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In 2000, the Food and Drug Administration approved a drug called Mifeprex, a brand of mifepristone. Taken in combination with a medication called misoprostol, it’s used to safely and effectively end pregnancies up to 11 weeks. This nonsurgical method of terminating a pregnancy is known as medication abortion. In 2017, medical abortions made up 39 percent of all abortions.











A little recap of how these pills work: A medication abortion begins after you take 200 milligrams of Mifeprex by mouth, usually at a doctor’s office or clinic but increasingly at home during the coronavirus pandemic. The medication blocks progesterone, the hormone responsible for keeping the embryo attached to the uterine wall. Then you can go home. Depending on how far along you are, 24 to 48 hours later, you’ll take four misoprostol pills (800 micrograms total), vaginally or by dissolving them under your tongue. If your pregnancy is farther along, you might take a second set of misoprostol pills four hours later. This second medication dispels the embryo from your uterus, which can feel and look similar to a heavy period. You’ll also have a follow-up appointment in person or over the phone with your provider one to two weeks later to take an at-home pregnancy test or get a blood test or ultrasound.







Medication abortions are noninvasive and don’t require anesthesia. They’re also 98 percent effective before 8 weeks of pregnancy and only cause serious side effects in about 0.4 percent of people who choose them.







Other first-trimester options include aspiration, a procedure that uses suction to remove what’s inside the uterus, which can be used as early as your first positive pregnancy test or up to 16 weeks from your missed period. There’s also dilation and curettage (D&C), a surgical procedure in which the cervix is dilated before the uterus is emptied that can be used up to 16 weeks from the last period.







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For a safe abortion to happen, one needs to use two different



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One pill/ tablet of mifepristone is administered first to block the



body’s progesterone (hormone responsible for the growth of the fetus)



hence stopping the growth of the pregnancy.







Four pills of the second medicine misoprostol is then administered



after 24 hours from the first dose of mifepristone. Misoprostol causes



cramping and bleeding to empty the uterus. It’s similar to heavy



crampy periods. Your doctor or nurse will give you both medicines at



the health center. When and where you’ll take them depends on state



laws and your health center’s policies. Your doctor or nurse will give



you detailed directions about where, when, and how to take the



medicines. You may also get some antibiotics to prevent infection. A



medical practitioner cannot tell the difference between a miscarriage



and an abortion, so if need arises for you to visit a hospital always



insist on miscarriage to avoid any troubles from the authorities.







A GUIDE TO SELF MANAGED ABORTION (SMA) IN UAE, DUBAI, ABUDHABI, KUWAIT & QATAR







Pregnant people with an intrauterine contraceptive device (IUD) should



have it taken out or take it out themselves before using misoprostol.







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1. Abortion pills/ abortion medicine



2.Non-steroidal anti-inflammatory (NSAID) pain medications like



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3.Sanitary pads



4.Water



5.Some pregnant people report that it is helpful to have somebody



accompany them during a self-managed abortion, especially for



abortions after 12 weeks







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Globally millions have ended their unwanted pregnancies using cytotec



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Often sold in pharmacies, cytotec is inexpensive, easy to store and



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uterine contractions, and pushes pregnancy tissue out. Misoprostol’s



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compared to other abortion pills, like mifepristone. Misoprostol is



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The attached evidence-based guide was developed by IWHC and informed



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the International Federation of Gynecologists and Obstetricians



(FIGO). It explains how pregnant people can end a pregnancy with



cytotec 200mcg (misoprostol), because everyone has the right to safe



abortion care.







For a pregnancy between 0 to 12 weeks using cytotec 200mcg



For an abortion to be successful while using cytotec 200mcg, one needs



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one’s body weight, mostly people with a weight above 70 kg may require



more than 5 pills).







There 2 different ways on how to use cytotec 200mcg for a successful abortion:



Place the 5 tablets of misoprostol (cytotec 200mcg) under the tongue



and allow it to dissolve for 30 minutes. Swallow what is remaining in



the mouth with very little water to rinse through the mouth and



swallow. For a person of average weight (below 70kg) after this step



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Get 3 pills out of the 5 cytotec 200mcg pills; break the 3 pills into



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tongue, allowing them to dissolve till you swallow everything. After



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2 hours to enable the process to take place.







MEDICAL ABORTION USING MIFEPRISTONE (MIFE-KIT) IN UAE



How does the process work?







There are two types of pills necessary to complete an early medical



abortion which must be taken within 48 hours of each other; these



pills are Mifepristone and Misoprostol.



