Many women take abortion pills at home without proper guidance, which has even resulted in loss of lives. To prevent such risks and to save women’s lives, I have tried to provide some advice and information regarding this medicine.
What is Medical Abortion?
✓ Medical abortion means terminating a pregnancy by taking medicines.
✓ In medical abortion, surgery is not required. It can be done at home under the supervision of a trained health worker.
✓ This method is safe within the first 10 weeks of pregnancy (or within 70 days from the last menstrual period).
However, it is very important to get detailed information before proceeding with this process.
Information About the Medicines
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1 tablet 💊 Mifepristone 200 mg
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4 tablets 💊💊💊💊 Misoprostol 200 mcg each (total 800 mcg)
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Mifepristone blocks the effect of the hormone progesterone, which is necessary for pregnancy.
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Misoprostol causes the uterus to contract, leading to abortion.
Method of Taking the Medicines
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First, swallow Mifepristone with water.
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After taking Mifepristone, wait for 24–48 hours.
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Then take Misoprostol:
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Place 4 tablets either under the tongue (sublingual) or 2 on the right cheek and 2 on the left cheek (buccal).
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Keep them for 30 minutes without swallowing.
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After 30 minutes, swallow the remaining medicine with water.
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What Happens After Taking the Medicines?
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After taking Mifepristone, some women may start bleeding, while others may not notice any changes.
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After Misoprostol (24–48 hours later), bleeding should occur.
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Abdominal pain, cramping, nausea, and vomiting are common.
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Bleeding may be heavier than a normal period. Each woman experiences bleeding and abdominal pain differently.
What to Do if Side Effects Occur?
✓ If nausea/vomiting occurs → take antiemetics like Ondansetron
✓ If abdominal pain occurs → take painkillers like Brufen (Ibuprofen)
✓ If there is heavy bleeding → use sanitary pads
✓ On the day of taking Misoprostol, side effects like nausea, headache, fever, or diarrhea may occur.
✓ If side effects do not improve within 1 day → visit the nearest health facility.
When to Be Extra Careful?
✓ If there is excessive bleeding (soaking 2 sanitary pads within 1 hour, for 2 hours continuously)
✓ If dizziness, extreme tiredness, or weakness occurs
✓ If there is severe abdominal pain or foul-smelling vaginal discharge
✓ If high fever occurs
✓ If feeling extremely unwell or persistent vomiting
Visit doctor or hospital
How to Know if the Medicine Worked?
✓ If bleeding and abdominal cramps occur after taking the medicine → the abortion has worked.
✓ If no bleeding occurs, or only very light bleeding continues even after 4–5 days → the medicine has not worked, and you may still be pregnant.
When Can Sexual Intercourse Resume?
After taking the medicines, sexual activity can be resumed only once all side effects are gone and the body has recovered.
How to Prevent Future Unwanted Pregnancies?
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Repeated abortions can cause serious health problems.
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Therefore, it is important to use contraceptive methods like birth control pills, injections, condoms, or permanent methods to prevent future unwanted pregnancies.
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