Is it okay to have meals and drink during the abortion process?
Listen to your body, take what your body needed. Avoid beverages containing alcohol, caffeine and soda. Heavy food such as curry, spicy and sour food could worsen your nausea and vomiting. But if you feel fit enough, you can eat any food.
Am I going to see the placenta/embryo/blood/fetus and what should I do?
Product conception is the product of pregnancy which expelled caused by the Misoprostol use. For the first trimester abortion you may expect to see clots, gestational sac (the tissue that carries the future embryo inside), and some tissues.
Blood clots may vary; it can be about 2-3 cm and looking like fish gills, but sometimes it can turn into smaller clots because of Misoprostol effect. Gestational sac will look like a white membrane, usually it’s a little bit hard to see when it appears with blood, so you need to look at your sanitary pad really carefully. If it falls out somewhere else other than your pad, like on the bathroom floor, you will need to wash it a little until you can see the shape and the color and you can make sure it’s out.
Note that you might not see the sac or the clots. Some women don’t realize it when the product conception expelled in the toilet.
If the products of conception is stucked in the cervix or vagina, please do not pull it by hand. Let it expelled naturally. Ensure that you’re not stress or panic. Please sit or lie down in a comfortable position. If you’re in stress or panic, the muscles around the vagina will tighten and caused the placenta stuck even longer.
Feeling sad, confused and lost after abortion. What’s wrong with me?
It is natural if you feel the change in your emotions after an abortion. Some women doubted her decision and felt guilty over her decision. It isn’t just about the cultural and value system on how we women expected to behave based on our femininity roles, but mostly related to the drastic hormones changes in the body. The hormone’s changes affect us emotionally. Once the hormones back in balance, your emotional state is also getting better.
If your friend or partner experience this situation, please do not judge her situation. Listen to her, let her facilitate and share her feelings and emotions with you. If you do not know how to respond, encourage her to talk to the counselor.
Do you need to have an ultrasound after doing a medical abortion?
If you do not have symptoms of a complication, it is not necessary to have an ultrasound after a medical abortion.
By having an ultrasound you can determine whether the pregnancy has ended even a few days after the abortion, especially if you are unsure whether the abortion was successful. You can also have a home urine pregnancy test about 3-4 weeks after taking the medicines. If you take the home urine pregnancy test before waiting 3 weeks, it can show a false result that a woman is pregnant, because there are still pregnancy hormones in her body.
Medical abortion, like miscarriage, is a process that takes place over time and the body might take several weeks to fully expel all the tissues and products in the uterus. This is normal. If you want, you can have an ultrasound about 10 days after taking the medicine just to confirm as soon as possible that the pregnancy has ended.
Even if the pregnancy has ended, many women will still have tissues and blood inside the uterus for several weeks. If you do not have any symptoms of complications like strong pain in the belly, continuous fever, very strong bleeding, smelling vaginal discharge, there is no need for any surgical intervention, like D&C (dilatation and curettage), even if the doctors suggest this.
How do you know if you have complications and what should you do?
If performed in the late pregnancy, a medical abortion carries a higher risk of complications. If this happens, go to the hospital as soon as possible to receive further medical care. If you live in a place where abortion is a crime, and you don’t have a doctor you trust, you can still access medical care. You do not have to tell the medical staff that you tried to induce an abortion; you can tell them that you had a spontaneous miscarriage. Doctors have the obligation to help in all cases and know how to handle a miscarriage.
The symptoms of miscarriage and abortion with pills are the same and the doctor will not be able to see or test for any evidence of abortion, as long as the pills have completely dissolved. If you used the Misoprostol under the tongue as our protocol recommends, the pills should have dissolved within an hour of taking them. If you took the pills vaginally, you must check with your finger to make sure that they are dissolved. Traces of the pills may be found in the vagina up to four days after inserting them.
How do you know if you have a post-abortion infection?
Infections following medical abortions are very rare. If you feel fever that lasts more than 24 hours or is higher than 100.4 F/ 38 C or if you have vaginal discharge that smells bad, you might have an infection, and you should go to a doctor immediately. You can treat infection with antibiotics.
How do you know if you have a continuing pregnancy?
Less than 1% of women experience ongoing pregnancy. Continuing pregnancy is a pregnancy that continues to develop even after the use of Mifepristone and Misoprostol. In this case, the abortion has failed completely, and the woman remains pregnant. In late pregnancy case, you may know whether the abortion succeed right away. However It is necessary to wait three weeks to have a pregnancy test to ensure that your abortion completed.
Will you be able to get pregnant and have children after a medical abortion?
A medical abortion does not affect your ability to conceive or bear a child in the future. In fact, if you do not want to become pregnant at this time, it is important to start using contraceptives as soon as you start having sexual relations again.
The results of one study suggest that if a woman who has never given birth has an early medical abortion using Mifepristone and Misoprostol (or other protaglandine) it will not cause problems during a future wanted pregnancy.
A publication intended to help doctors understand induced abortion states, “Induced abortion does not harm a woman’s reproductive capacity. Premature birth, infertility, ectopic pregnancy, spontaneous abortion, and adverse pregnancy outcomes are not increased in frequency after abortion”.
When can you get pregnant again after having a medical abortion?
Although your menstruation may not come for several weeks after your abortion, you can ovulate (be fertile) at any time after the abortion. This means you can get pregnant right away, even if you are still having some light bleeding. If you want to avoid becoming pregnant right away, it is very important to start using contraceptives immediately.
You can use condoms and other birth control methods right away. An IUD can be put in place as soon as 4-14 days after you take the Misoprostol, even if there is still light bleeding. You can also wait to insert an IUD until your next regular period, but you will need to use another contraceptive method in the meantime if you do not want to risk becoming pregnant.
You can start hormonal contraceptive methods (pills, patch, ring, injection, implant) 1 to 5 days after using the Misoprostol. If you start birth control pills more than 5 days after using the Misoprostol, it is recommended that you use a barrier method (condoms) during the first 9 days, until the pills reach their full level of protection.
How can you prevent a future unwanted pregnancy?
About 85% of sexually active women who do not use contraceptives become pregnant within a year. A woman can become pregnant while breastfeeding, from about 10 days after childbirth, and even during her menstruation. Withdrawal of the penis prior to ejaculation and periodic abstinence does not prevent pregnancy or spread of sexually transmitted diseases. Here you can read more about several forms of contraceptives.
You can prevent an unwanted pregnancy with:
- Total Abstinence
- Use of contraceptives
When I can start having sex again?
It is best to wait 4-7 days after taking the Misoprostol to have vaginal intercourse. Right after the abortion, the cervix might be slightly open, and there is a greater risk of infection if you have sexual relations during this time. It is normal to have irregular light bleeding for up to two weeks after a medical abortion (sometimes even longer). You can have vaginal intercourse even if you are still bleeding. Although it may be several weeks after your abortion before you get your menstruation again, you could ovulate in the first week or two after your abortion, which means you could get pregnant right away.