What Kind of Pills Are Given to Help Pass a Baby

This service is a prophylactic and legal way to end a pregnancy at an early gestation without needing to attend a dispensary for treatment. You should contact BPAS on our bookings and information line 03457 thirty 40 thirty to volume a telephone consultation and full medical assessment with a trained nurse or midwife who will assess your suitability for treatment. About women are eligible for NHS funded treatment and we can discuss whether this applies to you lot when you telephone call.  If handling is suitable and safe, you will receive abortion pills by mail service a few days after, or nosotros tin book you for an alternative treatment in clinic.

Medical assessment

If anything in your medical situation has changed since your consultation and medical assessment, please contact u.s.a. before starting your treatment.

Consent

Nosotros will explain the known risks and complications of your treatment during your telephone assessment. The risks and complications of this treatment are shown below.

This video is used to support your informed consent to EMA (Pills by Post) without ultra sound. Information technology is a very informative video and past the end of it, yous will understand the risks, benefits and alternatives to medical abortion without ultrasound. Many of our clients tell us watching this video is very valuable. It is 11 minutes long and cover all the things y'all need to consider when deciding on EMA pills by post without ultrasound.

Expected effects of handling

Lower abdominal pain/cramping and vaginal haemorrhage are experienced by all people having medical abortion. Pain tin can exist severe in some cases, requiring the apply of strong painkillers (like codeine). Most abortions are complete inside 4 hours of using misoprostol but for some it takes longer. Light vaginal bleeding or spotting can continue until the next menstrual menses even if the abortion is complete.

Expected side effects of treatment include:
Nausea, vomiting (sickness), diarrhoea, headache, dizziness, fever/chills (1 in x). If side effects go on after 24 hours of taking the second medication, please contact the states.

Risks and complications of the abortion pill

Significant unavoidable or frequently occurring risks

These are usually easy to care for and rarely have whatsoever long-term health effects:

• If y'all are treated without an ultrasound scan to date your pregnancy - the gestation of your pregnancy may be subsequently than realised (less than 1 in 1,000). This can hateful the abortion treatment fails, or there is more hurting or bleeding, you lot may meet a recognisable fetus or in extreme circumstances a live birth (ane in x,000).
• Unpredictable time to complete the process
• Side effects of drugs such as nausea, vomiting, diarrhoea, headache, dizziness, fever/chills (1 in 10)
• Retained products of conception - where the pregnancy is no longer growing simply some of the pregnancy tissue is left backside in the womb (2 in 100)
• Infection of the womb or fallopian tubes (two in 1,000)
• Unpredictable, irregular or prolonged bleeding later on the abortion. Calorie-free haemorrhage or spotting can continue to adjacent period (variable)
• Lower abdominal pain and cramping (experienced by all). Pain can exist severe requiring strong painkillers
• Standing pregnancy (less than ane in 100)
• Haemorrhage – very heavy bleeding (ii in one thousand)
• Undiagnosed ectopic pregnancy (ii in m)
• Psychological bug (variable)

Actress procedures that may exist necessary

• Surgical abortion or uterine aspiration (1-2 in 100)
• Blood transfusion (two in 1000)
• Laparoscopy or laparotomy – operation to wait inside the abdomen (3 in 100,000)
• Hysterectomy – surgical removal of the womb (2 in 100,000)
• Intravenous antibiotics (2 in 10,000)
• Salpingectomy (removal of fallopian tube) or salpingostomy (opening the fallopian tube) (1 in 10,000)

Death is very rarely linked to abortion treatment (less than 1 in 100,000 for all abortions).

Your handling pack

You volition receive your treatment package direct from the chemist's from ane to 3 days from your phone consultation (sometimes longer with Bank Holidays). If your package is delayed in the postal service for a few days you should all the same have the tablets as directed once they arrive. The bundle is plain with no indication of its contents, it will be tracked but not signed for.

Your treatment pack volition contain:

• Medabon pack containing i tablet of mifepristone (stride 1) and 4 tablets of misoprostol (step 2)
• two plastic wrapped misoprostol tablets (pace 3)
• Pregnancy examination (step 4)
• Codeine (simply provided if requested and medically suitable)
• Contraception and STI test (if requested and suitable) - Claret affects the results of this test, and then information technology is best to complete this before starting your treatment.Click for details.

