How Do You Know the Abortionpikl Worked

This service is a rubber and legal way to stop a pregnancy at an early on gestation without needing to attend a clinic for treatment. Y'all should contact BPAS on our bookings and data 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. Almost women are eligible for NHS funded handling and we can discuss whether this applies to yous when you phone call.  If treatment is suitable and safety, you lot will receive abortion pills by post a few days later, or we can book you lot for an alternative handling in clinic.

Medical cess

If annihilation in your medical situation has inverse since your consultation and medical assessment, please contact us before starting your handling.

Consent

We volition explicate 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 audio. Information technology is a very informative video and past the finish of information technology, you 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 encompass all the things you need to consider when deciding on EMA pills by post without ultrasound.

Expected effects of treatment

Lower abdominal pain/cramping and vaginal bleeding are experienced past all people having medical abortion. Pain can be severe in some cases, requiring the apply of strong painkillers (similar codeine). Most abortions are complete within 4 hours of using misoprostol simply for some it takes longer. Light vaginal bleeding or spotting tin continue until the side by side menstrual menses even if the ballgame is consummate.

Expected side effects of treatment include:
Nausea, vomiting (sickness), diarrhoea, headache, dizziness, fever/chills (1 in 10). If side furnishings continue after 24 hours of taking the second medication, delight contact us.

Risks and complications of the abortion pill

Significant unavoidable or frequently occurring risks

These are usually like shooting fish in a barrel to treat and rarely have whatsoever long-term health furnishings:

• If you are treated without an ultrasound scan to date your pregnancy - the gestation of your pregnancy may exist later than realised (less than i in one,000). This can hateful the abortion treatment fails, or in that location is more than pain or bleeding, you lot may see a recognisable fetus or in extreme circumstances a live birth (i in ten,000).
• Unpredictable fourth dimension to complete the procedure
• Side effects of drugs such every bit nausea, vomiting, diarrhoea, headache, dizziness, fever/chills (1 in x)
• Retained products of conception - where the pregnancy is no longer growing but some of the pregnancy tissue is left backside in the womb (2 in 100)
• Infection of the womb or fallopian tubes (2 in 1,000)
• Unpredictable, irregular or prolonged haemorrhage after the abortion. Lite bleeding or spotting tin can continue to side by side period (variable)
• Lower abdominal pain and cramping (experienced by all). Pain tin be severe requiring strong painkillers
• Continuing pregnancy (less than 1 in 100)
• Haemorrhage – very heavy bleeding (ii in yard)
• Undiagnosed ectopic pregnancy (2 in chiliad)
• Psychological problems (variable)

Extra procedures that may be necessary

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

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

Your treatment pack

You will receive your treatment package direct from the pharmacy from 1 to three days from your telephone consultation (sometimes longer with Depository financial institution Holidays). If your package is delayed in the post for a few days y'all should still accept the tablets as directed once they make it. The packet is plain with no indication of its contents, it will exist tracked merely non signed for.

Your treatment pack will contain:

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

Legal reminders nearly ballgame medication

These medicines have been prescribed for you only. Exercise non pass it on to others:

• It may harm them.
• It is illegal to give your medication to anyone else because it is a Prescription Only Medicine (POM) and was prescribed for you lot personally.
• Information technology is illegal to intentionally employ mifepristone at habitation above 10 weeks' gestation.
• Nevertheless criminal penalties will not apply if this was inadvertent and you did not believe you were more than 10 weeks pregnant. This should never deter you from seeking medical help if you lot need it.
• If you practice not use this medicine, contact BPAS virtually how to dispose of or return the drug. Practise non utilize it for some other pregnancy as y'all could be prosecuted.

Near medical abortion: The abortion pill

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

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

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

If at any betoken you decide to go along the pregnancy subsequently taking the medications, information technology is important to know that there could be risks to the developing fetus. Misoprostol can cause birth defects and both mifepristone and misoprostol tin cause miscarriage. Contact BPAS for further information and advice.

