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Abortion Procedure Methods
Medication abortion (also called the abortion pill) can be taken up to 70 days (10 weeks pregnant) after the start of your last menstrual period.
- It’s called RU-486 and was approved by the FDA in 2000; it is also called a medical or chemical abortion.
- The pill is actually two drugs, mifepristone and misoprostol, taken in two separate doses.
- It is usually taken between 4-6 weeks but can be taken up to 11 weeks in most cases.
- It is not an option for people with certain medical conditions.
- The abortion pill is not the same as the emergency contraceptive, The Morning After Pill or Plan B One Step.
- Abortion pill reversal is possible if action is taken after the first dose.
Action – The first medication, Mifeprex blocks progesterone. Progesterone is a hormone that is necessary for the pregnancy to survive. Without progesterone, the embryo dies. The second medication, Mifepristone, causes cramping, expelling the embryo and uterine contents.
Side effects – Cramping and bleeding are expected. Bleeding may be like a heavy period. Bleeding can last 9 to 16 days and possibly up to 30 days. Other possible side effects include nausea, vomiting, diarrhea, fever, chills, weakness, dizziness and headache.
Complications – Possible complications include heavy bleeding requiring surgery to stop the bleeding, and serious infection. Before taking any medication, you should discuss the risks with your doctor and know what do to if complications arise.
Follow-up – It is important to follow-up with your doctor 1 to 2 weeks after taking this medication regime to see if an abortion has occurred and to assess for complications.
Surgical abortions are done by opening the cervix and passing instruments into the uterus to suction, grasp, pull, and scrape the pregnancy out. The exact procedure is determined by the baby’s level of growth.
Aspiration/Suction23,24 – Up to 13 weeks LMP. Most early surgical abortions are performed using this method. Local anesthesia is typically offered to reduce pain. The abortion involves opening the cervix, passing a tube inside the uterus, and attaching it to suction device which pulls the embryo out.
Dilation and Evacuation25,26 (D&E) – 13 weeks LMP and up. Most second trimester abortions are performed using this method. Local anesthesia, oral, or intravenous pain medications and sedation are commonly used. Besides the need to open the cervix much wider, the main difference between this procedure and a first trimester abortion is the use of forceps to grasp fetal parts and remove the baby in pieces. D&E is associated with a much higher risk of complications compared to a first trimester surgical abortion.
D&E After Viability27-29 – 21 weeks LMP and up. This procedure typically takes 2–3 days and is associated with increased risk to the life and health of the mother. General anesthesia is usually recommended, if available. Drugs may be injected into the fetus or the amniotic fluid to stop the baby’s heart before starting the procedure. The cervix is opened wide, the amniotic sac is broken, and forceps are used to dismember the fetus. The “Intact D&E” pulls the fetus out legs first, then crushes the skull in order to remove the fetus in one piece.
Information taken from U.S. Food and Drug Administration (2016). “Mifeprex Medication Guide.” U.S. Department of Health. Retrieved from http://www.fda.gov/downloads/Drugs/DrugSafety/UCM088643.pdf
23. Paul, M., Lichtenberg, E. S., Borgatta, L., Grimes, D. A., Stubblefield, P. G., & Creinin, M. D. (2009). First Trimester Aspiration Abortion. In Management of unintended and abnormal pregnancy: Comprehensive abortion care (pp. 135-156).
24. Chichester, UK: Wiley-Blackwell. Planned Parenthood Federation of America Inc. (2014). In-Clinic Abortion Procedures : Planned Parenthood. Retrieved July 19, 2014.
25. Planned Parenthood Federation of America Inc. (2014). In-Clinic Abortion Procedures : Planned Parenthood. Retrieved October 28, 2015.
26. Paul, M., Lichtenberg, E. S., Borgatta, L., Grimes, D. A., Stubblefield, P. G., & Creinin, M. D. (2009). Dilation and Evacuation. In Management of unintended and abnormal pregnancy: Comprehensive abortion care (pp. 157-74). Chichester, UK: Wiley-Blackwell.
27. Paul, M., Lichtenberg, E. S., Borgatta, L., Grimes, D. A., Stubblefield, P. G., & Creinin, M. D. (2009). Dilation and Evacuation. In Management of unintended and abnormal pregnancy: Comprehensive abortion care (pp. 157-74). Chichester, UK: Wiley-Blackwell.
28. American College of Obstetrics and Gynecology. (2013). Practice Bulletin: Second-Trimester Abortion (135).
29. Pasquini, L., et al. Intracardiac injection of potassium chloride as method for feticide: Experience from a single U.K. tertiary centre. Br J Obstet Gynaecol. 2008;115(4):528–31.
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What if I change my mind?
Sometimes, it just doesn’t hit you until you are there and the procedure is about to start. You suddenly realize: ”I don’t want to do this!”
+ SURGICAL ABORTION
For a woman who has decided to have a surgical abortion-whether it’s an early aspiration, or a later term D&E, she is free to change her mind up UNTIL the moment that the surgical procedure begins. Maybe you paid your deposit, or you had laminaria placed in your cervix, but you can still change your mind. What if you’re laying on the exam table and the abortion doctor has numbed your cervix, but hasn’t put any instruments into your cervix, you can still say “no” and get up off the table and leave. It is your body, it is still your choice. But once the instruments are in your uterus and the suction is turned on: it’s too late.
+ MEDICATION/DRUG ABORTION
The Abortion Pill, aka Mifeprex, mifepristone. The first drug in the Abortion Pill Protocol is called mifepristone. Mifepristone blocks progesterone, which is needed to sustain a growing pregnancy. A new protocol, known as the Abortion Pill Reversal, has been developed that uses natural progesterone to reverse the abortion and rescue the pregnancy. Recent studies have shown a success rate above 60% if the progesterone is started within 72 hours of taking the first abortion pill. It may not be too late, for more information, call 877-558-0333 or visit: theabortionpillreversal.com.