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
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
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
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:
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