Medical Abortion User Guide

1. Medical Abortion User Guide

2. Safe Medical Abortion Guide Safe abortive care guide, intended to facilitate the practical application of the recommended guideline for safe medical pregnancy termination under medicinal evidence based in respect to the safe abortion care. *Disclaimer: This user guide is for women seeking to terminate their pregnancies at home with abortion pills. Nevertheless, this user guide shouldn’t be considered as a substitute to a professional’s advice.Content Courtesy: Online Abortion Pillswww.buyabortionmtppill.com

3. Table of Content

4. Pre-Abortion

5. What is Pre-abortion • Abortion is done during early stages of pregnancy which is an irreversible procedure • If woman wishes to end her pregnancy early, she has an option of choosing to abort by abortion pills. • In Recent Years Research shows there is increase in demand for abortion pill

6. Information on abortion pills • The abortion pill is the medicament used to end an early pregnancy. • Two types of Abortion Pills are used namely Mifepristone [anti-progesterone] and Misoprostol [prostaglandin analogue]. • Mifepristone/ Mifeprex [anti-progesterone]: • Abortion Pill Mifeprex works same as Mifepristone. • It is an Anti-progestrone which allow the uterine wall to detach the embryo.

7. Misoprostol / Cytolog [prostaglandin analogue]: • 1. Abortion Pill Cytolog works same as Misoprostol. • 2. Prostaglandin analogue Causes uterine contraction which detaches embryonic cells through vaginal discharge. • MTP kit: MTP Kit which contains 1 pill of Mifepristone [200 mg] and 4 pills of Misoprostol [ 800 mcg total]. • Abortion pill pack: Same amount of pills in MTP kit and additional pills like anti-emetic pills, blood coagulants and pain killer etc.

8. Decision/ Counseling for abortion • It is crucial to keep in mind that the end decision should be made by yours. Decision Regarding Abortion can be done through: • HealthCare Professional - Healthcare professional will guide you about keeping the child, adoption or having a pregnancy termination. • Doctor –They will give you with medical advice, make you clear with abortion process and can point you in the exact direction • Counselor : They will help you process your own thoughts and feelings, allowing you to make an informed decision

9. Eligibility – Contra / indications The medical pregnancy termination is allowed when the gestation is within 10th week. The procedure involves two medication Mifepristone Misoprostol Not all women however are eligible for medical abortion. What are the factors that may make one un-eligible for medical abortion?

10. Contradictions: • High blood pressure • If you are taking anti-coagulants • A suspected case of ectopic pregnancy • A medical history of heart/liver/kidney disease • Allergy to anti-progesterone or prostaglandins i.e. abortion pills • If you are taking long-term corticosteroids • Medical condition of any hemorrhagic disease of porphyria • Suffering from poorly controlled inflammatory bowel disease • Adrenal failure • An IUD in place which cannot be removed prior to the procedure • Medical history of sickle cell disease, myotonic/ muscular dystrophy and myasthenia gravis. • Medical Abortion Indications • Medical abortion may be preferable if : • The woman wants to avoid surgery (anesthesia or any invasive procedure) • For severely obese women • In the presence of fibroids, uterine malformations or previous cervical procedure • If surgical intervention is not possible [however she needs to be within 10 weeks of gestation]. If you don’t associate with any of the above symptoms, then it is safe to take the abortion pills.

11. What to expect • Women can expect bleeding and abdominal cramps as a part of the medical abortion • Therefore, anyone taking abortion pills is cautioned to carry anti-emetic medication (for nausea), blood coagulants for excessive bleeding and painkillers for managing stomach cramps.

12. Physical examination • The easiest way to find out about pregnancy is by taking a home pregnancy test [HPT] • According to research ultrasound before medical abortion is not necessary as long as the woman knows the gestational age of her pregnancy. • Nevertheless, abortion pills have no effect- good or bad- on ectopic pregnancies.

13. During Abortion

14. Abortion procedure An abortion is a process of discontinuing a pregnancy before it results in the birth of a child. This is also known as pregnancy termination. This can be carried out with medications, depending on how many weeks you have been pregnant for.

