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Medical Abortion Procedure

Medical Abortion Procedure is a form of early abortion caused by the combination of two medications, Mifepristone and Misoprostol in order to end a pregnancy before it results into a baby.

This type of abortion is mostly preferred by women who are still in the early stage of the pregnancy and would prefer to have the whole process done in the comfort of their homes without any complications.

What will happen to me during a medical Abortion Procedure?

On your first visit to the abortion clinic, consultation will be offered to you by one of the nurses or available doctor. You will be given all the required information you need to know about how abortion pills work, Abortion pills side effects and how to take care of yourself after the abortion procedure.

We shall:-

Perform a pregnancy test to confirm the pregnancy.

We shall also perform a blood pressure check and pulse rate.

lastly discuss family planning or contraception issues with you for a better health.  

After you have understood all  that and you feel ready to proceed with the abortion, You will be requested to swallow abortion one pill called  Mifepristone.  

What is Mifepristone?

Mifepristone or Mifeprex is the first abortion pill that will be swallowed with a glass of water. This pill is meant to block progesterone the hormone that supports the pregnancy and also stimulate contraction of the uterus.

After you have swallowed this pill, you will be asked to return to the clinic after 6 or 24 hours.

NB:- Should you vomit within an hour after taking the tablet, you must return immediately to get another pill because the pill may not have fully absorbed into your body.  

After 6 or 24 hours depending on the time frame you were given to come back for your second appointment, we recommend our patients to at least take pain relief tablets. We suggest 3 x 200mg Ibuprofen or 2 x 500mg paracetamol. Please do not take aspirin.

When you return you’ll be asked to place 4 tablets of Misoprostol between your gum and cheek and swallow them with a glass of warm water.

 

What is Misoprostol?

Medical Abortion Procedure

medical abortion procedure

Misoprostol or cytotec is the second set of pills that will causes contractions resulting in a miscarriage within 6 to 8 hours.

What to expect after taking the second set of Pills

You will 

  • You’ll experience bleeding and some cramping, although this may not happen straight away. It’s very important you use pads and not tampons to avoid infection.
  • You’ll be advised to take pain relief in the form of Paracetamol and/or Ibuprofen. You can apply a warm pad or (warm) hot water bottle to your abdomen if this makes you more comfortable. Please do not take Aspirin.
  • The cramps may become strong – this is a normal part of the abortion process.
  • Bleeding may get heavier and you may pass clots. This is usually at the time you begin to lose your pregnancy.
  • Often the pregnancy is passed into the toilet. You may not see it specifically, and it may appear as a clot.
  • Side effects of the medication may include nausea, vomiting, diarrhea and shivering. These can start happening fairly soon after taking the medication, so you’ll need to plan your journey home. We recommend you are accompanied and are driven home.
  • Once the pregnancy has been passed, your bleeding will usually lessen and become like a slightly heavier period. It may continue to be quite heavy for a day or two as the uterus needs to contract and return to its normal size.

If heavy bleeding occurs for more than two days, or you are soaking more than two pads per hour for two hours or more, call our aftercare helpline for advice on 0345 122 1441 or 0044 345 122 1441 (If you are calling from Ireland).

  • An anti-sickness tablet.
  • Two antibiotic tablets (Metronidazole) to prevent infection.
  • Your second set of tablets (Misoprostol). You’ll be asked to place 4 tablets between your gum and cheek following a drink of warm water. You’ll need to allow up to 30 minutes for the tablets to dissolve before you leave the centre.
  • A further 4 antibiotic tablets (Azithromycin) to take home, again to prevent any infections. You’ll need to take these either later that day or the next day.

What to expect after your second set of tablets

  • You’ll experience bleeding and some cramping, although this may not happen straight away. It’s very important you use pads and not tampons to avoid infection.
  • You’ll be advised to take pain relief in the form of Paracetamol and/or Ibuprofen. You can apply a warm pad or (warm) hot water bottle to your abdomen if this makes you more comfortable. Please do not take Aspirin.
  • The cramps may become strong – this is a normal part of the abortion process.
  • Bleeding may get heavier and you may pass clots. This is usually at the time you begin to lose your pregnancy.
  • Often the pregnancy is passed into the toilet. You may not see it specifically, and it may appear as a clot.
  • Side effects of the medication may include nausea, vomiting, diarrhea and shivering. These can start happening fairly soon after taking the medication, so you’ll need to plan your journey home. We recommend you are accompanied and are driven home.
  • Once the pregnancy has been passed, your bleeding will usually lessen and become like a slightly heavier period. It may continue to be quite heavy for a day or two as the uterus needs to contract and return to its normal size.

If heavy bleeding occurs for more than two days, or you are soaking more than two pads per hour for two hours or more, call our aftercare helpline for advice on 0345 122 1441 or 0044 345 122 1441 (If you are calling from Ireland).

What to expect after your medical abortion

The abortion may take place within four to five hours and is usually completed within one to two days. Very occasionally, it can take up to two weeks to pass the pregnancy.

Washing

Do not take a bath or shower during the abortion or directly afterwards without someone with you; we suggest this for your own safety.

Pregnancy test after your medical abortion

We’ll give you a pregnancy test to take home with you to confirm that the pregnancy has passed. Wait for four weeks after taking the second set of tablets before taking your pregnancy test. This is because some pregnancy hormone can be present for up to three weeks, which can give a false-positive result.

Speak to one of our nurses if you are worried

In about 2-3% of cases further treatment may be necessary.

If the pregnancy test is positive, or you are at all worried you still may be pregnant, call our helpline for advice.

Before you leave the Marie Stopes UK clinic after your second visit, a nurse will check how you’re feeling. She will also talk you through any aftercare information you need. You will also be given a booklet to take away with you. It is important that you read this. We have a 24-hour advice line on 0345 122 1441 if you have any queries or concerns about your abortion

 

 

 

 

 

If you have any questions or concerns – please call our 24 hour aftercare helpline on 0345 122 1441 (or  0044 345 122 1441 from Ireland and overseas).

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