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Our Housecall e-newsletter will keep you up-to-date on the latest health information. Pfenninger and Fowler's Procedures for Primary Care. Philadelphia, PA: Elsevier; chap Women's health. Kumar and Clarke's Clinical Medicine. Clinical follow-up compared with self-assessment of outcome after medical abortion: a multicentre, non-inferiority, randomised, controlled trial.
PMID: pubmed. Rivlin K, Davis AR. Contraception and abortion. Comprehensive Gynecology. Updated by: John D. Editorial team. Ending pregnancy with medicines. More About Medical Abortion Some women prefer the use of medicines to terminate a pregnancy because: It may be used in early pregnancy. It may be used at home. It feels more natural, like a miscarriage.
It is less invasive than an in-clinic abortion. Who Should Not Have a Medical Abortion You should not have a medicine abortion if you: Are over 9 weeks pregnant time since the start of your last period. TelAbortion sends abortion pills as part of a US-based study into the effective delivery of telemedicine abortion. The price of this service may vary from state to state and person to person.
Women Help Women provides various contraception options and mifepristone and misoprostol to people living in countries with restricted or no access to legal abortion.
The United States is not on the list of supported countries, but residents of other countries can complete a confidential consultation online to evaluate if they are eligible to receive the medical abortion pills for a donation. English, Spanish, French, German, and others. Women on Web provides mifepristone and misoprostol to people living in countries with restricted or no access to legal abortion.
You might also:. If symptoms continue after 24 hours of taking the second medication misoprostol , please get in contact. Both mifepristone and misoprostol pass into the breast milk but the amounts are small and should not cause adverse effects in breastfed infants. Breastfeeding may continue uninterrupted following meifepristone and misoprostol. Stop breastfeeding if you take codeine - express and discard milk during use and for one feed after the last dose.
During an early medical abortion, most women will have a strong cramping, similar to period pains. There are many ways to lessen the pain:. You can buy ibuprofen tablets in mg or mg strengths and your pack may also contain codeine in 15mg or 30mg strengths. Codeine is not suitable for anyone under 12 years of age. Ibuprofen is for mild to moderate pain. Codeine is for moderate to severe pain. Paracetamol can be used for mild to moderate pain by those who cannot take ibuprofen. You can start with ibuprofen or paracetamol adding codeine when you need stronger pain relief.
Or you can just start with codeine. Or alternate the medicines depending on how you feel. Ibuprofen: Do not take more than 2. Take mg to mg by mouth every 8 hours as needed. Paracetamol mg: Do not take more than 8 tablets in 24 hours.
You can take up to 2 tablets by mouth every 4 to 6 hours as needed. Codeine 30mg: Do not take more than 8 tablets in 24 hours. Take 1 or 2 tablets by mouth every 4 hours as needed. If you are aged between 12 and 18 years, take 1 or 2 tablets by mouth every 6 hours as needed. Codeine 15mg: Do not take more than 16 tablets in 24 hours.
Take 2 or 4 tablets by mouth every 4 hours as needed. If you are aged between 12 and 18 years, take 2 or 4 tablets by mouth every 6 hours as needed.
The abortion pill is very effective and usually uncomplicated, but it is important to make sure it has worked. Having some cramping and bleeding does not guarantee that your treatment was successful.
Misoprostol may cause serious birth defects if the pregnancy continues. If the abortion pill does not work for you, you should contact us to discuss your options. Click here for video instructions. The pregnancy test we sent with your medication should be used 3 weeks after you swallow the first medication mifepristone.
The pregnancy test should be performed using the first urine you pass after waking in the morning. These got progressively worse, so much so that by 1pm I was in pyjamas and in bed with a hot water bottle and a film.
I took ibuprofen at this stage as although bleeding and cramping started properly about 2. Then around 3 hours into the treatment I felt nauseous, I went very pale, quite shaky and cold, and the pain increased to very strong, dull aches that felt lots like very strong period pain. In no way did I feel like I needed to call out in pain or was out of control in anyway, it was all ok with codeine and a hot water bottle. I curled up in bed and watched my film to take my mind off it.
I didn't look but I assume it was the pregnancy as I instantly stopped shaking, had colour in my cheeks and felt and overwhelming sense of relief. Afterwards the cramping reduced somewhat and was completely manageable with a hot water bottle, ibuprofen and codeine occasionally. That evening I felt fine with no cramps at all and bleeding was heavy but not unlike a heavy period.
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