The first pill is a Mifepristone tablet, this blocks progesterone, a



hormone that is needed for your pregnancy to continue. The



Mifepristone tablet is taken orally with a glass of water. We then



advise that you wait for one to two days before taking the Misoprostol



pills.



After your 24-48-hour break, you will take 4 Misoprostol pills which



will cause your body to expel the pregnancy from the womb. Our pack



comes with an instruction leaflet, which provides you with full



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contractions to expel the fetus from the womb; we suggest taking a



pain killer 10 minutes before.



Using mifepristone kit is best on pregnancies that are above 12 weeks.



Mifepristone, also known as RU-486 is a medication typically used in



combination with misoprostol to bring about an abortion during



pregnancy. It is also effective during the second trimester of



pregnancy. Effectiveness should be verified in 2 weeks after use.



Mifepristone is an antiprogestogen; it works by blocking the effect of



progesterone, making the cervix easier to open and promoting



contraction of the uterus when exposed to misoprostol.



Mifepristone (mife-kit) is used in combination with misoprostol



(cytotec) in order to perform a medicated abortion.



You will take 2 sets of pills for your abortion to be effective. The



pill you will take on day 1 is mifepristone. Mifepristone is taken



through the mouth by swallowing like any normal pills.



After swallowing the one mifepristone pill, wait for 24 hours before



you use the other set of pills misoprostol, usually four pills. Put



the 4 misoprostol pills under your tongue and wait till they dissolve



before you swallow.



For one to know that an abortion has been successful, one must bleed



through the vagina. The bleeding varies in individuals, some



individuals bleed for a much longer duration than others but its all



normal.







SURGICAL ABORTION IN DUBAI/UAE







Surgical abortion involves the dilating of the uterus open/cervix then



inserting a suction tube into the uterus and used to vacuum out the



fetus and placenta from the uterus.



A local anesthesia is used to prevent the pain during the process.



Surgical abortion is a minor procedure that lasts for about 20 minutes



on average.



After surgical abortion you might need to be given some antibiotics to



prevent any possible infections.



Surgical abortion is safe and effective once done by professional



medical personnel and its success rate is 99%.







EMERGENCY CONTRACEPTIVES/EMERGENCY PILLS







Emergency contraceptive pills or morning-after pills are used to delay



or disrupt ovulation in women hence preventing unwanted pregnancy.



Emergency pills are only effective to prevent unwanted pregnancy only



in 72 hours after unprotected sex. Emergency contraceptives cannot



terminate an already established pregnancy, so for emergency pills to



be effective, they should be swallowed as soon as possible after



unprotected sex.



Types of emergency contraceptive pills sold in Dubai;







>Levonorgestrel containing pills are effective in 72 hours after unprotected sex, these include ipills, jasmine, Lydia, Postinar, etc.



>Ulipristal acetate containing pills are effective in 120 hours after unprotected sex.







Therefore Abortion is a fundamental right to each and every girl child



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Always consult a professional before you decide on carrying out a



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What can you expect when taking a medical abortion pill at home?



Below we have highlighted how the process works, helping you to



understand the process and navigate through this uncertain time.







1) Contact Dr VELMA Abortion clinic in Dubai at +971507107546.



A member of staff will arrange an appointment via phone call within



the next couple of days at a time suitable to you. During this



conversation, a full assessment of your situation will take place.



This will involve taking a full medical history, dates of your last



period etc. We will also conduct a full safeguarding assessment to



ensure that you are safe. At the end of the consultation, we should



determine if you are suitable to take the pills at home.







You are then able to choose whether you want the medication posted to



your home address or if you want to pick this up from one of our



clinics, this option is available too.



What can you expect after the treatment is taken?



When taking the early medical abortion at home, you are likely to see



some bleeding. This can vary from woman to woman, with some having



heavy bleeding and quite a lot of pain, while others have very little



bleeding and mild pain. Most women are in between the two, however, it



is important to remember that this is not a completely pain-free



procedure.



The abortion usually takes place between 4 and 6 hours following the



insertion of the tablets however in some cases the abortion can take



place earlier or later (up to 7 days later).







Potential side effects







All women react differently to this treatment. Some have heavy



bleeding and quite a lot of pain, while others have very little



bleeding and mild pain. Most women are in between the two, however, it



is important to remember that this is not a completely pain-free



procedure.







You may experience the following:



-Nausea or sickness



-A feeling of light-headedness



-Feeling feverish



-High temperature



-Diarrhoea







You should take it easy for a couple of hours. After this time you may



find that moving around will ease any discomfort.



The abortion usually takes place between 4 and 6 hours following the



insertion of the tablets however in some cases the abortion can take



place earlier or later (up to 7 days later).



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