How to take mifepristone and misoprostol

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

• Step 1 - You volition consume the showtime medicine (mifepristone) with h2o
• Stride 2 - 1 to ii days later on you will take the second medicine (misoprostol)
• Stride 3 - 3 to four hours after the first dose of misoprostol, you will take some other dose

Y'all will then laissez passer the pregnancy at home.

Stride one – Mifepristone

Swallow the mifepristone tablet with water.

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

Nearly women do not take haemorrhage or hurting until they take the second medication (misoprostol). Bleeding tin occur after taking mifepristone but it is ordinarily light. If bleeding does happen, you should still utilize the misoprostol and may wish to consider placing it betwixt your cheek and glue. Contact us if you accept 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 particular.

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

Instructions for using misoprostol (second medication)

You lot volition take 6 tablets of misoprostol.

Click here for the video instructions

Footstep ii – misoprostol

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

Into the vagina

Insert 4 tablets equally high as possible in the vagina; the verbal location is not important just that they do not fall out. You lot can do this while lying down, squatting or continuing with one leg up - whatsoever is most comfortable for yous.

OR

Into the oral fissure between cheek and gum

Place iv misoprostol tablets into the oral fissure between the upper cheek and gum and allow the tablets to dissolve for xxx minutes. If the tablets have not completely dissolved inside 30 minutes, you lot may consume what is left with water.

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

Pace 3 – repeat misoprostol

iii to four hours after the kickoff misoprostol tablets, utilize the 2 remaining tablets by either placing them in your vagina or between your cheek and gum.

Passing the pregnancy (and haemorrhage)

Use germ-free towels to monitor your bleeding during abortion pill treatment. The amount and type of bleeding tin vary for each person and each abortion. It is normal to feel light, moderate, or heavy bleeding during a medical abortion. Not everyone will laissez passer blood clots during a medical ballgame, but for those who practice, the clots should be no larger than a lemon. It is Not normal to have no bleeding/scant haemorrhage or flooding (see the prototype below), therefore you should telephone BPAS on 0300 333 68 28 for communication if:

• 24 hours later on taking the misoprostol, you do non bleed at all, have spotting/merely see claret on a tissue when wiping (encounter Scant prototype 1)
• Yous experience heavy bleeding soaking 2 maxi size sanitary pads for two hours in a row (see Heavy image 4)

Call 999 if:

• You experience extremely heavy bleeding (see Flooding image 5) and feel unwell

Hurting (unremarkably described as cramping) unremarkably begins ane-2 hours after misoprostol, sometimes sooner. Haemorrhage usually starts within 2 to iv hours after using the tablets. Bleeding and pain are often greatest when the pregnancy is existence expelled. Virtually women pass the pregnancy within iv hours - timings vary, merely information technology is OK if this happens sooner or later. Virtually all women miscarry within a few days. You may be given codeine to help you manage the hurting and you lot can also apply hurting relief from supermarkets and pharmacies. Please refer to the 'Pain control' section for information most managing your pain.

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

One time the pregnancy passes, the amount of bleeding and cramping should noticeably reduce. It is likely you will experience cramping on and off for a calendar week or so and this should be easily managed with ibuprofen or paracetamol. Most women have calorie-free bleeding for nigh 2 weeks, just you lot may have spotting up to your next period. Sometimes y'all may have a brusk episode of pain with a gush of blood or a clot several weeks later on the abortion - contact united states if this continues.

Pregnancy remains

Yous will pass the pregnancy at dwelling or another identify of your choosing. You can make up one's mind how you wish to dispose of the pregnancy remains. They can exist flushed downward the lavatory or wrapped in tissue, placed in a small plastic bag and put in the dustbin.

In rare circumstances, 0.1% of women laissez passer pregnancy tissue which is further advanced in gestation than they thought it would be. If this happens to yous please contact our Aftercare line for help, support and communication regarding disposal of pregnancy remains.

If y'all have any other questions about the disposal of the pregnancy remains, please click here.

