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Early Medical Termination

Increasing numbers of women are asking for a medical abortion or the abortion pill, when they find themselves unexpectedly pregnant, often because they don't wish to undergo an anaesthetic and it is an alternative to surgical termination. The abortion pill can be offered to women up to 9 weeks gestation, ie up to 9 weeks into the pregnancy.

Surgical Abortion

This surgical termination of pregnancy (STOP) method is offered if you are over nine weeks gestation, by request if under nine weeks and if you are medically unsuitable for a medical termination. Surgical abortions are available for up to 19 weeks pregnancy.A surgical abortion is a simple procedure to end a pregnancy. You may have a surgical abortion if you are more than nine weeks pregnant when you decide to have a termination, but the procedure can be performed earlier if you are unable to take the abortion pill.

EARLY MEDICAL ABORTION TERMINATION USING MISOPROSTOL (CYTOTEC 200 mcg)

hundrend and millions 0f women have ended their unwanted pregnancies using misoprostol(cytotec 200mcg) safely.

Often sold in pharmacies,and misoprostol brand name is popularly known as cytotec , easy to store and handle, and is a safe method for people seeking to end their pregnancy. The medication softens and dilates the cervix, causes uterine contractions, and pushes pregnancy tissue out. Misoprostol’s multidimensional use in medicine makes it more accessible when compared to other abortion pills, like mifepristone. Misoprostol is 85% successful in inducing abortion in the first trimester, when used as recommended.

The attached evidence-based guide was developed by IWHC and informed by the latest guidance from the World Health Organization (WHO) and the International Federation of Gynecologists and Obstetricians (FIGO). It explains how pregnant people can end a pregnancy with cytotec 200mcg (misoprostol), because everyone has the right to safe abortion care.

For a pregnancy between 0 to 12 weeks using cytotec 200mcg

For an abortion to be successful while using cytotec 200mcg, one needs to acquire 5 pills of cytotec (the dosage may differ depending on one’s body weight, mostly people with a weight above 70 kg may require more than 5 pills).

There 2 different ways on how to use cytotec 200mcg for a successful abortion:

Place the 5 tablets of misoprostol (cytotec 200mcg) under the tongue and allow it to dissolve for 30 minutes. Swallow what is remaining in the mouth with very little water to rinse through the mouth and swallow. For a person of average weight (below 70kg) after this step one should wait until the bleeding starts with cramping. In some individual the bleeding and cramping might take a little bit longer to happen after taking cytotec 200mcg, say like 48 hours. But under normal circumstances the bleeding and cramping should be able to start in 1 to 3 hours after taking cytotec 200mcg.

Or

Get 3 pills out of the 5 cytotec 200mcg pills; break the 3 pills into two making it 6 pieces of cytotec 200mcg. After breaking the 3 pills, make sure you urinate, then after insert the 6 pieces of cytotec 200mcg into the vagina. Immediately after inserting the 6 pieces into the vagina, get the remaining 2 pills and place them under your tongue, allowing them to dissolve till you swallow everything. After the procedure, make sure you don’t urinate or drink water for the next 2 hours to enable the process to take place.

MEDICAL ABORTION USING MIFEPRISTONE & MISOPROSTONE (MIFE-KIT)

Using mifepristone kit is best on pregnancies that are above 12 weeks.

Mifepristone, also known as RU-486 is a medication typically used in combination with misoprostol to bring about an abortion during pregnancy. When both medications are available, mifepristone is taken first, and then misoprostol is taken 1–2 days later. Mifepristone is always swallowed. Misoprostol is put in the mouth to dissolve, either in between the cheek and gum or under the tongue. Note: You don’t need to take misoprostol vaginally, and no one ever needs to insert it for you.

Mifepristone is only available in a limited number of countries around the world. Mifepristone is often packaged together with misoprostol and sold as a combined product just for abortion.

Misoprostol is more widely available around the world, , and easier to buy from pharmacies and medicine sellers. In addition to being used to induce an abortion, misoprostol is also used to treat ulcers and to prevent or treat heavy bleeding after childbirth, therefore it is generally easier to purchase without a prescription.

Misoprostol is the medication’s clinical name, but it is sold internationally under many different trade names, such as Cytotec, Misoclear, Misotac, Kontrac, and Isovent.

