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Remember that this information is useful for abortion with pills in pregnancies that are 11 weeks or less from the first day of your last period
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Mifepristone and Misoprostol Dosage
– Dosage of Mifepristone and Misoprostol for women less than 9 weeks pregnant : You will need 1 tablet of Mifepristone and 4 tablets of Misoprostol.
[3]– to pregnant women between 9-11 weeks mifepristone and misoprostol dose: You’ll need at least 4 tablets 1 tablet of misoprostol mifepristone, although misoprostol additional 4 tablets to recommend is (8 tablets total of misoprostol), since you are between 9-11 weeks pregnant.
[4]The Mifepristone tablet should be 200 mg (or the equivalent of 200 mg) and each misoprostol tablet should be 200 mcg . [5]
If the tablets you are taking have different dosages of mg and/or mcg, you will need to recount the total number of tablets so that you are using the correct amount of medicine.
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Step 1: Swallow the mifepristone tablet with water.
If you vomit within the first 30 minutes after swallowing mifepristone, it is likely that the pill will not work. In this case, if you have additional mifepristone, you will need to repeat Step 1 . If not, contact us.
Wait 24-48 hours after swallowing mifepristone.
You can choose to wait 24 hours, 48 hours, or any time frame in the meantime. Within that time frame, there is no difference in the effectiveness of misoprostol.
Keep in mind that most of the symptoms you experience will begin soon after using misoprostol, so choose a time that is most convenient for you and your schedule. It is recommended to choose a time when you are at home without obligations.
Step 2: Take 800 mg of ibuprofen 1 hour before using misoprostol.
This step is not required, but we highly recommend it. Ibuprofen will reduce the intensity of spasms and help relieve possible side effects of misoprostol such as headache, fever, and/or chills [6]. Remember, you can use ibuprofen when needed during and after the procedure. Women who are allergic to ibuprofen and NSAIDs (nonsteroidal anti-inflammatory drugs) can seek advice on pain relief
If you have any anti-nausea medicine, you can use it at this time.
Step 3: Place 4 tablets of misoprostol under your tongue (sublingual) for 30 minutes.
It is very important that the tablets remain under your tongue for 30 minutes so that they dissolve well in your system. If there is still some trace of the pills after 30 minutes, you can drink water to swallow them. [7]
If you vomit during the 30 minutes when the misoprostol tablets are under your tongue, it is likely that the tablets will not work. In this situation, it is necessary to repeat step 4 immediately.
If you vomit after placing the tablets under your tongue for 30 minutes, there is no need to repeat step 4 as the tablets have already completely dissolved in your system.
wait 3 hours
– If you are less than 9 weeks pregnant then step 5 solamente si han pasado 3 horas desde la ltima toma de Misoprostol y aún no ha comenzado el sangrado, o éste ha sido leve o muy ligero.
Follow up but only if you haven’t had any bleeding after 3 hours of using misoprostol or the bleeding is less than your normal period.
If you are 9-11 weeks pregnant then follow step 5.
You can also contact us .
(Step 4): Place 4 other tablets of misoprostol under your tongue (sublingually) for 30 minutes.
[For women who are 9-11 weeks pregnant or who have not had bleeding]
If 3 hours have passed and you still have no bleeding or cramping, contact us. We do not advise you to use more pills until we can assess the situation together.
Expected Symptoms of Mifepristone and Misoprostol
After taking mifepristone, most women don’t have any noticeable symptoms, which means they don’t feel anything. If you have bleeding after taking mifepristone, it is still very important that you use misoprostol for the procedure to be effective.
[8] You will have cramping and bleeding after using misoprostol. Some women (not all) also have blood clots out of their bodies. It is not possible to know exactly when the pain and bleeding will begin, often within 1-2 hours or a few hours after using misoprostol.

[9] Expected bleeding must be greater than or equal to your period. Bleeding may continue for several days or even weeks after using the pills. Your bleeding and pregnancy symptoms should gradually improve over the next few weeks. [10]
Women who are between 10-11 weeks pregnant will have symptoms of bleeding and cramping, although you can feel and see the fetus coming out [1]. It is usually found in the fetus, blood, and clots, and it often goes unnoticed, but it is important to know that it is normal if you are diagnosed. Don’t panic, it can be disposed of by wrapping it in a sanitary pad or flushing it down the toilet.
Remember that each miscarriage experience is different and the symptoms may vary from woman to woman.
Most women who have pregnancy symptoms go away about 5 days after using misoprostol. If your pregnancy symptoms begin to subside and disappear after using the pills, it is a good sign that you are no longer pregnant [11].
Side Effects of Mifepristone and Misoprostol
After using misoprostol, some women feel side effects that can last for a few hours or days [12]. These side effects include:
Fever
Diarrhea
nausea vomiting
Headache
chills
Side Effects of Mifepristone and Misoprostol

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Precautions
To avoid heavy bleeding and/or infection, it is important that you take the following precautions for the next few weeks, until your bleeding stops completely [13]:
Avoid inserting objects like tampons and menstrual cups into your vagina
Avoid vigorous and heavy physical activity (exercising with heavy objects, lifting, pushing or pulling, walking more than usual, or climbing too many stairs) Note: How long after using abortion pills is it appropriate to have sex is , in this regard there is no available evidence recommended. But it is generally advised that you wait until the heavy bleeding stops, and listen and understand your body and your will.

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IMPORTANT MESSAGE TO NOTE

Medical providers c‌annot tell the difference between abortion with misoprostol and miscarriage. Misoprostol cannot be found in blood samples. Hospital personnel may lie ‌to you about this, and may report abortions, including miscarriages, to legal authorities. Self-managed abortion is still a crime in many countries, so be careful what you say!

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HOW ABORTION PILLS/ ABORTION MEDICINE FUNCTIONS IN THE BODY


For a safe abortion to happen, one needs to use two different medicines: mifepristone and m‌isoprostol.

One pill/ tablet of mifepristone is administered first to block the body’s progesterone (hormone responsible for the growth of the fetus) hence stopping the growth of the pregnancy.

Four pills of the second medicine misoprostol is then administered after 24 hours from the first dose of mifepristone. Misoprostol causes cramping and bleeding to empty the uterus. It’s similar to heavy crampy periods. Your doctor or nurse will give you both medicines at the health center. When and where you’ll take them depends on state laws and your health center’s policies. 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.

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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)


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 4 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)


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.

You will take 2 sets of pills for your abortion to be effective. 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.