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Education and training Programme for schools and colleges Training for professionals Educational resources British Sign Language Videos. Contact us Find a clinic. Book an appointment. Request a call back. Medical abortion: The abortion pill by post This service is a safe and legal way to end a pregnancy at an early gestation without needing to attend a clinic for treatment.
Medical assessment You will have your consultation and medical assessment over the telephone and have opted for remote abortion pill treatment pills by post. Consent We will explain the known risks and complications of your treatment during your telephone assessment. Risks and complications of the abortion pill Significant unavoidable or frequently occurring risks These are usually easy to treat and rarely have any long-term health effects: If you are treated without an ultrasound scan to date your pregnancy - the gestation of your pregnancy may be later than realised less than 1 in 1, This can mean the abortion treatment fails, or there is more pain or bleeding, you may see a recognisable fetus or in extreme circumstances a live birth 1 in 10, Light bleeding or spotting can continue to next period variable Lower abdominal pain and cramping experienced by all.
Pain can be severe requiring strong painkillers Continuing pregnancy less than 1 in Haemorrhage — very heavy bleeding 2 in Undiagnosed ectopic pregnancy 2 in Psychological problems variable Extra procedures that may be necessary Surgical abortion or uterine aspiration in Blood transfusion 2 in Laparoscopy or laparotomy — operation to look inside the abdomen 3 in , Hysterectomy — surgical removal of the womb 2 in , Intravenous antibiotics 2 in 10, Salpingectomy removal of fallopian tube or salpingostomy unblocking of fallopian tube 1 in 10, Death is very rarely linked to abortion treatment less than 1 in , for all abortions.
Treatment You will receive your treatment package direct from the pharmacy from 1 to 3 days from your telephone consultation sometimes longer with Bank Holidays. Your pack will contain: Medabon pack containing 1 tablet of mifepristone step 1 and 4 tablets of misoprostol step 2 2 plastic wrapped misoprostol tablets step 3 Pregnancy test step 4 Codeine only provided if medically suitable Your chosen contraception and STI test if requested and suitable - Blood affects the results of this test, so it is best to complete this before starting your treatment.
Click for details. Click here to see what your package will look like contents and medication brand names may vary How to take mifepristone and misoprostol The timing when you administer your medication is important: Step 1 - You will swallow the first medicine mifepristone with water Step 2 - 1 to 2 days later you will take the second medicine misoprostol Step 3 - 3 to 4 hours after the first dose of misoprostol, you will take another dose You will then pass the pregnancy at home.
The abortion pill involves taking two medicines, mifepristone and misoprostol. How to take mifepristone and misoprostol The timing when you administer your medication is important: Step 1 - You will swallow the first medicine mifepristone with water Step 2 - 1 to 2 days later you will take the second medicine misoprostol Step 3 - 3 to 4 hours after the first dose of misoprostol, you will take another dose You will then pass the pregnancy at home.
Do not pass it on to others: It may harm them. It is illegal to give your medication to anyone else because it is a Prescription Only Medicine POM and was prescribed for you personally.
If you do not use this medicine, contact BPAS about how to dispose of or return the drug. Do not use it for another pregnancy as you could be prosecuted. Step 1 — Mifepristone Swallow the mifepristone tablet with water. Click here for the video instructions Step 2 and 3 — Misoprostol Misoprostol tablets are placed in the vagina or between the cheek and gum.
Misoprostol the second medication causes strong, painful cramps and heavy bleeding. Instructions for using misoprostol second medication You have been sent 6 tablets of misoprostol. Click here for the video instructions Step 2 — misoprostol Use 4 tablets placed either in your vagina or between your cheek and gum.
Into the vagina Insert 4 tablets as high as possible in the vagina; the exact location is not important only that they do not fall out. OR Into the mouth between cheek and gum Place 4 misoprostol tablets into the mouth between the upper cheek and gum and allow the tablets to dissolve for 30 minutes.
Step 3 — repeat misoprostol 3 to 4 hours after the first misoprostol tablets, use the 2 remaining tablets by either placing them in your vagina or between your cheek and gum. There are many ways to lessen the pain: wear comfortable clothes stay in a familiar and relaxing place apply a heating pad or hot water bottle to your lower stomach use a pain medicine like ibuprofen and codeine How to get pain medicine You can buy ibuprofen tablets in mg or mg strengths and your pack may also contain codeine in 15mg or 30mg strengths.
How to use these medicines Ibuprofen is for mild to moderate pain. What dose you should take and how often you can take it Ibuprofen: Do not take more than 2. Codeine Codeine 30mg: Do not take more than 8 tablets in 24 hours. It is important that you read this information. During your initial consultation, we will assess your eligibility for remote medical abortion.