The pill you will take on day 1 is mifepristone. Mifepristone is taken through the mouth by swallowing like any normal pills.

After swallowing the one mifepristone pill, wait for 24 hours before you use the other set of pills misoprostol, usually four pills. Put the 4 misoprostol pills under your tongue and wait till they dissolve before you swallow.

For one to know that an abortion has been successful, one must bleed through the vagina. The bleeding varies in individuals, some individuals bleed for a much longer duration than others but it’s all normal.

HERE ARE THE SIDE EFFECTS DURING THE PROCESS

1)Diarrhea

2)Nausea

3)Cramp bread

4)Headache

5)Dizziness

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11 QUESTIONS AND ANSWERS ON ABORTION PILLS IN DUBAI & UAE.

1. What medications can be used safely for an abortion with pills?

Abortion with pills involves two medications: mifepristone and misoprostol. They can be used together?—?or misoprostol can be used alone?—?to empty the uterus safely and effectively by starting a process similar to a miscarriage. When misoprostol is used alone, it is slightly less effective but still very safe. This method is very common because mifepristone is not available in many places.

2. What is the difference between mifepristone and misoprostol?

Mifepristone blocks the activity of progesterone (a hormone needed to maintain a pregnancy) in the uterus and softens the cervix so the pregnancy comes out more easily. Misoprostol makes the uterus contract and push out the pregnancy. This is similar to what happens when a person has a miscarriage.

3. What do abortion pills look like?

Both mifepristone and misoprostol are sold in tablet or pill form. Misoprostol pills usually, but not always, have a unique six-sided shape. Mifepristone is usually a round, white pill. If someone is selling these medications in capsule form, they are not legitimate. (A capsule is a shell or container, usually made of gelatin, that contains a medication.)

4. What does mifepristone combined with misoprostol look like?

Where mifepristone is available, it is usually sold packaged together with misoprostol as a “combi-pack.” Combi-packs are rarely counterfeit and should look something like this.

5. What is a “blister pack” and why is it important?

A “blister pack” is a way of packaging medicines where individual pills are sealed in a “bubble” between two layers of material. The most common materials used for blister packs are cardboard, plastic and aluminum.

Misoprostol becomes less effective when the pills are exposed to heat and moisture. For that reason, misoprostol must be sealed in double-aluminum blister packs (aluminum on top and bottom), rather than cardboard or plastic. You are unlikely to find legitimate or effective misoprostol that is being kept in cardboard, plastic or as loose pills in a bottle.

A double-aluminum blister pack should look something like this. Be sure the aluminum is not opened on any side until you are ready to use the pills.

6. How much do the pills cost?

The cost of misoprostol varies around the world. But misoprostol is widely available, so it’s generally not very expensive. Manufacturers sell the pills to pharmacies for very little cost?—?less than (5 cents) per pill. The highest sales price found in a recent study was per pill.

Misoprostol is usually an affordable option for someone seeking an abortion. Of course, some pharmacists or medicine sellers may take advantage of people seeking misoprostol and try to charge too much for the pills. You can ask people you trust if they know how much the pills should cost where you live, or you can search the internet for local cost information. remember: Misoprostol should not be expensive.

Pre-packaged combi-packs of mifepristone and misoprostol are only available in a limited number of countries (less than 30), and they are less likely to be sold without a prescription. If you live in a low- or middle-income country where combi-packs are available, the prices are likely controlled, and a combi-pack should cost .

7. How many pills do I need to buy?

If you have access to both mifepristone and misoprostol, you will need 1 mifepristone pill of 200mg and at least 4 misoprostol pills of 200mcg each. If you are 10–12 weeks pregnant, you may need to take 1 or 2 extra doses (4 or 8 extra pills) of misoprostol to finish the abortion process. If you have access to misoprostol only, you will need at least 12 misoprostol pills of 200mcg each if you are less than 13 weeks pregnant.

