Medication abortion is a safe and effective procedure in which two different medicines are taken to end the pregnancy. The first medication (mifepristone) blocks the hormones necessary for a pregnancy to grow; this ends the pregnancy. The second pill (misoprostol) makes your uterus contract and empty; this is similar to a miscarriage.
First Clinic Visit:
- On the day of your appointment, we’ll review your medical history, answer questions, and obtain your consent. Next, we’ll do lab work, a vaginal ultrasound, and make sure that you’re eligible for the medication.
- Next, you’ll meet our Nurse Practitioner. When you’re ready to start the process, she’ll give you the first pill to take at the clinic.
- You can use the second medication 24 to 48 hours after you've taken the first pill---you will decide what works for you. You can go about your normal activities in the time between the two medications.
- When you’re ready, you’ll insert the second medication into your mouth or vagina. You can expect to start bleeding within 1-4 hours, and the majority of the heavy bleeding usually lasts for about 5 hours and then tapers off. It is a good idea to plan to take it easy for the next 24 hours. The time it takes to complete the abortion varies from woman to woman. Light to moderate bleeding may come and go over the next 1-2 weeks. The Nurse Practitioner will review normal variations of bleeding with you.
- Bleeding and cramping are normal. Cramping can go from feeling like a normal period cramp to more intense pain. We will talk with you about how to manage your temporary pain and discomfort.
- You must be within a two hour drive of a healthcare facility and have no plans to leave the country soon.
Second Clinic Visit:
Learn More About Medication Abortions
- 1-2 weeks after your abortion, you’ll come back to Health Quarters for an ultrasound to make sure the procedure is complete, and we'll check that you’re feeling well and provide you with post-abortion contraception, if you wish. The final visit is quick but important. Very rarely (1-3% of the time), will we need to provide follow-up medical care.
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