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HOW ABORTION PILLS/ ABORTION MEDICINE FUNCTIONS IN THE BODY For a safe abortion to happen, one needs to use two different medicines: mifepristone and misoprostol. 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 are then administered after 24 hours from the first dose of mifepristone. Misoprostol causes cramping and bleeding to empty the uterus. It’s like 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 BEFORE SMA Pregnant people with an intrauterine contraceptive device (IUD) should have it taken out or take it out themselves before using misoprostol. MATERIALS AND SUPPORT Abortion pills/ abortion medicine and antibiotics Non-steroidal anti-inflammatory (NSAID) pain medications like ibuprofen, neogyl, ampiclox Sanitary pads Water Some pregnant people report that it is helpful to have somebody accompany them during a self-managed abortion, especially for abortions after 12 weeks. How to use mifepristone and misoprostol The dosage is 1 mifepristone 200mg with 4 misoprostol 200mcg each. Step one. 1mifepristone 200mg helps to prepare the body for abortion by stopping the growth of the fetus. You will swallow the mifepristone pill 1st with a glass of normal temperature water, then you will wait for 24 hours. Step two: 4 misoprostol 200mcg helps to induce cramps hence flushing out the fetus. After 24 hours, you will get the 4 misoprostol and place them under the tongue, the pills under the tongue will dissolve with the saliva and you swallow the solvent (DON’T DRINK WATER FOR 1 HOUR AFTER PLACING THE PILLS UNDER THE TONGUE) After taking the 4 misoprostol pills, you might feel chilly, feverish, nauseous, diarrhea and pain due to cramps but it will not last for so long and it is normal. NOTE: after the 1st mifepristone pill, nothing will happen, you’re going to remain normal, and you can carry on with your daily activities. Bleeding will start after taking the 4 misoprostol pills in 3 to 4 hours on average, although it can start earlier or might delay in some individuals. How to use misoprostol (cytotec 200mcg) The dosage for using cytotec is usually 6 pills of cytotec 200mcg. You get 3 pills of cytotec and insert them inside the vagina (insert deep using your middle finger) At the same time get the remaining 3 pills of cytotec and place them under your tongue, the pills under the tongue will dissolve with the saliva and you swallow the solvent (DON’T DRINK WATER FOR 1 HOUR AFTER PLACING THE PILLS UNDER THE TONGUE) After taking the 6 misoprostol (cytotec 200mcg) pills, you might feel chilly, feverish, nauseous, diarrhea and pain due to cramps but it will not last for so long and it is normal. Bleeding starts in 4 to 5 hours on average after taking the 6 misoprostol pills, although it can start early or delay in some individuals. IMPORTANT MESSAGE TO NOTE Medical providers cannot tell the difference between abortion with misoprostol and miscarriage. Misoprostol cannot be found in blood samples. 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We use a regimen that allows for completion without the need for surgery 99% of the time. All advanced second trimester and late term pregnancies at our Tampa clinic (17 to 24 weeks or greater) can be completed within 24 hours or less 99% of the time without the need surgery. The procedure is completed with minimal to no complications. Our Women’s Health Center located in Abu Dhabi, United Arab Emirates, uses the latest medications for medical abortions (RU486, Mifeprex, Mifegyne, Mifepristone, early options French abortion pill), Methotrexate and Cytotec (Misoprostol). The safety standards of our Abu Dhabi, United Arab Emirates Abortion Doctors remain unparalleled. They consistently maintain the lowest complication rates throughout the nation. Our Physicians and staff are always available to answer questions and care for women in one of the most difficult times in their life. 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