8. How can I know if the pills are real and not counterfeit?

Even if you ask for abortion pills by name, such as misoprostol or mifepristone, some medicine sellers may try to sell you counterfeit pills that won’t work and may delay you from having an abortion. Safe, effective abortion pills should be:

^-The color white

^-Pills or tablets, NOT capsules

^-Packaged in an undamaged, double-aluminum blister pack, ideally

^-Sold to you by a pharmacy or medicine seller you trust

^-Not expired (an expiration date should be on the package)

9. Can I buy abortion pills without a prescription?

Mifepristone and misoprostol can be obtained from a health provider, from pharmacies and medicine sellers, and from the internet. Depending on what country you live in, a prescription may be required to buy mifepristone and misoprostol from a local pharmacy or medicine seller. But the two medications are often sold without a prescription. Misoprostol is typically much easier to buy because it is also used to treat ulcers and to prevent or stop heavy bleeding after childbirth. Mifepristone and misoprostol “combi-packs” and misoprostol alone can be bought from online pharmacies and organizations that support people to self-manage their abortions

10. Where can I find more information on abortion with pills?

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Ever heard of the abortion pill? A medication abortion actually consists of more than just one pill — it’s a regimen of two medications. The first ends the pregnancy, and the second clears your uterus.

You may have different options available to you depending on where you live (and the laws in your state). It may be harder to get an abortion after 11 or 12 weeks of pregnancy in some states, so it’s important to try to have the abortion as soon as possible, if that’s what you choose.

Most people find out that they are pregnant if they are sexually active and miss their period. Symptoms of early pregnancy include nausea/vomiting, breast tenderness, and fatigue (feeling tired). The only way to know for certain if you are pregnant is with an ultrasound or pregnancy test (a urine or blood test). You can do a urine pregnancy test from the first day you missed your period and after. Before this time, the level of hormones made by the pregnancy might be too low to show up on the test.

HOW DO YOU KNOW IF YOU ARE PREGNATNT IN DUBAI HOW LONG YOU'VE BEEN PREGNANT FOR?

If your period is regular (it comes around the same time every month), you can use the date of your last period to figure out how far along the pregnancy is. Count from the first day of your last menstrual period, include that day and start counting up until today.

