Medical Abortion User Guide

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Medical Abortion
User Guide
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Safe Medical Abortion Guide
Safe abortive care guide, intended to facilitate
the practical application of the recommended
guideline for safe medical pregnancy termination
under medicinal evidence based in respect to the
safe abortion care. Disclaimer This user guide
is for women seeking to terminate their
pregnancies at home with abortion pills.
Nevertheless, this user guide shouldnt be
considered as a substitute to a professionals
advice.Content Courtesy Online Abortion
Pillswww.buyabortionmtppill.com
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Table of Content
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Pre-Abortion
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What is Pre-abortion

• Abortion is done during early stages of
  pregnancy which is an irreversible procedure
• If woman wishes to end her pregnancy early,
  she has an option of choosing to abort by
  abortion pills.
• In Recent Years Research shows there is
  increase in demand for abortion pill

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Information on abortion pills

• The abortion pill is the medicament used to end
  an early pregnancy.
• Two types of Abortion Pills are used namely
  Mifepristone anti-progesterone and Misoprostol
  prostaglandin analogue.
• Mifepristone/ Mifeprex anti-progesterone
• Abortion Pill Mifeprex works same as
  Mifepristone.
• It is an Anti-progestrone which allow the uterine
  wall to detach the embryo.

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• Misoprostol / Cytolog prostaglandin analogue
• 1. Abortion Pill Cytolog works same as
  Misoprostol.
• 2. Prostaglandin analogue Causes uterine
  contraction which detaches embryonic cells
  through vaginal discharge.
• MTP kit MTP Kit which contains 1 pill of
  Mifepristone 200 mg and 4 pills of Misoprostol
  800 mcg total.
• Abortion pill pack Same amount of pills in MTP
  kit and additional pills like anti-emetic pills,
  blood coagulants and pain killer etc.

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Decision/ Counseling for abortion

• It is crucial to keep in mind that the end
  decision should be made by yours. Decision
  Regarding Abortion can be done through
• HealthCare Professional - Healthcare
  professional will guide you about keeping the
  child, adoption or having a pregnancy
  termination.

• Doctor They will give you with medical advice,
  make you clear with abortion process and can
  point you in the exact direction
• Counselor They will help you process your own
  thoughts and feelings, allowing you to make an
  informed decision

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Eligibility Contra / indications

• The medical pregnancy termination is allowed when
  the gestation is within 10th week. The procedure
  involves two medication
• Mifepristone
• Misoprostol
• Not all women however are eligible for medical
  abortion.
• What are the factors that may make one
  un-eligible for medical abortion?

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• Contradictions
• High blood pressure
• If you are taking anti-coagulants
• A suspected case of ectopic pregnancy
• A medical history of heart/liver/kidney disease
  
• Allergy to anti-progesterone or prostaglandins
  i.e. abortion pills
• If you are taking long-term corticosteroids
• Medical condition of any hemorrhagic disease of
  porphyria
• Suffering from poorly controlled inflammatory
  bowel disease
• Adrenal failure
• An IUD in place which cannot be removed prior
  to the procedure
• Medical history of sickle cell disease,
  myotonic/ muscular dystrophy and myasthenia
  gravis.

• Medical Abortion Indications
• Medical abortion may be preferable if
• The woman wants to avoid surgery (anesthesia or
  any invasive procedure)
• For severely obese women
• In the presence of fibroids, uterine
  malformations or previous cervical procedure
• If surgical intervention is not possible
  however she needs to be within 10 weeks of
  gestation.

If you dont associate with any of the above
symptoms, then it is safe to take the abortion
pills.
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What to expect

• Women can expect bleeding and abdominal cramps
  as a part of the medical abortion
• Therefore, anyone taking abortion pills is
  cautioned to carry anti-emetic medication (for
  nausea), blood coagulants for excessive bleeding
  and painkillers for managing stomach cramps.

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Physical examination

• The easiest way to find out about pregnancy is
  by taking a home pregnancy test HPT
• According to research ultrasound before medical
  abortion is not necessary as long as the woman
  knows the gestational age of her pregnancy.
• Nevertheless, abortion pills have no effect-
  good or bad- on ectopic pregnancies.

