Health Care Tips After Abortion – If you have been asked to attend the clinic the day before the treatment to prepare the cervix, expect to be at the clinic for up to 3 hours.
The cervix (neck of the uterus) can be prepared by treatment with mifepristone, misoprostol and a dilator called Dilapan. You may need one of these medications or you may need more. We explain in detail what preparation you need and when it will happen.
Health Care Tips After Abortion
Mifepristone is a pill that you swallow. You may be given mifepristone tablets to take home, the tablets may be mailed, or you may be asked to collect them from the clinic. Mifepristone may cause dizziness, bleeding or nausea. If you vomit within one hour of taking mifepristone, notify the clinic when you arrive for your treatment.
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If you are not using this medication, please return to your local pharmacy or contact for instructions on how to withdraw or return the medication. Do not use in other pregnancies as you may miscarry.
In rare cases, women can miscarry while taking mifepristone. This risk increases if mifepristone is used with cervical preparation (Dilapan) or if you have had feticide in your treatment, but it is still a rare risk. Heavy bleeding or labor pains or water breaking can be signs of pregnancy. If any of these happen while you are at home, call the clinic or the Aftercare Line on 0300 333 68 28 (or +44 1789 508 210) for advice.
Misoprostol tablets are placed in your vagina or under your tongue in the clinic before the operation. See the table opposite for a full list of side effects.
Dilapan is a match-shaped rod that is inserted into the cervix before the operation. They swell to gently open the cervix. The insertion is done in the clinic and takes only a few minutes. We can use injectable or injectable local anesthesia for this procedure. If your treatment is planned for 2 days, you will go home after they are installed. When Dilapan expands, it can cause cramping or very light bleeding and rarely your water can break and you can miscarry. Sometimes Dilapan can crash. You will get additional information about pain management and what to do if you go into labor or your water breaks.
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If you have any problems after inserting Dilapan, call the clinic or the Aftercare Line on 0300 333 68 28 (or +44 1789 508 210) for advice. early pregnancy with medication. Medical abortions are provided by trained health care providers in private practices, family planning clinics, and hospitals.
A medical abortion can be performed from the time a woman suspects and confirms she is pregnant until nine weeks after her last period. However, some insurance companies limit medical abortions to seven weeks of pregnancy or less.
In clinical practice, medical abortions are about 95 percent to 98 percent successful, allowing a woman to go through a full pregnancy without surgery. By comparison, preoperative abortions are effective 98 percent of the time.
Mifepristone, also known as “Mifeprex” or “RU-486”, blocks the action of the natural hormone progesterone in the uterus. This causes the lining of the uterus to shed, like during a period, and prevents the pregnancy from growing. Misoprostol, also known as “Cytotec”, causes the uterus to contract and begin to bleed and clot.
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A medical abortion involves at least two visits to a doctor’s office or clinic. The treatment consists of giving the medicine and then confirming that the pregnancy has ended. Sometimes more than two are needed.
Medical abortion is different from emergency contraception, also known as the morning after pill. Emergency contraception prevents pregnancy. Therefore, when pregnancy comes, it is no longer effective. Medical abortion, on the other hand, is used to terminate an unwanted pregnancy.
Mifepristone has been studied for over 20 years. Millions of women in more than 20 countries, including the United States, have used mifepristone and misoprostol or similar drugs for abortion. All studies have shown that the method is safe and effective; no long-term risks have been reported. Heavy bleeding requiring blood transfusions is very rare, occurring in less than 0.5 percent of study patients.
There is no evidence of long-term risks of mifepristone when used for medical abortion and no long-term effects of misoprostol.
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In 20 years of use, medical abortion has been associated with only one death, which was caused by a drug that is no longer used in the United States and was never used at the UCSF Women’s Options Center.
Little is known about the effects of mifepristone on the developing embryo. Misoprostol is associated with birth defects when given during pregnancy. Therefore, women must undergo surgical abortion if medical abortion fails.
The cost of a medical abortion varies from clinic to clinic. Some providers charge similar fees for medical and surgical abortions. Many insurance companies, including Medi-Cal, will cover the cost of a medical abortion. The UCSF Women’s Options Center offers self-pay options for both medical and surgical abortions.
UCSF Health medical experts have reviewed this information. It is for educational purposes only and is not intended to replace the advice of your doctor or other healthcare professional. We encourage you to discuss any questions or concerns you may have with your provider.
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Are you considering medical and surgical abortion? Find information here about suction curettage and medical abortion to help you make a decision.
Abortion by aspiration can be done as a one-day procedure if less than 14 weeks have passed since the first day of the last period.
Abortion in the 2nd trimester is an option or, management of miscarriage and for termination of pregnancy due to fetal abnormalities and fetal health conditions. Due to restrictions on access to medical abortion, more and more people are turning to self-care or home measures to end pregnancy.
Although most home remedies are not considered safe or effective in terminating pregnancy, some home remedies are safe to use.
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Suggests that self-inflicted abortions can be just as safe and effective as medical abortions performed in medical facilities.
Self-inflicted abortion means that a person obtains and administers an “abortion pill” without the supervision of a health professional or other medical practitioner.
If you’re not sure how or where to get an abortion pill, the Plan C advocacy group has you covered. There are legitimate risks with home medication abortions. Some states restrict access to telephone abortions or obtaining abortion pills by mail. This means that privacy and security are very important. If possible, tell as few people as you think necessary about your pregnancy and your decision to terminate the pregnancy. Delete any web searches, private messages, or phone call history that might link it to you. Trying to figure out your state’s borders? State-by-state guidelines on abortion restrictions can help.
Preliminary data from the Guttmacher Institute suggests that medication abortions will account for half of all abortions in the United States by 2020.
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A form of medical abortion is the use of mifepristone (Mifeprex) and misoprostol (Cytotec). They work together to make the pregnancy come out of the womb like heavy menstruation or miscarriage.
If mifepristone is not available, it is also possible to take misoprostol alone. Misoprostol abortions are common in the second trimester.
Either way, you’re going to suffer from cramping and bleeding. You may also experience severe pain, chills, nausea or diarrhoea. This is to be expected and usually not to be feared.
The method you use and the dose you need both depend on how far along you are in your pregnancy. You can determine how far along your pregnancy is by identifying the first day of your last period – or, if your period is irregular, an estimate of when a period will occur – and counting the number of days until the current day. Although mifepristone must be given orally (swallowed), misoprostol can be taken buccally (inside the cheek), sublingually (under the tongue) or vaginally. This article focuses on oral, buccal and sublingual administration.
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The remedy is to withdraw the medication. But there are several things that can help to have on hand.
For example, keeping a phone, phone charger and emergency contact information nearby can help provide peace of mind and ensure that help is just a phone call away if needed.
You may find it helpful to stock menstrual pads or underwear that can be used during heavy periods. This can help reduce or eliminate time spent washing clothes and linens.
Heat therapy patches, heating pads or hot water bottles can also help soothe the stomach. A thermometer can help you monitor your temperature and check for fever.
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About 24 hours after taking mifepristone, take 800 mcg (four doses of 200 mcg).