Mifepristone and misoprostol (Mifegymiso)
Medical abortion is the process by which a pregnancy is voluntarily terminated through the administration of one or more medications.1 In Canada, the primary method for abortion is surgical (i.e., uterine dilation/curettage [D&C] and suction aspiration), mainly because of the lack of an approved medical intervention.1 Both medical and surgical methods are safe and effective for appropriately selected patients, and the choice of method is based upon availability, gestational age (medical abortion is less successful in late first trimester and beyond), and patient preference.2
According to data reported to the Canadian Institute for Health Information, there were 81,897 induced abortions performed in a Canadian hospital or clinic setting in 2014.3 Of these, 33,931 (41%) were performed in hospitals and 47,966 (58%) in clinics; however, these data are incomplete, as the reporting of clinic data is voluntary and abortions that may have been obtained by Canadian women elsewhere (such as in the US) are not captured.3 Medical abortion presents an opportunity to facilitate the provision of abortion care in settings that are not identified as abortion facilities and to mitigate some of the logistical challenges reported by rural and hospital-based providers.
What happens after taking Mifegymiso?
Any fragments left after 30 minutes can be swallowed with a glass of water. After this you can expect some vaginal bleeding, cramps and to pass some pregnancy tissue. This commonly occurs within 4 hours but in some cases may occur anywhere between 30 minutes and 48 hours after taking the misoprostol tablets.
Can pharmacists prescribe Mifegymiso?
Mifegymiso can now be dispensed directly to patients by a pharmacist or a prescribing health professional. Directions for use remain the same. … Health professionals should have appropriate knowledge about the medication before prescribing Mifegymiso. Education programs are available.
How long does mifepristone stay in your blood?
Following a distribution phase, elimination of mifepristone is slow at first (50% eliminated between 12 and 72 hours) and then becomes more rapid with a terminal elimination half-life of 18 hours.
What is the abortion pill called?
“Abortion pill” is the common name for using two different medicines to end a pregnancy: mifepristone and misoprostol. First, you take a pill called mifepristone. Pregnancy needs a hormone called progesterone to grow normally.
How long after taking the abortion pill does the baby come out?
Most people finish passing the pregnancy tissue in 4-5 hours, but it may take longer. The cramping and bleeding slows down after the pregnancy tissue comes out. You may have cramping on and off for 1 or 2 more days.
Can I sleep after taking misoprostol?
Do not take Misoprostol at night. You may have bleeding and cramping that starts within a few hours of misoprostol administration. You can expect to pass tissue and blood clots, and experience strong cramping.
How painful is an abortion?
Having an abortion feels different for everyone — it can be super painful or just a little uncomfortable. Your level of discomfort can depend on the medications you get, how far into your pregnancy you are, and how much cramping and pain you have. For most people, it feels like strong period cramps.
What are signs of an incomplete abortion?
An incomplete abortion involves vaginal bleeding, cramping (contractions), cervical dilatation, and incomplete passage of the products of conception. A woman experiencing incomplete abortion frequently describes passage of clots or pieces of tissue, and reports vaginal bleeding.
What can I use to terminate two weeks pregnant?
Medication abortion uses a combination of two medications, mifepristone and misoprostol, to end a pregnancy up to nine weeks. Mifepristone was previously known as RU486 and is sometimes called the ‘abortion pill’. Medication abortion is a low-risk, non-invasive way to terminate (end) a pregnancy.
What happens if you don’t bleed after taking misoprostol?
It’s kind of like having a really heavy, crampy period, and the process is very similar to an early miscarriage. (If you don’t have any bleeding within 24 hours after taking the second medicine, misoprostol, call your nurse or doctor.) The cramping and bleeding can last for several hours.
Can I continue my pregnancy after taking misoprostol?
Studies reveal that 64-68% of women who receive the APR protocol go on to have successful pregnancies. If a woman chooses not to receive the APR treatment but doesn’t take misoprostol after taking mifepristone, she may still have nearly a 50% chance of having a successful pregnancy