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Self-Managed Abortion: Abortions with Misoprostol Alone | Episode 5
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Video transcript:
Lesson 5: How do I take only misoprostol to have an abortion before 13 weeks?
The information about an abortion with pills featured in this video is intended for pregnancies less than 13 weeks. Pregnancies beyond 13 weeks require a different approach.
If mifepristone is not available in your setting, then you can use misoprostol alone to end a pregnancy.
For an abortion before 13 weeks with only misoprostol, you will need to take twelve 200mcg pills of misoprostol. You’ll also want to have a painkiller on hand, like ibuprofen, to help reduce pain. Acetaminophen and paracetamol do not work for pain during an abortion so they are not recommended.
Here’s how misoprostol alone is used to end a pregnancy:
Step 1: Place 4 misoprostol pills (200 mcg each) under your tongue and hold them there for 30 minutes as they dissolve. You should not speak or eat for these 30 minutes, so it is good to be someplace quiet where you will not be disturbed. After 30 minutes, drink some water and swallow everything that is left of the pills. This is also a good time to take a painkiller like ibuprofen, as the cramping will start soon.
Step 2: Wait 3 hours.
Step 3: Place another 4 misoprostol pills (200mcg) under your tongue and hold them there for 30 minutes until they dissolve.
Step 4: Wait another 3 hours.
Step 5: Place another 4 misoprostol pills (200mcg) under your tongue and hold them there for 30 minutes until they dissolve. You should begin bleeding and cramping while taking the pills. Make sure to take all 12 pills even if you start to bleed before you’ve taken all of them.
In our next video, we answer the question, “What will I experience during an abortion with pills?”
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