You will be given a Mifepristone tablet to swallow with a glass of water.
It is important to keep in mind that taking the Mifepristone is the abortion. It begins a process which once started cannot be stopped or reversed. After taking the tablet, we ask that you stay at the clinic a short while so that we can check that you are well enough to leave and have had no adverse reaction.
Before you leave the clinic, you will be given your next appointment time and a number to contact if you have any queries or problems.
After your first visit, you will be asked to return to the clinic (within 6-24 hours). It is vital that you keep this appointment. You will be taken to a room and any symptoms that you may have experienced since your first appointment will be discussed with you. If all has been well, your treatment will continue.
There is a waiting room for relatives and friends whilst you are having treatment.
A nurse will insert Misoprostal tablets into your vagina or you can choose to put them in place yourself. The Misoprostal helps your body expel the pregnancy so you will start to bleed and experience period-like pains.
We also offer simultaneous administration of early medical abortion. This involves taking both parts of the early medical abortion medication at the same time, in one clinic visit.
- Your pregnancy should be dated at 9 + 0 weeks or under to have this type of abortion
- This involves an oral tablet (mifepristone) and four vaginal tablets (misoprostol)
- The vaginal tablets are preferably administered by a nurse to ensure correct insertion, however they can be self-administered if you feel confident to do so
Failure rate of simultaneous and 6 hourly (EMA) is thought to be around 4 in 100 (compared to around 2 in 100 for staged EMA).
POTENTIAL SIDE EFFECTS
Women react differently to this treatment. Some have heavy bleeding and quite a lot of pain, while others have very little bleeding and mild pain. Most women are in between the two, however, it is important to remember that this is not a completely pain-free procedure. You will be given pain relief prior to the insertion of the Misoprostal.
You may experience the following:
- Nausea or vomiting
- A feeling of light-headedness
- Feeling feverish
- High temperature
You can leave the clinic after the treatment. You should take it easy for a couple of hours. After this time you may find that moving around will ease any discomfort.
The abortion usually takes place between 4 and 6 hours following the insertion of the tablets. However, in some cases, the abortion can take place earlier or later.