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During Abortion
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Abortion procedure
An abortion is a process of discontinuing a
pregnancy before it results in the birth of a
child. This is also known as pregnancy
termination. This can be carried out with
medications, depending on how many weeks you have
been pregnant for.
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Regimen for Abortion pills
A medical abortion is done by using a combination
of Misoprostol and Mifepristone pills. These
pills are FDA approved for ending early
pregnancies. The drugs together play a vital role
in eliminating the pregnancy parts from the
uterus. The optional is surgical method that
uses invasive techniques to empty the womb.
Following is the regimen of abortion pills
ROUTE Instructions for Use Regimen Information
ORAL Swallow with water 1 pill of Mifepristone 200 mg on Day 1
BUCCAL In cheek pouches 4 pills of Misoprostol 800 mcg 2x2 in each cheek pouches on Day 2nd or 3rd.
VAGINAL Insert in the vagina Insert Misoprostol pills 2x2 inside the vagina at once, till your finger reaches. No specific position is required to place the pills
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Infection prevention control

• The procedure involves removing embryonic
  tissues from the uterus, thus it requires approx.
  2-3 weeks to fully heal, So its prone to get
  infected for a time being.
• Rinse your hand thoroughly with water before
  taking pills, especially while consuming it
  vaginally. This can help you to prevent
  infections.
• Pelvic infection is the commonest complication
  of pregnancy termination. 
• Treatment of Prophylactic antibiotic can reduce
  the rate of post- abortal sepsis however the
  best possible regime is vague.
• Especially, patients with bacterial vaginosis
  and Chlamydia trachomatis infection would seem to
  be at bigger risk and discovering and treatment
  of these conditions can lower this risk.

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Drug interactions
For Anti-Progesterone like Mifepristone and
Mifeprex Some antibiotics and azole
anti-fungi drugs may cause side effects.
Taking Anti-coagulants / Corticosteroids with
abortion pill causes excessive bleeding
Anticonvulsant medication they are known to
reduce the effectiveness of anti-progesterone
Dietary supplements Non-prescription drugs
Herbal products
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• For prostaglandins like Misoprostol and Cytolog
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• Gastric ulcer treatment medicines like
  Ranitidine, Omeprazole, Cimetidine, Pantoprazole
  etc.
• Oral corticosteroids Dexamethasone and
  Prednisone
• Antibiotics Amoxicillin, Moxifloxacin and
  Clarithromycin
• Blood Coagulants/ Blood thinners Heparin,
  Coumadin and Warfarin etc.
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• Avoid the above given medication during the
  abortion procedure as the drugs may interact
  negatively.

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Overdose
An overdose of abortion pills can cause seizures,
extreme dizziness, and spasmodic/moderate
heartbeats. In case, if you take any overdose get
in touch with a healthcare provider right away.
Also, try not to miss the dosage.
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Post-Abortion
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Medical Abortion Regimen Advantages Overall Efficacy
Mifepristone Misoprostol Requires only five pills compared to using Misoprostol alone which require 12 pills Has more efficacy rate than Misoprostol alone. 97
Misoprostol alone Requires only one type of abortion pill 88
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Follow up

• 14 days after the abortion, you will need to go
  to doctor for a follow-up visit.
• Meet with the doctor for a pregnancy test and
  ultrasound, and review how you have been feeling
  since your procedure.
• The last part of the medical abortion procedure
  is to confirm with an ultrasound that you passed
  the pregnancy. It is very significant because the
  pills you took can result into birth defects if
  the pregnancy carried forward. At this visit,
  women will be given a birth control method if
  desired.
•  
•  

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Post abortion contraceptive discussion
It is necessary that use of contraception is
discussed with your doctor to prevent further
unplanned pregnancies. Here are some of the
common questions one must ask doctor about
contraception after abortion.

• What contraception is right for me?
• When should I start taking the contraceptive
  pills?
• How soon after an abortive procedure, can one
  become pregnant?
• Is my method of birth control is making me
  bleed?
• I havent had my menstrual cycle yet- do I need
  to use a contraception?

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Post-abortion diet for fast recovery

• Abortion, be it medical or surgical can take a
  toll on ones body.
• During the pregnancy the body needs nutrition
  to support the fetus and when it is terminated,
  vaginal bleeding occurs.
• Due to the bleeding, various vitamins B12, B9.
  B2, iron and riboflavin are lost from the body.
• A specific diet needs to be followed, so that
  the body can regain the nutritional value.
• Protein rich food
• Calcium rich products
• Iron rich foods
• Fruits, Vegetables
• Grains

 
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Pregnancy/ Infection/ Sexual activity after
abortion procedure

• You may resume your usual activity as you feel
  prepared, but avoid strenuous exercise or heavy
  physical activities for few days
• You are starting with the birth control, ask
  your doctor as when to start it. For at least two
  weeks, only make use of sanitary pads.
• Do not insert anything inside the genital area
  for at least 2 full weeks. Doing so will avert
  the danger of infection as the body recovers
  itself.

• Do not take hot tubs baths, or no swimming.
• If unprotected intercourse occurs 8 or more
  days after a pregnancy termination then
  contraceptive pill Plan B is best begun during
  the week after the abortion.
•  

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Medical Abortion Support
Our website provides a convenient way to order
the products required for an abortion. The above
user guide can assist you with procedure. For any
additional help our customer care service is
always available for you.
www.buyabortionmtppill.comsupport_at_buyabortionmtpp
ill.com Buy abortion pill online, Mtp kit,
Mifepristone, Misoprostol, Mifeprex, Cytolog
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