Abortion Pill treatment at home For women from England and Wales If you are from Scotland and want to access Pills by Post please visit this website for more information about how to access abortion in your area. Medical abortion: The abortion pill by post This service is a safe and legal way to end a pregnancy at an early gestation without needing to attend a clinic for treatment. You should contact BPAS on our bookings and information line 03457 30 40 30 to book a telephone consultation and full medical assessment with a trained nurse or midwife who will assess your suitability for treatment. Most women are eligible for NHS funded treatment and we can discuss whether this applies to you when you call. If treatment is suitable and safe, you will receive abortion pills by post a few days later, or we can book you for an alternative treatment in clinic. Before Treatment Medical assessment Consent Expected effects of treatment Risks and complications of the abortion pill Your treatment pack Legal reminders about abortion medication Treatment About medical abortion: The abortion pill How to take mifepristone and misoprostol Passing the pregnancy (and bleeding) Pregnancy remains Pain control After treatment Follow-up instructions Recovery Important/unexpected or unusual symptoms after treatment More information What can I do? Other questions you may have Feedback and complaints How does the abortion pill work? In This Section The Abortion Pill How does the abortion pill work? What can I expect after I take the abortion pill? How do I use the abortion pill? How safe is the abortion pill? How do I get the abortion pill? How much does the abortion pill cost? The abortion pill causes cramping and bleeding that can last several hours or more. You can be at home, or wherever is comfortable for you. Plan on taking it easy for the day. Thinking about getting the abortion pill? FIND A HEALTH CENTER What do I need to do before I take the abortion pill? Before you take the abortion pill, you’ll meet with your nurse, doctor, or health center staff to talk about whether abortion is the right decision for you, and what your abortion options are. You’ll get an exam and lab tests, and you may get an ultrasound to figure out how far into your pregnancy you are. Your nurse or doctor will let you know if there’s anything else you need to do to prepare for your abortion. They’ll give you written instructions on how to take your pills. You will have access to a caring professional through the process — you’ll get a number you can call 24/7 if you have any questions or concerns. You’ll have a lot of bleeding and cramping after you take the second medicine, so plan ahead to make the process more comfortable. You can be at home, or wherever is comfortable for you to rest. You may also want to have someone you trust with you (or nearby) that you can call for support if you need anything. Stock up on maxi pads, food, books, movies, or whatever you like to help pass the time, and a heating pad for cramps. Make sure you have some pain medicine — but don’t take aspirin because it can make you bleed more. What happens during a medication abortion? The abortion pill process has several steps and includes two different medicines. First, you take a pill called mifepristone. This medicine stops the pregnancy from growing. Some people feel nauseous or start bleeding after taking mifepristone, but it’s not common. Your doctor or nurse may also give you antibiotics to take to prevent infection. The second medicine is called misoprostol. You’ll either take the misoprostol right away, or up to 48 hours after you take the first pill — your doctor or nurse will let you know how and when to take it. This medicine causes cramping and bleeding to empty your uterus. For most people, the cramping and bleeding usually starts 1-4 hours after taking the misoprostol. It’s normal to see large blood clots (up to the size of a lemon) or clumps of tissue when this is happening. It’s kind of like having a really heavy, crampy period, and the process is very similar to an early miscarriage. (If you don’t have any bleeding within 24 hours after taking the second medicine, misoprostol, call your nurse or doctor.) The cramping and bleeding can last for several hours. Most people finish passing the pregnancy tissue in 4-5 hours, but it may take longer. The cramping and bleeding slows down after the pregnancy tissue comes out. You may have cramping on and off for 1 or 2 more days. You can take pain medicine like ibuprofen about 30 minutes before you take the second medicine, misoprostol, to help with cramps. You can also take anti-nausea medicine if your doctor or nurse gives it to you. Don’t take aspirin, because it can make you bleed more. It’s normal to have some bleeding and spotting for several weeks after your abortion. You can use pads, tampons, or a menstrual cup — whatever’s the most comfortable for you. But your nurse or doctor may recommend you use pads for the first few days after the abortion so you can track how much you’re bleeding. The last step is a follow up with your nurse or doctor. You may go back into the health center for an ultrasound or blood test. Or you’ll get a pregnancy test to take at home, followed by a phone call with your nurse or doctor. These tests will make sure the abortion worked and that you’re healthy. In the unlikely case that the abortion doesn’t work and you’re still pregnant, your doctor or nurse will discuss your options with you. You may need another dose of medication or to have an in-clinic procedure to complete the abortion. How does a medication abortion feel? For most people, medication abortion feels like having an early miscarriage. 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WHAT IS ABORTION PILLS

The abortion pill should not be confused with the morning after pill as it is intended for use within the first 12 weeks of pregnancy whereas the morning after pill should only be used within 3 to 5 days after intercourse. The abortion pill, mifepristone and misoprostol, is an approved pregnancy termination method in South Africa and can only be prescribed by a medical doctor.

HOW DOES ABORTION PILLS WORK?

Both abortion pills, mifepristone and misoprostol are usually used in order to terminate a pregnancy. Mifepristone causes the embryo to detach from the uterus thereby cutting off essential nutrients and oxygen carried by the blood. Misoprostol is then taken two days later and triggers the evacuation of the embryo remnants through the vagina. This often appears as a heavy period.

It is advisable that you consult with your medical practitioner for a further understanding of how the abortion pill works.

IS THE ABORTION PILLS SAFE?

The abortion pill is usually safer than a medical abortion or surgical abortion, but it should only be considered in the first 12 weeks of pregnancy. Like any procedure, use of the abortion pill can result in complications, but if used under the supervision of a medical doctor, the chances of complications are greatly reduced. Your doctor will be best suited to handle any complications should they arise.

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Common side effects include abdominal pain, cramping, bleeding and spotting for up to 2 weeks after using the pill. Other side effects that may occur include drowsiness, nausea, vomiting, diarrhea, fatigue and fevers. Side effects may not occur in every case and if you are experiencing any symptoms that are persisting, you should consult with your medical doctor immediately.

The abortion pill may cause a disturbance in your normal menstrual cycle in some users but there are usually no significant dangers associated with using the abortion pill. However using the abortion pill without the supervision of a medical practitioner or after 8 weeks of pregnancy can be dangerous. Uncontrollable bleeding, severe cramping and infections can arise without correct supervision and for this reason, you should never buy or use the abortion pill from illegal sources.

Always consult with your doctor or a qualified staff at a family planning clinic before you commence with any abortion method.

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