This means that if you don't meet safety criteria to allow for remote consultation, we will invite you at one of our over 60 clinics across the UK for a face-to-face appointment. When you arrive at one of our clinics, you will have a medical assessment with one of our specialist nurses. They may need to confirm how many weeks you are pregnant with an ultrasound scan. Our specialist nurses will discuss your medical history, talk about contraceptives, and go through the medical abortion process with you in detail.
Our specialist nurses will advise you on how to take your abortion pills and aftercare. Our nurses will be there to answer any questions and to help you feel relaxed and comfortable during and after your treatment.
Our nurses can answer any questions you have after your treatment, and are available on our hour aftercare line - Contact us. Find a clinic that offers safe abortion treatments and related services. Select a location and click "Search" to see the list of clinics available. More information. During a medical abortion it's likely you'll experience strong cramping and heavy bleeding for a few hours, although this varies for each person.
The abortion will usually begin within a few hours, and is usually fully complete within 1 - 2 days. During this time it would be expected for you to pass the pregnancy tissue and blood clots that may range in size from small the size of a pound coin to quite large the size of a lemon — this is a normal part of the abortion process.
Every person is different, and will experience different levels of pain and bleeding. Registered providers must also meet the requirements set out in the Care Quality Commission Registration Regulations CQC registration must be in place before the Secretary of State will consider an application for approval.
EMAs are defined as a termination of pregnancy that takes place within the first 10 weeks of the pregnancy using medical non-surgical methods. EMA involves administering 2 different tablets: mifepristone and misoprostol. Since , there has been an increase in the proportion of abortions that are performed under 10 weeks. Accessing abortion using EMA rather than later in pregnancy helps to reduce the risk of complications, which increases the later the gestation.
This decision was made to further improve patient safety and the welfare of women. Under this approval, women eligible for an abortion attended the clinic to take the first pill mifepristone and were then offered the choice of administering the second pill misoprostol in their own home or returning to the clinic to take the second pill. In some cases women choose to take the misoprostol simultaneously with the mifepristone at the clinic.
Women choosing to administer the misoprostol at home were given clear instructions about its use and where to seek help if required. This guidance was published in January The temporary approval that was put in place in response to the COVID pandemic enables women and girls to take both pills mifepristone and misoprostol for EMA up to 10 weeks gestation in their own homes, following a telephone or e-consultation with a clinician, without the need to first attend a hospital or clinic.
This temporary approval supersedes the approval described above. After careful consideration of the risks and benefits, this measure was put in place during the pandemic as a way of ensuring continued access to abortion services and reduce the risk of transmission of COVID as above, prior to the temporary approval all women accessing an abortion had to attend a clinic or NHS hospital in person at least once, therefore the approval reduces the demand on abortion services to provide in-person care and requirement for women to travel to access services.
The measure is time limited for 2 years, or until the pandemic is over, whichever is earliest. Equivalent approvals are in place in Scotland and Wales. DHSC is monitoring how the temporary approval is working in practice through regular discussions with abortion providers and the RCOG and through emerging data and other evidence.
The CQC are also continuing to monitor the provision of abortion services following the approval. In , the National Institute of Health and Care Excellence NICE published a guideline which makes evidence-based recommendations on how to organise abortion services and on how to conduct abortions within the legal framework set out by the Abortion Act This made a number of recommendations including that:.
This guidance sets out the circumstances where women can be prescribed both pills for EMA to be administered at home in accordance with the temporary approval, and when women should be asked to attend a clinic for an ultra-sound scan.
The guidance also includes a decision aid for clinicians to use to help determine if an ultra-sound scan is required. To help illustrate the changes to the provision of EMA services since the temporary approval was put in place, typical patient pathways for women accessing EMA prior to, and during, the COVID pandemic are provided below.
Some patients are offered a remote consultation prior to an in-clinic consultation this is based on local contracts. All patients attend an in-clinic consultation with a healthcare professional.
Enough information and time is provided to allow for questions and informed consent. You can self-refer by contacting an abortion provider directly. You may be able to have a medical abortion at home, without going to a hospital or clinic, if you're less than 10 weeks pregnant. If you're more than 10 weeks pregnant, an abortion provider can discuss your options with you.
In very limited circumstances an abortion can take place after 24 weeks — for example, if there's a risk to life or there are problems with the baby's development. The medicines are prescribed by the hospital or clinic, and you usually take them 1 or 2 days apart. The pregnancy is passed comes out through the vagina. This usually happens several hours after you take the second medicine.
Surgical abortion involves an operation to remove the pregnancy from the womb. It may be done with:. Most people having deep sedation will not remember anything and will not be aware during the operation. If you have a general anaesthetic, you'll be fully asleep during the operation and will not remember anything.
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