Legal reminders about ballgame medication

These medicines have been prescribed for you just. Practise not pass it on to others:

• It may harm them.
• Information technology is illegal to give your medication to anyone else because it is a Prescription Just Medicine (POM) and was prescribed for you lot personally.
• It is illegal to intentionally use mifepristone at home above 10 weeks' gestation.
• However criminal penalties volition not use if this was inadvertent and you did non believe you were more than than 10 weeks meaning. This should never deter yous from seeking medical help if y'all demand it.
• If you exercise not use this medicine, contact BPAS virtually how to dispose of or return the drug. Do non use it for another pregnancy as you could be prosecuted.

Almost medical abortion: The ballgame pill

The abortion pill involves taking two medicines, mifepristone and misoprostol.

The first medicine, mifepristone, ends the pregnancy. Information technology works by blocking the hormone progesterone. Without progesterone, the lining of the uterus breaks down and the pregnancy cannot continue.

The 2d medicine, misoprostol, makes the womb contract causing cramping, bleeding and loss of the pregnancy like to a miscarriage.

If at any point you decide to continue the pregnancy subsequently taking the medications, it is important to know that there could exist risks to the developing fetus. Misoprostol can cause birth defects and both mifepristone and misoprostol can cause miscarriage. Contact BPAS for further information and advice.

How to take mifepristone and misoprostol

The timing when you administer your medication is important. If your pregnancy is of 10 weeks gestation you will need to come into the clinic to take your medications.

• Step 1 - Yous will swallow the first medicine (mifepristone) with water
• Footstep 2 - ane to 2 days afterward you lot will accept the 2d medicine (misoprostol)
• Step 3 - 3 to 4 hours after the kickoff dose of misoprostol, you will accept another dose

You will so pass the pregnancy at dwelling house.

Step 1 – Mifepristone

Swallow the mifepristone tablet with water.

You may have nausea or vomiting after swallowing the mifepristone. If y'all do vomit, you should still utilise the misoprostol equally outlined below. Delight telephone if you have any concerns or if you vomit within 30 minutes of swallowing the mifepristone.

Most women practice not have haemorrhage or pain until they take the second medication (misoprostol). Bleeding can occur after taking mifepristone simply it is usually light. If bleeding does happen, you should still use the misoprostol and may wish to consider placing it betwixt your cheek and gum. Contact us if yous have any concerns.

Click here for the video instructions

Step 2 and 3 – Misoprostol

Misoprostol tablets are placed in the vagina or between the cheek and mucilage. See below for more detail.

Misoprostol (the second medication) causes strong, painful cramps and heavy bleeding.

Instructions for using misoprostol (2nd medication)

You will have 6 tablets of misoprostol.

Click here for the video instructions

Step two – misoprostol

Use 4 tablets placed either in your vagina or between your cheek and glue.

Into the vagina

Insert 4 tablets every bit high every bit possible in the vagina; the exact location is not important only that they do non fall out. You tin can do this while lying down, squatting or continuing with one leg upwards - whatever is most comfortable for you.

OR

Into the oral fissure between cheek and gum

Identify 4 misoprostol tablets into the mouth between the upper cheek and gum and let the tablets to dissolve for thirty minutes. If the tablets have not completely dissolved within thirty minutes, yous may swallow what is left with water.

Some clients draw the taste of misoprostol equally unpleasant and the texture as chalky. Placing the tablets between the cheek and gum is associated with higher rates of nausea, vomiting and diarrhoea.

Step 3 – echo misoprostol

three to 4 hours afterward the first misoprostol tablets, use the 2 remaining tablets past either placing them in your vagina or between your cheek and glue.