15. Regimen for Abortion pills A medical abortion is done by using a combination of Misoprostol and Mifepristone pills. These pills are FDA approved for ending early pregnancies. The drugs together play a vital role in eliminating the pregnancy parts from the uterus. The optional is surgical method that uses invasive techniques to empty the womb. Following is the regimen of abortion pills:

16. Infection prevention control • The procedure involves removing embryonic tissues from the uterus, thus it requires approx. 2-3 weeks to fully heal, So its prone to get infected for a time being. • Rinse your hand thoroughly with water before taking pills, especially while consuming it vaginally. This can help you to prevent infections. • Pelvic infection is the commonest complication of pregnancy termination.  • Treatment of Prophylactic antibiotic can reduce the rate of post- abortal sepsis; however the best possible regime is vague. • Especially, patients with bacterial vaginosis and Chlamydia trachomatis infection would seem to be at bigger risk and discovering and treatment of these conditions can lower this risk.

17. Drug interactions For Anti-Progesterone like Mifepristone and Mifeprex • Some antibiotics and azole anti-fungi drugs may cause side effects. • Taking Anti-coagulants / Corticosteroids with abortion pill causes excessive bleeding • Anticonvulsant medication – they are known to reduce the effectiveness of anti-progesterone • Dietary supplements • Non-prescription drugs • Herbal products

18. For prostaglandins like Misoprostol and Cytolog • Gastric ulcer treatment medicines like Ranitidine, Omeprazole, Cimetidine, Pantoprazole etc. • Oral corticosteroids – Dexamethasone and Prednisone • Antibiotics – Amoxicillin, Moxifloxacin and Clarithromycin • Blood Coagulants/ Blood thinners – Heparin, Coumadin and Warfarin etc. • Avoid the above given medication during the abortion procedure as the drugs may interact negatively.

19. Overdose An overdose of abortion pills can cause seizures, extreme dizziness, and spasmodic/moderate heartbeats. In case, if you take any overdose get in touch with a healthcare provider right away. Also, try not to miss the dosage.

20. Post-Abortion

22. Follow – up • 14 days after the abortion, you will need to go to doctor for a follow-up visit. • Meet with the doctor for a pregnancy test and ultrasound, and review how you have been feeling since your procedure. • The last part of the medical abortion procedure is to confirm with an ultrasound that you passed the pregnancy. It is very significant because the pills you took can result into birth defects if the pregnancy carried forward. At this visit, women will be given a birth control method if desired.

23. Post abortion contraceptive discussion It is necessary that use of contraception is discussed with your doctor to prevent further unplanned pregnancies. Here are some of the common questions one must ask doctor about contraception after abortion. • What contraception is right for me? • When should I start taking the contraceptive pills? • How soon after an abortive procedure, can one become pregnant? • Is my method of birth control is making me bleed? • I haven’t had my menstrual cycle yet- do I need to use a contraception?

24. Post-abortion diet for fast recovery • Abortion, be it medical or surgical can take a toll on one’s body. • During the pregnancy the body needs nutrition to support the fetus and when it is terminated, vaginal bleeding occurs. • Due to the bleeding, various vitamins [B12, B9. B2], iron and riboflavin are lost from the body. • A specific diet needs to be followed, so that the body can regain the nutritional value. • Protein rich food • Calcium rich products • Iron rich foods • Fruits, Vegetables • Grains

25. Pregnancy/ Infection/ Sexual activity after abortion procedure • You may resume your usual activity as you feel prepared, but avoid strenuous exercise or heavy physical activities for few days • You are starting with the birth control, ask your doctor as when to start it. For at least two weeks, only make use of sanitary pads. • Do not insert anything inside the genital area for at least 2 full weeks. Doing so will avert the danger of infection as the body recovers itself. • Do not take hot tubs baths, or no swimming. • If unprotected intercourse occurs 8 or more days after a pregnancy termination then contraceptive pill Plan B is best begun during the week after the abortion.

26. Medical Abortion Support Our website provides a convenient way to order the products required for an abortion. The above user guide can assist you with procedure. For any additional help our customer care service is always available for you. www.buyabortionmtppill.comsupport@buyabortionmtppill.com Buy abortion pill online, Mtp kit, Mifepristone, Misoprostol, Mifeprex, Cytolog

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