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EARLY ABORTION PILL TREATMENT PROCESS
The first tablet is called Mifepristone and is taken orally (swallowed with water). Mifepristone works by blocking the action of progesterone, a hormone needed to maintain the pregnancy.
The second stage of treatment is 4-6 Misoprostol tablets. 4 tablets should be either be inserted into the vagina or in the mouth against the gum (buccal). These contain a hormone called prostaglandin. Prostaglandins occur naturally in the body and help the uterus to contract. If there is no bleeding after four hours the 2 remaining tablets should be used.
Acting together the combination of Mifepristone and the Misoprostol will bring on an abortion.
Potential Risks/ Side Effects
EMA has a very good safety record, however, every form of medical treatment carries some risks or side effects. With this treatment, the main risks/ side effects include:
Excessive vaginal bleeding
Incomplete abortion
Infection
Allergic reactions
A feeling of light-headedness
Feeling feverish
High temperature
Diarrhoea
Nausea or sickness
A medical abortion, also known as medication abortion, occurs when drugs (medication) are used to bring about an abortion. Medical abortions are an alternative to surgical abortions such as vacuum aspiration or dilation and curettage.[5] Medical abortions are more common than surgical abortions in most places, including Europe, India, China, and the United States.[6][7]
Medical abortions are typically performed by administering a two-drug combination: mifepristone followed by misoprostol. When mifepristone is not available, misoprostol alone may be used in some situations.[8]
Medical abortion is both safe and effective throughout a range of gestational ages, including the second and third trimester.[9] In the United States, the mortality rate for medical abortion is 14 times lower than the mortality rate for childbirth, and the rate of serious complications requiring hospitalization or blood transfusion is less than 0.4%.[10][11][12][13] Medical abortion can be administered safely by the patient at home, without assistance, in the first trimester.[14] Starting with the second trimester, it is recommended to take the second drug in a clinic or provider's office.[14]
Medical abortion should not be confused with emergency contraception, which typically involves drugs (such as Levonorgestrel or "Plan B") taken soon after intercourse to prevent a pregnancy from beginning.
Drug regimens
200 mg mifepristone and 800 μg misoprostol, the typical regimen for early medical abortion
Less than 12 weeks' gestation
For medical abortion up to 12 weeks' gestation, the recommended drug dosages are 200 milligrams of mifepristone by mouth, followed one to two days later by 800 micrograms of misoprostol inside the cheek, vaginally, or under the tongue.[15] The success rate of this drug combination is 96.6% through 10 weeks' pregnancy.[16]
Misoprostol should be administered 24 to 48 hours after the mifepristone; taking the misoprostol before 24 hours have elapsed reduces the probability of success.[17] However, one study showed that the two drugs may be taken simultaneously with nearly the same efficacy.[18]
For pregnancies after 9 weeks, two doses of misoprostol (the second drug) makes the treatment more effective.[19] From 10 to 11 weeks of pregnancy, the National Abortion Federation suggests second dose of misoprostol (800 micrograms) four hours after the first dose.[20]
After the patient takes mifepristone, they must also administer the misoprostol. Failure to take the misoprostol may result in any of these outcomes: the fetus may be terminated, but not fully expelled from the uterus (possibly accompanied by hemorrhaging) and may require surgical intervention to remove the fetus; or the pregnancy may be successfully aborted and expelled; or the pregnancy may continue with a healthy fetus. For those reasons, misoprostol should always be taken after the mifepristone.[21]
If the pregnancy involves twins, a higher dosage of mifepristone may be recommended.[22]
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Your doctor or nurse will give you detailed directions about where, when, and how to take the medicines. You may also get some antibiotics to prevent infection. A medical practitioner cannot tell the difference between a miscarriage and an abortion, so if need arises for you to visit a hospital always insist on miscarriage to avoid any troubles from the authorities. A GUIDE TO SELF MANAGED ABORTION (SMA) IN UAE, DUBAI, ABUDHABI, KUWAIT & QATAR BEFORE SMA Pregnant people with an intrauterine contraceptive device (IUD) should have it taken out or take it out themselves before using misoprostol. MATERIALS AND SUPPORT 1. Abortion pills/ abortion medicine 2. Non-steroidal anti-inflammatory (NSAID) pain medications like ibuprofen, neogyl, ampiclox 3. Sanitary pads 4. Water 5. Some pregnant people report that it is helpful to have somebody accompany them during a self-managed abortion, especially for abortions after 12 weeks PERFORMING A MEDICAL ABORTION USING MISOPROSTOL (CYTOTEC 200 mcg) IN UAE Globally millions have ended their unwanted pregnancies using cytotec 200mcg (misoprostol) safely. Often sold in pharmacies, cytotec is inexpensive, 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 (MIFE-KIT) IN UAE 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. It is also effective during the second trimester of pregnancy. Effectiveness should be verified in 2 weeks after use. Mifepristone is an antiprogestogen; it works by blocking the effect of progesterone, making the cervix easier to open and promoting contraction of the uterus when exposed to misoprostol. Mifepristone (mife-kit) is used in combination with misoprostol (cytotec) in order to perform a medicated abortion