Med-star Johannesburg, is a physician owned licensed by the Gauteng Province Department as a Diagnostic and Treatment Center dedicated to providing quality reproductive care. In addition to comprehensive gynecological services, We have been leading providers of high-quality abortion care since 2016. We are known to providers, both across the country and internationally, as being a leader in women’s reproductive care,
Unwanted pregnancy
What to Expect with the procedure
1. When done at our clinic
At your procedure visit, a technician will perform a transvaginal ultrasound. You will discuss your decision and options with a counselor and talk more about the procedure, side effects, and risks outlined in the Guide.
Assistant will take your vital signs (blood pressure, heart rate, and temperature) and you will meet with a physician. The physician will ask you about your decision and answer any questions you may have. The physician will then give you one 1st that you will take orally. If your blood type is Rh negative, a nurse will administer an injection of Rhogam in the recovery room. You will be given a prescription for pain reminded about how to contact us in case of an emergency. The physician will also dispense a packet containing
2. When done at home
The process should be taken 12-24 hours after swallowing them at AWC. Thirty minutes before you plan. All four should be left in the mouth for approximately 30 minutes to dissolve. Anything left in the mouth after 30 minutes should be swallowed. Contractions and bleeding should begin between 45 minutes and 3 hours after taking them.
Bleeding & Cramping. Most people can expect very heavy bleeding with this method and it is normal to pass some large clots. Bleeding may continue off and on for several days or weeks and can range from a light flow or spotting to heavier, like a period. However, if you do not begin bleeding within 24 hours or you are soaking through 2 or more pads per hour for 2 hours in a row, please call AWC immediately. Cramping is normal with this type of procedure and may be much worse than a period. Pain measures will be prescribed.
- Nausea, Vomiting, Diarrhea, Weakness, and a Fever.
Sometimes these symptoms can be a side effect of the . Call our office immediately if, more than 24 hours after taking them, you experience symptoms of nausea, vomiting, or diarrhea and weakness with or without abdominal pain, or with or without fever. A temperature of 101° F or higher can be normal after taking . Your temperature should return to normal about one hour after the bleeding starts. Drink lots of fluids. If your fever does not return to normal in three hours call the clinic. If you get a fever above 100.4° F after day 4, please call our office immediately.
Follow-up Visit. Approximately 7-10 days after your first visit you will return to AWC for a repeat vaginal ultrasound. Approximately 1% of people using the abortion pill method will not end their pregnancies and 2-3% will have remaining pregnancy tissue in the uterus at the time of the follow-up appointment. If the abortion is complete, you will discuss and future care. If you are still pregnant, you will most likely need surgery to complete the abortion.
Post bleeding and cramping varies from person to person. You may bleed for two days to 4 weeks or have no bleeding at all. For many people, the bleeding stops and starts sporadically. There may be spotting until your next period. You may also find that you are passing large blood clots and have mild to moderate or even heavy cramping. All of this can be normal.
