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Figuring out next steps after a positive pregnancy test

This guide covers all options, continuing the pregnancy, abortion, and adoption, with no pressure toward any of them. Whatever you decide, you deserve accurate information and good care. A note on language: pregnancy is something that happens to people of all genders. If you're a trans man, nonbinary person, or anyone else for whom pregnancy is complicated or unexpected, this is written with you specifically in mind.

Step 1

Confirm the pregnancy and find out how far along you are

As soon as possible

A home pregnancy test is accurate after a missed period, but for confirming gestational age, which determines your options and timeline, you need a clinic visit or blood test.

Planned Parenthood Columbia Willamette offers same-day or next-day confirmation appointments at multiple Portland-area locations. Call 503-775-0861.

⚠️ Don't go to a Crisis Pregnancy Center (CPC) for this. CPCs are not licensed medical providers and are not neutral, they exist to discourage abortion and do not provide complete information about your options. Planned Parenthood, Cascadia, and community health centers do.

Step 2

Enroll in OHP immediately if you're uninsured

Right away, retroactive coverage

Pregnancy qualifies you for Oregon Medicaid immediately, regardless of immigration status for most programs.

Apply at one.oregon.gov or call 1-800-699-9075. Coverage is retroactive to the month you applied.

OHP covers: prenatal care, birth, postpartum care, abortion, gender-affirming care, and doula services (up to 8 visits at no cost). If you have questions about what's covered, call the OHP customer service line: 1-800-699-9075.

Step 3

Know your options and your timeline

As soon as you know

Oregon has no gestational limits on abortion. If you're considering termination, earlier is almost always easier and less expensive, but you have time to make an informed decision.

All-options counseling (no agenda, no pressure) is available at:

Whatever you're considering, continuing, terminating, or adoption, these providers will give you complete, accurate information and support your decision.

Step 4

Choose a prenatal provider if you're continuing the pregnancy

By 8 to 10 weeks

Your first prenatal appointment should happen by 8 to 10 weeks. Community health centers in all three counties see patients on a sliding scale regardless of insurance status.

Call 211 for the closest community health center to you.

If you're on OHP, any OHP-accepting provider will see you, call your CCO's member services line for a list of in-network OB/GYN and midwifery providers.

🏳️‍⚧️ Trans and nonbinary people can request trans-affirming providers. Planned Parenthood has a strong track record of affirming care. You can note your gender identity at intake and request specific language preferences with your care team.

Step 5

Enroll in WIC right now, you qualify immediately

Immediately, no waiting period

WIC provides free foods (produce, dairy, eggs, infant formula), nutrition support, and breastfeeding or chestfeeding help. You qualify the moment you're pregnant, you don't have to wait until birth.

How to enroll: Call your county WIC office or search wic.oregon.gov. You can also call 211 for your nearest site.

WIC is separate from OHP, you can have both. Monthly food benefit amounts are loaded on an Oregon Trail Card (EBT).

Step 6

OHP covers doulas, ask for a referral

Any time during pregnancy

If you want a doula, someone to support you before, during, and after birth, OHP covers up to 8 doula visits at no cost to you.

Trans-affirming doulas are available in Portland. Ask your prenatal provider for a referral, or call 211 and ask for "doula services in my county."

Step 7

Tell your provider about mental health needs early

At your first prenatal appointment

Pregnancy and early parenthood are high-risk times for anxiety and depression. Asking for support is not weakness, it's part of prenatal care, and OHP covers it.

Asking for a mental health referral at your first prenatal appointment is the easiest path. You can also call:

  • Baby Blues Connection (503-328-0033): free peer support for perinatal and postpartum mental health, Portland metro
  • David Romprey Warmline (1-800-698-2392): 24/7 peer support, any time you need to talk
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