Hurting control

During an early medical abortion, most women will have a strong cramping, similar to flow pains. There are many means to lessen the pain:

• article of clothing comfortable clothes
• stay in a familiar and relaxing place
• utilise a heating pad or hot water bottle to your lower stomach
• use a hurting medicine similar ibuprofen and codeine

How to go pain medicine

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

How to use these medicines

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

You tin beginning with ibuprofen (or paracetamol) calculation codeine when you demand stronger hurting relief. Or you tin can but showtime with codeine. Or alternate the medicines depending on how you feel.

What dose yous should have and how often you can take it

Ibuprofen 200mg:  You can take 3 tablets(600mg) by mouth every six hours or 4 tablets (800mg) past oral fissure every eight hours as needed.  Exercise non accept more than 12 tablets in 24 hours.

Paracetamol 500mg:  Y'all can accept up to 2 tablets(1000mg) by oral fissure every 4 to 6 hours every bit needed. Practise not take more than 8 tablets in 24 hours.

Codeine 15mg: Take 2 or 4 tablets(30-60mg) by mouth every 4 hours as needed. If you are aged between 12 and 18 years, take two or 4 tablets by rima oris every 6 hours as needed. Exercise non take more than 16 tablets in 24 hours.

Side effects of codeine include:

• constipation, nausea or vomiting
• drowsiness
• confusion and dizziness
• vertigo and headaches
• dry out oral cavity
• feeling itchy
• blurry vision

Please notation: Do not bulldoze or operate machinery whilst taking codeine.

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

Click here for video instructions for hurting management

Follow-up instructions

The ballgame pill is very effective and commonly simple, simply it is important to make certain information technology has worked. Having some cramping and bleeding does not guarantee that your treatment was successful. Misoprostol may cause serious birth defects if the pregnancy continues. If the abortion pill does non piece of work for you, you should contact us to discuss your options.

• You volition Non exist contacted by BPAS to find out if your handling has worked
• You need to complete the 'self-assessment checklist' below to ensure your treatment has worked and that you are no longer pregnant
• 3 weeks after starting your handling, you should use the pregnancy exam nosotros sent you, with the first urine you passed when you woke upwardly in the morning. (encounter beneath)

Click here for video instructions

Self-assessment checklist

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

• I did not bleed (or had only spotting, or merely saw blood on a tissue when wiping) within 24 hours of taking misoprostol tablets
• I had less than iv days of bleeding
• By the end of week 1, I even so 'feel' pregnant or have symptoms of pregnancy such as sore breasts, sickness, tummy growing, etc.
• iii weeks after treatment, I performed the BPAS urine pregnancy exam (using the start urine passed when I woke) and the exam was positive, invalid, or I was not sure of the result
• My next flow has not come up by 4 weeks after treatment (even if the pregnancy examination was negative)

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

Pregnancy test instructions

You must employ the pregnancy exam from your treatment pack for your 3 week urine test.

The pregnancy test we sent with your medication should be used three weeks after you swallow the starting time medication (mifepristone). The pregnancy test should be performed using the first urine y'all pass subsequently waking in the morning.

This is a diagram of your pregnancy test:

• Remove all packaging
• Remove the cap from the test
• As yous urinate, hold the absorbent tip of the exam in the urine stream or collect some urine in a make clean pot and dip the tip into the urine for 5 to 10 seconds

• Wait five to ten minutes
• Read the pregnancy exam

Recovery

Our Aftercare Line is open up 24 hours a day, 7 days a calendar week. If yous have whatsoever questions or are unsure most anything, please call 0300 333 68 28 (or +44 1789 508 210) for help.

What to wait after treatment

Recovery after an uncomplicated ballgame ordinarily happens adequately chop-chop, merely it is dissimilar for every woman. There are some things to expect, which are normal, and other signs and symptoms that are non. Information technology's important that you lot know near both.

Nearly women recover quickly after an abortion. How much pain and bleeding you experience later on can vary.

Feelings

After an abortion, nigh women feel relieved, only some may also experience sad or guilty.

If yous feel yous demand to talk to someone, you can call us on 03457 30 xl 30 (or +44 1789 508 211) to make an appointment for postal service-abortion counselling. This is a complimentary service for women who have had treatment at BPAS.

