Medical abortions, sometimes called “non surgical abortions,” are performed in the first 9-10 weeks in the first trimester.
Non-surgical abortion can be administered in pill form (otherwise known as Mifeprex or RU-486). Mifeprex is approved by the FDA for non-surgical abortion.
This non-surgical method of abortion will stop your pregnancy from growing and vaginal suppositories will help expel your pregnancy.
There is a small statistical chance of failure with this method, so you must be physically healthy enough and willing to undergo a surgical abortion in the unlikely event that this non-surgical method fails.
In addition, you must be able to commit to 2 or more visits to the office.
You must agree to the following requirements:
- You must agree to have a surgical abortion if the non-surgical abortion fails
- You must be able to receive phone calls from the office
- You must have immediate, reliable access to transportation in the event of an emergency
- You must agree to return to the office for a check-up afterwards
How effective are in-clinic abortions?
Abortion Aftercare – Safe Abortion
After a vacuum aspiration abortion or a dilation and evacuation (D&E) abortion, you will go to a recovery area to rest.
The staff will periodically check your vital signs and bleeding. It is normal to bleed moderately or even to pass small clots; the intensity of the cramping usually lessens during the first half hour.
Depending on the procedure, the type of anesthesia you had, and how you are feeling, you may stay in the recovery area from 20 minutes to an hour or more.
If you had IV sedation or general anesthesia, you will need someone to drive or accompany you home.
After Medical Abortion
Most clinics require a follow-up visit to confirm that the abortion is complete. The clinician will do a physical examination, ultrasound or blood pregnancy test. Sometimes these services can be managed by phone without having to return to the clinic.
At Home After Safe Abortion
With any abortion, avoid putting anything into your vagina (no tampons, no sexual intercourse, and no douching) for five days after the abortion, as the cervix is open and there is a greater chance of an infection during this time.
Bleeding ranges from none at all to a light or moderate flow, which may stop and then start again. Some signs of pregnancy, such as nausea, usually get better in a day or two, while others, including breast tenderness, may take a week or two.
You may also be advised to rest and to avoid heavy lifting and strenuous exercise. Self-care is important, but work, school and family circumstances may make some recommendations unrealistic. In addition, no studies have shown that these activities actually increase the risk of complications after abortion. The best guide is to listen to your body and use common sense.