An unplanned pregnancy can be a real surprise. You’re probably wondering what to do and where to even start. At Miami Valley Women’s Center, we are your best next step. If you’re considering the abortion pill, schedule an appointment today for a no-cost, pre-abortion consultation.

What is a medical abortion?

There are two types of abortion: medical and surgical. Medical abortion is only FDA approved for use 70 days or less since the first day of a woman’s last menstrual period. The failure rate of medical abortion increases with gestational age. It is imperative to know how far along you are before starting a medical abortion. If you’ve been pregnant longer than this 70-day time period, you’ll only qualify for a surgical abortion.

The abortion pill is a medical abortion procedure. The name is deceptive because it isn’t one pill and you’re done. It’s actually two very powerful drugs taken over a couple of days. The abortion pill is not the same as the Morning-After Pill or Plan B. 

What happens after taking the abortion pill?

Every abortion procedure, no matter how early you are in your pregnancy, has risks you need to be aware of. The abortion pill procedure is the same. It is basically a 3-step process.

Step 1  Take the first drug

The first drug you take is mifepristone. The FDA-approved dose of Mifeprex (mifepristone) is 200 mg taken by mouth. The FDA determined that mifepristone should only be taken under strict safety measures. As a result, it should only be ordered, prescribed, and dispensed by or under healthcare providers who meet certain qualifications. They must also warn you about the risks.

The mifepristone drug works by blocking progesterone, also known as the “pregnancy hormone,” from being absorbed in the womb. Without progesterone, the lining of the uterus breaks down and the pregnancy can’t continue to grow. 

Mifepristone tends to make women nauseous. If you vomit within the first hour of taking it, you’ll need to get another prescription. 

Step 2  Take the second abortion pill

The second drug is called misoprostol. It’s usually taken within 24 to 48 hours after the mifepristone. The dose is 800 mcg of misoprostol in two tablets. You put the pills between your cheek and gums and let them dissolve in your mouth.

Misoprostol causes the uterus to contract with cramping and bleeding. Heavy bleeding will begin anywhere from 30 minutes to 24 hours after taking the drugs. It’s important to be near a bathroom and have someone nearby, in case you need help.

Bleeding and cramping usually last for several hours. You will most likely want to take pain relief medication at this time.

You might also:

  • Feel dizzy
  • Feel nauseous and vomit
  • Have a headache
  • Have diarrhea
  • Experience flushing and sweating

Step 3 Completing the abortion

Sometime within the next 4 to 6 hours, you will begin to see large blood clots or tissue. The tissue will be larger and more recognizable if you are closer to the 10-week mark. It may also take longer for the abortion to be completed.

The cramping you feel will be much stronger than normal and may continue for several hours. After the pregnancy passes, the cramps decrease and the bleeding will eventually slow down. You can’t be sure the abortion is complete until you have been seen once again by a health care provider. Usually, that appointment takes place 7 to 14 days after the abortion.

Potential risks of the abortion pill

According to the Mayo Clinic, potential risks of taking the abortion pill include:

  • Incomplete abortion, which may need to be followed by surgical abortion
  • An ongoing unwanted pregnancy if the procedure doesn’t work
  • Heavy and prolonged bleeding
  • Infection
  • Fever
  • Digestive system discomfort

The importance of a pre-abortion consultation

It’s vital to have as much information as possible before you schedule the abortion. While we do not perform or refer for abortions, we can verify your pregnancy with free pregnancy testing and ultrasound. Plus, we can discuss abortion procedures and your other options.

Schedule an appointment at Miami Valley Women’s Center today. We want you to make a confident and empowered choice for your future.

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