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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Taking Mifepristone And Misoprostol A Safe Pregnancy Termination Option?

My last period was 14 April and we got intimate on April 28 I was due for my next period on May 10 Which means I m now pregnant because 2 days ago I started vomiting and not eating So I want to do an abortion tell me how long is this pregnancy and how the process goes? If I take ten days off work for the abortion qith Mifeprostone and misoprotol will that be enough??? At this stage is it ok to do the abortion at home? When and how is womb cleaning done???
posted on Sun, 15 May 2016
Twitter Wed, 29 Jun 2016 Answered on
Twitter Wed, 29 Jun 2016 Last reviewed on
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General & Family Physician,  's  Response
Hi,

Thanks for writing to HCM.

I have read your description and understand your concern.

Symptoms which are mentioning does give an indication that you could be pregnant. It would be advisable to confirm it by means of urine pregnancy test and ultrasound scan to know how many weeks you are pregnant.

Abortion by means of pills is possible and can be safely undertaken when pregnancy is less than 12 weeks.
However, it is advisable to get it done under medical supervision.

A combination of 2 drugs Mifepristone and Misoprostol, is commonly used for such abortion.

Generally, 1 tablet of Mifepristone is to be taken orally, followed by 4 tablets of Misoprostol to be taken sublingual route (under the tongue). Intake of 4 tablets needs to be repeated twice at 3 hourly interval.
Following intake of these pills, bleeding with cramps results within 24 - 48 hours, and intermittent spotting might last up to 2 - 3 weeks.

It is also vital to do a follow up ultrasound scan after 15 days to confirm that the uterus is empty and abortion is successful.

If you fail to take these precautions and attempt something on your own, you can have life threatening complications such as severe uncontrolled bleeding, infection and incomplete abortion.

In about 4 to 10 % of cases, these pills might fail, leading to indication for surgical abortion.

However in most of the cases, when followed properly under medical guidance, it is safe and effective.

Hope the information provided would be helpful.
All the best.
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Is Taking Mifepristone And Misoprostol A Safe Pregnancy Termination Option?

Hi, Thanks for writing to HCM. I have read your description and understand your concern. Symptoms which are mentioning does give an indication that you could be pregnant. It would be advisable to confirm it by means of urine pregnancy test and ultrasound scan to know how many weeks you are pregnant. Abortion by means of pills is possible and can be safely undertaken when pregnancy is less than 12 weeks. However, it is advisable to get it done under medical supervision. A combination of 2 drugs Mifepristone and Misoprostol, is commonly used for such abortion. Generally, 1 tablet of Mifepristone is to be taken orally, followed by 4 tablets of Misoprostol to be taken sublingual route (under the tongue). Intake of 4 tablets needs to be repeated twice at 3 hourly interval. Following intake of these pills, bleeding with cramps results within 24 - 48 hours, and intermittent spotting might last up to 2 - 3 weeks. It is also vital to do a follow up ultrasound scan after 15 days to confirm that the uterus is empty and abortion is successful. If you fail to take these precautions and attempt something on your own, you can have life threatening complications such as severe uncontrolled bleeding, infection and incomplete abortion. In about 4 to 10 % of cases, these pills might fail, leading to indication for surgical abortion. However in most of the cases, when followed properly under medical guidance, it is safe and effective. Hope the information provided would be helpful. All the best.