Passing the pregnancy (and bleeding)

Utilize germ-free towels to monitor your haemorrhage during abortion pill handling. The amount and type of bleeding tin can vary for each person and each abortion. Information technology is normal to experience calorie-free, moderate, or heavy bleeding during a medical ballgame. Not everyone will pass claret clots during a medical ballgame, just for those who practise, the clots should exist no larger than a lemon. It is Non normal to accept no bleeding/scant bleeding or flooding (come across the prototype below), therefore you should telephone BPAS on 0300 333 68 28 for advice if:

• 24 hours later taking the misoprostol, you practice not bleed at all, have spotting/only see blood on a tissue when wiping (see Scant image 1)
• You feel heavy haemorrhage soaking 2 maxi size sanitary pads for 2 hours in a row (see Heavy image four)

Phone call 999 if:

• Yous experience extremely heavy haemorrhage (see Flooding image five) and feel unwell

Pain (usually described as cramping) commonly begins ane-2 hours afterwards misoprostol, sometimes sooner. Bleeding usually starts within 2 to 4 hours afterward using the tablets. Haemorrhage and pain are often greatest when the pregnancy is being expelled. Near women laissez passer the pregnancy within four hours - timings vary, but it is OK if this happens sooner or later. About all women expel within a few days. You may exist given codeine to help you manage the pain and you can also use pain relief from supermarkets and pharmacies. Please refer to the 'Pain control' department for information about managing your pain.

You may see other tissue when you pass the pregnancy. This is larger and more than recognisable at college gestations, but in most cases the fetus cannot be seen without magnification.

Once the pregnancy passes, the amount of bleeding and cramping should noticeably reduce. It is probable you volition feel cramping on and off for a week or so and this should be easily managed with ibuprofen or paracetamol. About women have calorie-free bleeding for most 2 weeks, merely you may have spotting up to your side by side menstruum. Sometimes y'all may have a short episode of pain with a gush of blood or a clot several weeks afterward the ballgame - contact us if this continues.

Pregnancy remains

You will pass the pregnancy at home or another place of your choosing. You can make up one's mind how y'all wish to dispose of the pregnancy remains. They can be flushed down the lavatory or wrapped in tissue, placed in a small plastic bag and put in the dustbin.

In rare circumstances, 0.i% of women laissez passer pregnancy tissue which is farther advanced in gestation than they thought it would exist. If this happens to you please contact our Aftercare line for assistance, back up and communication regarding disposal of pregnancy remains.

If you accept whatsoever other questions almost the disposal of the pregnancy remains, delight click here.

Pain control

During an early medical abortion, virtually women will have a strong cramping, similar to period pains. There are many ways to lessen the pain:

• wear comfortable clothes
• stay in a familiar and relaxing place
• apply a heating pad or hot h2o bottle to your lower stomach
• use a pain medicine like ibuprofen and codeine

How to go pain medicine

You can buy ibuprofen tablets in 200mg or 400mg strengths and your pack may also contain codeine in 15mg or 30mg strengths. Codeine is not suitable for anyone under 12 years of historic period.

How to apply these medicines

Ibuprofen is for mild to moderate pain. Codeine is for moderate to astringent pain. Paracetamol tin can be used for mild to moderate pain by those who cannot take ibuprofen.

You can start with ibuprofen (or paracetamol) calculation codeine when you lot need stronger pain relief. Or y'all can just commencement with codeine. Or alternating the medicines depending on how you experience.

What dose you lot should take and how frequently you can take it

Ibuprofen 200mg:  You can take iii tablets(600mg) by oral cavity every half dozen hours or four tablets (800mg) by mouth every 8 hours as needed.  Exercise not take more than 12 tablets in 24 hours.

Paracetamol 500mg:  You tin can accept up to 2 tablets(1000mg) by oral fissure every 4 to 6 hours as needed. Exercise not accept more than 8 tablets in 24 hours.

Codeine 15mg: Take 2 or 4 tablets(30-60mg) past mouth every 4 hours every bit needed. If you are aged between 12 and xviii years, take ii or iv tablets by oral fissure every half-dozen hours as needed. Practice not take more sixteen tablets in 24 hours.

Side furnishings of codeine include:

• constipation, nausea or vomiting
• drowsiness
• confusion and dizziness
• vertigo and headaches
• dry rima oris
• feeling itchy
• blurry vision

Please note: Exercise not drive or operate machinery whilst taking codeine.

