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MEDICATION ABORTION (THE ABORTION PILL)   

A medical abortion is one that is brought about by taking medications that will end a pregnancy.  A medical abortion uses two medications to end a pregnancy. The first medication, Mifepristone, weakens the attachment of the pregnancy to the uterus. The second makes the uterus cramp and causes bleeding, which expels the pregnancy. A woman can be up to 70 days or 10 weeks 0 days pregnant to receive a medication abortion. The process can be completed with only one visit to our clinic in Fargo.

Mifepristone is taken in the form of a pill. It works by blocking the hormone progesterone, which is necessary to sustain pregnancy. Without this hormone, the pregnancy detaches from the uterine wall, the cervix (opening of the uterus) softens, and some uterine cramping can begin.

       Within a few days after taking Mifepristone, a second drug, misoprostol, is taken.

Misoprostol tablets, which are taken orally, cause the uterus to contract and empty.

        You will take the first medication at our clinic. It is not unusual to have some spotting or bleeding after the first medication but the procedure is not complete.

        We will send you home with a second medication that you will take 24-48 hours (whichever is most convenient) after taking the Mifepristone. These pills start     

        the miscarriage like process where you will pass the pregnancy at home. Within a few hours of taking the medication, you will probably start to have strong    

        cramps and bleeding, similar to a heavy period. Pain medicine or a heating pad can help with the cramps. You may also have nausea, vomiting, diarrhea, fever,

        chills, or feel tired. These symptoms usually last a short time and stop on their own. It is a good idea to have a support person with you when you are passing the

        pregnancy. You should be prepared to be at home, not working or driving, when you take the second medication. Most women describe the process as seeming

        like a miscarriage.

 

        It is important for you to complete some form of follow-up to make sure that the abortion is complete. You do NOT have to return to Fargo or Red River                

        Women's Clinic to complete the follow-up. Women who live a distance from Fargo CAN complete the medication abortion process with only ONE visit to our       

        clinic.

 

        You have a few options for follow-up:

 

        OPTION 1: A FREE follow-up at Red River Women's Clinic that includes a vaginal ultrasound. This appointment will be in 7-14 days after first taking the

        Mifepristone.

 

        OPTION 2: Blood tests completed at Red River Women's Clinic: You can complete a series of blood tests to confirm that the pregnancy has passed. These blood    

        tests are NOT free; if you have insurance or medical assistance, your insurance can be billed for the tests. You are responsible for any deductible or co-pays.  If

        you do not have insurance, or do not wish to use your insurance, you can use the discount Red River Women's Clinic receives from our outside lab. The total for

        these tests done here is $70.

 

        OPTION 3: Blood tests completed at another clinic: You can complete a series of blood tests to confirm that the pregnancy has passed. These blood tests are NOT

        free; if you have insurance or medical assistance, your insurance can be billed for these tests. You are responsible for any deductible or co-pays. If you do not      

        have insurance, or do not wish to use your insurance, you can use the discount Red River Women's Clinic receives from our outside lab. The total for these tests

        is $90.

 

        Many women find that the blood tests are more convenient - they do not have to travel back to Fargo, meaning they don't generally have to take additional        

        time off of work, or pay for gas to get here. You do NOT need an appointment at another clinic to complete these blood tests - we will provide you with a lab

        order form to take into the clinic. This means that you don't have to see a doctor or nurse practitioner at this other clinic, either.

 

        In the rare case that the medication abortion is incomplete, you may need to take an additional dose of misoprostol or simply wait and return for another visit in

        a week or two. If the pregnancy is still growing, however, you will need a suction abortion. In the rare case that you need to have a suction abortion, there are

        no additional fees if the procedure is completed at our clinic.

              Features of Suction versus Medication Abortion:

        Suction Abortion                                            Medical Abortion

            High success rate (about 99%)                                                                           High success rate (about 95-98%)

            Instruments inserted into the uterus                                                                Usually avoids aspiration procedure

            Can be done in one visit                                                                                      Can be done in one visit

            Procedure is completed in 5-15 minutes                                                         Abortion occurs within 24 hours of second medication for most women

            May be used early in pregnancy                                                                        May be used early in pregnancy

            Anesthesia or sedation can be used                                                                  Oral pain medication can be used if needed for cramps

            Procedure is done in a medical office or clinic                                                Some of the process may happen at home

            Health care provider provides the procedure                                                  Medications cause a process similar to a miscarriage

       


e-mail us at: info@RedRiverWomensClinic.com