourself time to think.

It’s not easy to be where you are right now, but with information and support you can make good decisions for yourself and your baby. If you don’t want an abortion but you aren’t sure you are ready to be a parent, adoption may be a reasonable option for you to pursue. Our goal is to help you sort out your feelings and decide what feels best for you.

There are three types of adoption to consider:

  • Open Adoption
  • Semi-open Adoption
  • Confidential Adoption

There are no fees or expenses charged to birthmothers choosing adoption, and assistance with pregnancy-related expenses may be provided during and even after you give birth. Our nurses and staff can speak to you in more detail about adoption if you have more questions.