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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 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.



DANGERS AND SIDE EFFECTS OF



THE ABORTION PILLS?



Common side effects include abdominal pain, cramping, bleeding and spotting for up to 2 weeks after using the abortion 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 usually there are 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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Lesson 3: How does an abortion with pills work?

An abortion with pills, also known as a medical or medication abortion, is a safe and common method of abortion. Millions of women all over the world safely and successfully use pills to end pregnancies every year. Many people prefer an abortion with pills because it can be done privately within the comfort of their home, is non-invasive, can feel more natural, and is similar to a spontaneous miscarriage.



There are two types of medications used for abortion: mifepristone and misoprostol. An abortion with pills works better if both of these medications are taken together. However, if mifepristone is not available, misoprostol alone will also work to end a pregnancy and is still safe. We will review both options in this video series.



Mifepristone and misoprostol cause the opening of the uterus to relax and the walls of the uterus to contract. This results in bleeding and cramping, which pushes the pregnancy out of the body, just like a miscarriage. Most women experience bleeding and cramping that’s similar to a heavy menstrual period and lasts several hours.



Some women go to see a medical provider, like a doctor or midwife, to get information about an abortion with pills and obtain the necessary medications. Then they go home to take the pills and manage the process themselves. Some women may decide to get information and pills in other ways. So long as the proper instructions are followed and quality medications are used, an abortion with pills will work to end a pregnancy almost every time.



Severe complications are extremely rare. An abortion with pills is so safe that most women successfully manage the process at home without any problems.



Almost everyone can have an abortion with pills – including young women, older women, women with and without children, women who have had an abortion before, women who are pregnant with twins, women who have had Caesarean deliveries, and women who are breastfeeding. Regardless of your age or weight, the dose stays the same and the pills will work equally well.



There are very few contraindications and they are very rare. If you know you have an ectopic pregnancy, which is a rare condition where the pregnancy is outside the uterus, abortion pills will not work to end the pregnancy, so you need to see a health care worker. If you have been told you have a medical condition called porphyria or problems with your adrenal glands, which are both very rare conditions, you should not do an abortion with pills. If you have an IUD in place, it should be removed before using abortion pills.



Many countries have laws surrounding the availability of abortion and the use of abortion pills. To learn more about the abortion laws in your setting, see HowToUseAbortionPill.Org.



In our 2 next videos, we will explain how to take both mifepristone and misoprostol or misoprostol alone to have an abortion before 13 weeks. Abortions 13 weeks and beyond require a different approach.



Doctors Without Borders/Médecins Sans Frontières helps people worldwide where the need is greatest, delivering emergency medical aid to people affected by conflict, epidemics, disasters, or exclusion from health care. Learn more at https://www.doctorswithoutborders.org



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