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NON-SURGICAL ABORTION — (MEDICAL ABORTION)

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The abortion pill should not be confused with the morning after pill as it is intended for use within the first 12 weeks of pregnancy whereas the morning after pill should only be used within 3 to 5 days after intercourse. The abortion pill, mifepristone and misoprostol, is an approved pregnancy termination method in South Africa and can only be prescribed by a medical doctor.

HOW DOES ABORTION PILLS WORK?

Both abortion pills, mifepristone and misoprostol are usually used in order to terminate a pregnancy. Mifepristone causes the embryo to detach from the uterus thereby cutting off essential nutrients and oxygen carried by the blood. Misoprostol is then taken two days later and triggers the evacuation of the embryo remnants through the vagina. This often appears as a heavy period.

It is advisable that you consult with your medical practitioner for a further understanding of how the abortion pill works.

IS THE ABORTION PILLS SAFE?

The abortion pill is usually safer than a medical abortion or surgical abortion, but it should only be considered in the first 12 weeks of pregnancy. Like any procedure, use of the abortion pill can result in complications, but if used under the supervision of a medical doctor, the chances of complications are greatly reduced. Your doctor will be best suited to handle any complications should they arise.

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Common side effects include abdominal pain, cramping, bleeding and spotting for up to 2 weeks after using the pill. Other side effects that may occur include drowsiness, nausea, vomiting, diarrhea, fatigue and fevers. Side effects may not occur in every case and if you are experiencing any symptoms that are persisting, you should consult with your medical doctor immediately.

The abortion pill may cause a disturbance in your normal menstrual cycle in some users but there are usually no significant dangers associated with using the abortion pill. However using the abortion pill without the supervision of a medical practitioner or after 8 weeks of pregnancy can be dangerous. Uncontrollable bleeding, severe cramping and infections can arise without correct supervision and for this reason, you should never buy or use the abortion pill from illegal sources.

Always consult with your doctor or a qualified staff at a family planning clinic before you commence with any abortion method.

Also seek help on the following

Bleeding during Pregnancy

Pregnancy Weight Gain

Due Date Calculator

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Medication Abortion Regimens
Table with 3 columns and 8 rows. Currently displaying rows 1 to 8. Sorted ascending by column "X.1"
FDA Mifepristone & Misoprostol Regimen Misoprostol-Only Regimen
Follow-up visit 7-14 days after mifepristone, no location specified 7-14 days after misoprostol, no location specified
Max. gestational age Up to 70 days LMP* (10 weeks) Up to 70 days LMP
Mifepristone administration Can be dispensed via mail or by pharmacy; Dispensed in office in states that ban telehealth for medication abortion. N/A
Mifepristone dosage 200mg (one pill), taken orally N/A
Misoprostol administration Taken at home Taken at home
Misoprostol dosage 800µg (4 pills), taken buccally (placed in cheek) or vaginally 800µg (4 pills), taken sublingually or vaginally
Misoprostol timing 24-48 hours after mifepristone buccally, or 6-72 hours after mifepristone vaginally Every three hours for a total of 12 pills
Prescriber requirements By or under the supervision of a prescriber that has been certified by the manufacturer None

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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 a follow up with your nurse or doctor. You may go back into the health center 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.
How does a medication abortion feel?
For most people, medication abortion feels like having an early miscarriage. You might have:
lots of cramping and aches in your belly
very heavy bleeding with large clots (If you don’t have any bleeding within 24 hours after taking the second medicine, misoprostol, call your nurse or doctor.)
an upset stomach and vomiting (Your doctor or nurse may give you medicine to help with nausea.)
diarrhea
dizziness
tirednessmild fever (99-100° F) or chills on the day you take the misoprostol (If you have a fever after the day you take the misoprostol pills, call your doctor or health center right away.)
To help ease pain and make you more comfortable, you can:
Take pain medication like ibuprofen (Advil or Motrin). Don’t take aspirin because it can make your bleeding worse
Put a heating pad or hot water bottle on your belly.
Take a shower.
Sit on the toilet.
Have someone rub your back.
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