If you take tried these options, simply withal have pain, please phone call the Aftercare Line on 0300 333 68 28 (or +44 1789 508 210) for advice.

Click here for video instructions for pain management

Follow-up instructions

The abortion pill is very constructive and usually uncomplicated, but it is of import to make sure it has worked. Having some cramping and haemorrhage does not guarantee that your treatment was successful. Misoprostol may cause serious birth defects if the pregnancy continues. If the abortion pill does non work for you, you should contact the states to discuss your options.

• You will NOT be contacted by BPAS to observe out if your handling has worked
• Y'all need to complete the 'self-cess checklist' below to ensure your treatment has worked and that you are no longer pregnant
• three weeks subsequently starting your treatment, yous should use the pregnancy test we sent you, with the offset urine you lot passed when you woke upwardly in the forenoon. (come across beneath)

Click hither for video instructions

Self-assessment checklist

I volition contact BPAS if I experience any of the following signs that my treatment has non worked:

• I did not bleed (or had but spotting, or only saw claret on a tissue when wiping) within 24 hours of taking misoprostol tablets
• I had less than 4 days of bleeding
• By the end of week 1, I still 'experience' pregnant or have symptoms of pregnancy such as sore breasts, sickness, tummy growing, etc.
• iii weeks after treatment, I performed the BPAS urine pregnancy test (using the commencement urine passed when I woke) and the test was positive, invalid, or I was non sure of the result
• My next catamenia has not come past four weeks after treatment (even if the pregnancy exam was negative)

Telephone BPAS immediately on 0300 333 68 28 (or +44 1789 508 210) if you experience any signs listed above.

Pregnancy test instructions

Yous must use the pregnancy examination from your treatment pack for your three week urine exam.

The pregnancy test we sent with your medication should exist used three weeks later y'all swallow the beginning medication (mifepristone). The pregnancy exam should be performed using the first urine you lot pass after waking in the forenoon.

This is a diagram of your pregnancy test:

• Remove all packaging
• Remove the cap from the test
• As you urinate, hold the absorbent tip of the test in the urine stream or collect some urine in a clean pot and dip the tip into the urine for five to 10 seconds

• Look 5 to 10 minutes
• Read the pregnancy test

Recovery

Our Aftercare Line is open up 24 hours a day, vii days a week. If y'all accept any questions or are unsure almost anything, please call 0300 333 68 28 (or +44 1789 508 210) for assistance.

What to wait subsequently treatment

Recovery afterwards an uncomplicated abortion unremarkably happens fairly quickly, but information technology is unlike for every woman. There are some things to expect, which are normal, and other signs and symptoms that are not. It's important that you know about both.

Most women recover quickly after an abortion. How much hurting and haemorrhage you experience later on can vary.

Feelings

After an abortion, most women feel relieved, merely some may besides feel sad or guilty.

If you experience yous demand to talk to someone, you can telephone call usa on 03457 thirty 40 thirty (or +44 1789 508 211) to make an date for mail-abortion counselling. This is a complimentary service for women who accept had treatment at BPAS.

Physical symptoms equally your body recovers

Symptoms of nausea, vomiting and tiredness unremarkably terminate within 3 days of an abortion. Sore breasts may last 7 to 10 days. Take ibuprofen or paracetamol if necessary for the pain.

Important/unexpected or unusual symptoms after handling

Contact our Aftercare Line immediately on 0300 333 68 28 (or +44 1789 508 210) if:

• yous have heavy vaginal bleeding and have soaked through 2 or more big maxi pads an hour, for the last 2 hours
• it is more than than 24 hours since you lot took your misoprostol and you notwithstanding feel sick, have intestinal discomfort, diarrhoea, nausea, vomiting or weakness
• you take abdominal hurting or discomfort that is not helped by medication, rest, a hot water canteen, or a heating pad
• you have a fever of 38°C or higher
• you lot take an unpleasant smelling discharge from your vagina
• if treated without a scan (or your scan merely showed a gestation sac and no yolk sac)
  
  • no bleeding or just spotting/smearing 24 hours later on using misoprostol
  • lower abdominal pain worse on one side
  • light-headedness, dizziness or feeling faint
  • shoulder tip hurting
• if y'all were treated following a scan showing a pregnancy in your uterus and y'all have no bleeding or only spotting/smearing 5-7 days afterwards using
• if you lot have a positive pregnancy test or other sign listed on the self-assessment checklist

Telephone 999 for an ambulance if you feel whatsoever of the following:

• fainting or loss of consciousness
• severe allergic reaction
• acute confused state
• concern for a center attack or stroke
• chest pain
• slurred voice communication
• animate difficulties
• fits that aren't stopping
• you experience extremely heavy bleeding and feel unwell

What tin can I do?