Concrete symptoms every bit your body recovers

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

Important/unexpected or unusual symptoms later treatment

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

• you take heavy vaginal bleeding and have soaked through 2 or more large maxi pads an hour, for the last 2 hours
• it is more 24 hours since you took your misoprostol and you all the same experience sick, take abdominal discomfort, diarrhoea, nausea, vomiting or weakness
• you accept intestinal pain or discomfort that is not helped by medication, rest, a hot water bottle, or a heating pad
• you lot have a fever of 38°C or college
• you have an unpleasant smelling discharge from your vagina
• if treated without a scan (or your scan only showed a gestation sac and no yolk sac)
  
  • no haemorrhage or only spotting/smearing 24 hours after using misoprostol
  • lower abdominal hurting 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 yous accept no bleeding or only spotting/smearing v-7 days after using
• if you take a positive pregnancy test or other sign listed on the self-assessment checklist

Telephone 999 for an ambulance if you lot experience any of the following:

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

What can I do?

Bathing

You tin take a bath or shower as normal.

Sex activity

You tin can have sex as before long every bit y'all feel sufficiently recovered from the abortion. You tin can become pregnant almost immediately after treatment, then it is important to apply contraception if you do not desire to get significant.

Other activities, including work

Virtually women are fit and well plenty to render to normal activities within a mean solar day or two. Rest until you feel fix to return to your normal routine.

Other questions you may have

Does having an ballgame increase my gamble of getting breast cancer?

No, there is no proven clan with breast cancer and abortion.

Can I continue breastfeeding during medical abortion?

Both mifepristone and misoprostol laissez passer into the breast milk but the amounts are small-scale and should not cause whatsoever adverse effects in breastfed infants. Breastfeeding may continue uninterrupted post-obit mifepristone and misoprostol. If breastfeeding an infant under 6 months' of age, express and discard milk whilst taking codeine and for the outset feed after the last dose of codeine.

Will having an ballgame crusade problems with future pregnancies?

If your abortion is uncomplicated, there should be no issues with future pregnancies as a consequence of the abortion.
There are no proven associations between abortion and future infertility, ectopic pregnancy or placenta praevia.
Having an abortion may exist associated with future pregnancies ending before the due date. This run a risk appears to increase when someone has had more than i abortion.

How will I feel afterwards?

Every woman is different and then they experience, experience and cope in a style which is individual to them. In that location is no evidence to advise that you will experience any mental health bug as a result of an abortion. However, if you have a history of mental health issues you may still have those problems whether you cull to accept the ballgame or not.

What about travel after treatment?

Travel is not ideal in the first 24 hours after using misoprostol. You may feel symptoms whilst in transit. You will need to know how to access emergency services in example of a complication.

What most contraception and STI screening?

Getting tested for STIs is recommended if you are at risk of infection. Almost all methods of contraception tin can exist started on the same day as medical abortion or the day afterwards. If you choose intrauterine contraception (IUD or coil) this can exist inserted every bit soon as the ballgame is complete. If you live in England, Scotland or Wales, you can meet your GP or local contraception and sexual wellness service to obtain contraception subsequently treatment. BPAS tin can provide some contraceptive methods and this volition be discussed during your consultation.

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

England: world wide web.nhs.uk/service-search
Scotland: world wide web.sexualhealthscotland.co.uk/go-help/sexual-health-service-finder
Wales: www.nhsdirect.wales.nhs.uk/LocalServices

Feedback and complaints

If yous want to provide any feedback about the service y'all have received, please email clientservices@bpas.org

After treatment, we volition email you lot with a link to consummate our satisfaction survey, if you agreed that we may do then.

There may exist times you desire to feedback formally or enhance a complaint with us.

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

To raise a complaint you can:

• speak to a member of staff
• telephone call 0345 365 50 50 (or +44 1789 508 211) and ask to speak to the Client Appointment Manager. If you are deaf or hard of hearing and use a textphone you can call 0345 365 1450 (or +44 1789 416 584)
• write to the Client Appointment Director, British Pregnancy Informational Service, 20 Timothys Bridge Rd, Stratford Enterprise Park, Stratford-upon-Avon, CV37 9BF, or email clientservices@bpas.org

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