Using combination of Mifepristone and Misoprostol abortion pills


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Using combination of Mifepristone and Misoprostol abortion pills


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Title: Using combination of Mifepristone and Misoprostol abortion pills

Using combination of Mifepristone and Misoprostol
abortion pills
Before you take the pills
  • Make sure you do not suffer from heart/ liver/
    kidney disease
  • If you have IUD in place, you must get it removed
  • If you are taking corticosteroids for long term,
    avoid medication abortion
  • Avoid the pills if you have bleeding problem or
    suffer from high blood pressure or adrenal
  • If you are breast feeding during the time of
    medical pregnancy termination, make sure to put
    off breast feeding after you have taken
    misoprostol pills as it can cause the baby to
    have diarrhea. If you can, for the safer side,
    just dont breastfeed during the entire course of

General tips for a smoother procedure
  • Drink plenty of water throughout the whole
  • Eat only light food stuffs before you take the
    pills to avoid nausea
  • Most women do fine, while in rare case there may
    be a need for medical attention. So make sure you
    have access to emergency medical help in case you
    need it.
  • Misoprostol causes a lot of bleeding and cramps
    therefore make sure you have a comfortable place
    where you can take the pills.

Medical Abortion Regimen
The abortion pill procedure needs one abortion
pill kit which has both the medications.   Step
1 - Take 1 tablet of Mifepristone 200 mg
  Most women dont feel anything after taking
this medication, while others bleed lightly and
start cramping. Do not worry if you start to
bleed after the first dosage. Make sure you take
Misoprostol even if start bleeding heavily after
taking Mifepristone.   Step 2 Take 4 tablets
of Misoprostol 200 mcg each buccally   You
can take the second medication 24-48 hours of
taking Mifepristone
How to use Misoprostol buccally?
  • Take a sip of water to make your mouth moist
  • Take the four Misoprostol pills and put them in
    your cheek pouches 2x2
  • Let the pill sit for at least 30 minutes to
    dissolve naturally. After that swallow the
    residue of the pills.
  • The pills taste is chalky rather than bitter, so
    it is possibly to keep the tablets in mouth for
    half an hour.

Note Even though vaginal administration
of Misoprostol is
possible, buccal route is more recommended as
with buccal there is no chance of leftover pills
residue, as is the case with vaginal route.
What happens next?
Most women start to bleed and cramp within 1-2
hours of taking the second dosage of pills. These
symptoms are good, as they show that the pills
are working effectively.
How much bleeding and cramping is normal?  
  • Depending upon the time of your gestation and
    other factors, you may bleed likewise.
  • For some women cramping is strong , for some
    blood clots of the size of a lemon in the first
    few hours of taking Misoprostol, if you are
    bleeding heavily.
  • Many women start bleeding 4-5 hours. It is normal
    to feel nausea, diarrhea, weakness, fever, chills
    while you pass the pregnancy.
  • It is entirely normal to continue light bleeding
    for 3-4 weeks following the procedure.

Be cautioned and seek medical care
  • If you dont bleed followed by severe pain in
    your shoulders particularly the right one. This
    may be a sign of ectopic pregnancy when the
    pregnancy is situated outside the uterus. While
    this is rare, it needs immediate medical
  • If you soak throughout a large pad in an hour or
    less and then it is prolonged for more than two
  • If you feel sick and have a high temperature for
    more than 24 hours after taking the second dosage
    from MTP Kit
  • If you are in extreme pain which cannot be
    subdued by painkillers

Follow up care
  • You can have an ultrasound around 2 weeks
    following the procedure to make sure you have
    completed the procedure successfully.
  • You will continue to shed the remaining
    conception parts over weeks. Unless you show
    signs of complications, you had a successful
    pregnancy termination.
  • If test with a pregnancy test kit, make sure you
    wait for 4 weeks following the procedure. As the
    HCG hormone which is detected by the home
    pregnancy test takes at least 3-4 weeks to
    disappear from the body even if the pregnancy
    terminated, you will have to wait for that time

Thank You
Get in touch if you have additional questions