Bathing

You tin can take a bath or shower as normal.

Sex

You can have sex every bit soon every bit you feel sufficiently recovered from the abortion. You tin can get significant nigh immediately after treatment, so it is important to use contraception if yous do not want to get pregnant.

Other activities, including work

Most women are fit and well enough to return to normal activities within a day or two. Rest until you lot experience ready to return to your normal routine.

Other questions you may accept

Does having an ballgame increment my chance of getting chest cancer?

No, at that place is no proven clan with chest cancer and abortion.

Tin I continue breastfeeding during medical abortion?

Both mifepristone and misoprostol pass into the chest milk only the amounts are small and should non crusade any adverse furnishings in breastfed infants. Breastfeeding may continue uninterrupted following mifepristone and misoprostol. If breastfeeding an infant under 6 months' of age, express and discard milk whilst taking codeine and for the first feed subsequently the last dose of codeine.

Will having an ballgame cause bug with hereafter pregnancies?

If your ballgame is uncomplicated, there should exist no bug with hereafter pregnancies every bit a event of the abortion.
In that location are no proven associations between abortion and futurity infertility, ectopic pregnancy or placenta praevia.
Having an abortion may be associated with future pregnancies ending before the due date. This risk appears to increase when someone has had more than one abortion.

How volition I feel after?

Every woman is different so they experience, experience and cope in a way which is individual to them. There is no evidence to suggest that you will feel any mental wellness issues every bit a result of an abortion. However, if you take a history of mental health problems you may still have those issues whether y'all choose to have the abortion or not.

What about travel afterwards handling?

Travel is non platonic in the first 24 hours later on using misoprostol. You may experience symptoms whilst in transit. Y'all will need to know how to access emergency services in case of a complication.

What near contraception and STI screening?

Getting tested for STIs is recommended if you are at risk of infection. Almost all methods of contraception tin be started on the same day every bit medical ballgame or the twenty-four hour period after. If you cull intrauterine contraception (IUD or coil) this can be inserted as soon equally the ballgame is complete. If you lot alive in England, Scotland or Wales, yous can see your GP or local contraception and sexual wellness service to obtain contraception after treatment. BPAS can provide some contraceptive methods and this will be discussed during your consultation.

To locate your nearest NHS contraception service or STI clinic, visit the following websites:

England: www.nhs.uk/service-search
Scotland: www.sexualhealthscotland.co.uk/get-help/sexual-wellness-service-finder
Wales: www.nhsdirect.wales.nhs.uk/LocalServices

Feedback and complaints

If you want to provide whatever feedback most the service you have received, delight e-mail clientservices@bpas.org

After treatment, nosotros will e-mail you with a link to consummate our satisfaction survey, if yous agreed that we may do and then.

At that place may exist times you want to feedback formally or raise a complaint with us.

Our leaflet titled 'Feedback and complaints policy' explains our feedback and complaints process.

To raise a complaint you lot can:

• speak to a member of staff
• telephone call 0345 365 50 50 (or +44 1789 508 211) and ask to speak to the Customer Engagement Manager. If you are deaf or hard of hearing and use a textphone you can telephone call 0345 365 1450 (or +44 1789 416 584)
• write to the Client Engagement Manager, British Pregnancy Informational Service, twenty Timothys Bridge Rd, Stratford Enterprise Park, Stratford-upon-Avon, CV37 9BF, or e-mail clientservices@bpas.org

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Source: https://www.bpas.org/abortion-care/abortion-treatments/the-abortion-pill/remote-treatment/

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