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there are many pregnant women who want to have an abortion with medication. Due to the
demand for confidentiality or fear of abortion, some patients want to abort using drugs.
You should consult your doctor about how to use drugs. Sometimes the use of these drugs
can be risky. Therefore, use the abortion medicine with the help of a doctor, not
yourself. Abortion Drugs are Cytotec and Misoprostol. Sale and use of these drugs is
prohibited.
What do I need to do before I take the abortion pill?
Before you take the abortion pill, you'll meet with your nurse, doctor, or health
center staff to talk about whether abortion is the right decision for you, and what your
abortion options are. You'll get an exam and lab tests, and you may get an ultrasound
to figure out how far into your pregnancy you are.
Your nurse or doctor will let you know if there's anything else you need to do to
prepare for your abortion. They'll give you written instructions on how to take your
pills. You will have access to a caring professional through the process — you'll get
a number you can call 24/7 if you have any questions or concerns.
You'll have a lot of bleeding and cramping after you take the second medicine, so plan
ahead to make the process more comfortable. You can be at home, or wherever is comfortable
for you to rest. You may also want to have someone you trust with you (or nearby) that you
can call for support if you need anything
Stock up on maxi pads, food, books, movies, or whatever you like to help pass the time,
and a heating pad for cramps. Make sure you have some pain medicine — but don't take
aspirin because it can make you bleed more.
What happens during a medication abortion?
The abortion pill process has several steps and includes two different medicines.
First, you take a pill called mifepristone. This medicine stops the pregnancy from
growing. Some people feel nauseous or start bleeding after taking mifepristone, but
it's not common. Your doctor or nurse may also give you antibiotics to take to prevent
infection.
The second medicine is called misoprostol. You'll either take the misoprostol right
away, or up to 48 hours after you take the first pill — your doctor or nurse will let you
know how and when to take it. This medicine causes cramping and bleeding to empty your
uterus.
For most people, cramping and bleeding usually starts 1-4 hours after taking the
misoprostol. It's normal to see large blood clots (up to the size of a lemon) or
clumps of tissue when this is happening. It's kind of like having a really heavy,
cramps period, and the process is very similar to an early miscarriage. (If you don't
have any bleeding within 24 hours after taking the second medicine, misoprostol, call your
nurse or doctor.)
The cramping and bleeding can last for several hours. Most people finish passing the
pregnancy tissue in 4-5 hours, but it may take longer. The cramping and bleeding slows
down after the pregnancy tissue comes out. You may have cramping on and off for 1 or 2
more days.
You can take pain medicine like ibuprofen about 30 minutes before you take the second
medicine, misoprostol, to help with cramps. You can also take anti-nausea medicine if your
doctor or nurse gives it to you. Don't take aspirin, because it can make you bleed
more.
It's normal to have some bleeding and spotting for several weeks after your abortion.
You can use pads, tampons, or a menstrual cup — whatever's the most comfortable for
you. But your nurse or doctor may recommend you use pads for the first few days after the
abortion so you can track how much you're bleeding.
The last step is to follow up with your nurse or doctor. You may go back into the health
centre for an ultrasound or blood test. Or you'll get a pregnancy test to take at
home, followed by a phone call with your nurse or doctor. These tests will make sure the
abortion worked and that you're healthy.
In the unlikely case that the abortion doesn't work and you're still pregnant,
your doctor or nurse will discuss your options with you. You may need another dose of
medication or to have an in-clinic procedure to complete the abortion. Abortion pills
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