Termination pills in Riffa

Termination pills in Riffa, All abortions/termination services include a scan, counseling, pre-med, the procedure, all the medication, a check-up 2 to 3 weeks later which includes another scan, and prevention advice. Procedures are done by our in-house doctor, not nurses,! Mifepristone pills in Riffa, termination pills in Riffa,

What is a Medical Termination of Pregnancy (MTOP)?

A medical termination is one where the woman takes two different drugs (mifepristone and misoprostol) that will end a pregnancy of up to nine weeks similar to a miscarriage.

What should I expect after an MTOP?

Bleeding

The bleeding may be light, like a heavy period, or heavier than a normal period. It may last for two weeks or more and there can be clots. The heavy bleed usually settles after a few hours. It can begin thirty minutes after taking the misoprostol tablets, and it may (rarely) last as long as 70 days. The next period is usually expected four to eight weeks after the miscarriage. This period may be heavier have more cramping than normal and be more prolonged than your usual one.

Cramping is a natural component of the miscarriage process and may be worse than a normal period. Pain is most intense during expulsion. It may only last an hour or two or, it may last for twenty-four hours.
Simple pain relief medication is usually all that is required, e.g. Nurofen, Naprogesic. It is best to take painkillers about an hour or two before you take the misoprostol. We will also give you medication for stronger pain relief (Panadiene Forte).

We can’t say exactly when your miscarriage will happen. Most women will miscarry within four hours of taking misoprostol. You need to choose the right time in your daily routine to take the misoprostol and pain relief.
You may be able to see the pregnancy tissue once it has passed. It may be a small sac of greyish-looking tissue. It is possible but unlikely that you will see a fetus.

Other side effects

  • Nausea, diarrhea, vomiting, headache, fever, chills, shivering, dizziness, and fatigue are other side effects of misoprostol.
  • Infection is uncommon with an overall rate of <1%, however, there have been very rare fatal cases of toxic shock syndrome in the USA.
  • After a successful MTOP, pregnancy symptoms will go away. Nausea subsides quickly over the next few days but breast enlargement and tenderness may take a few weeks to go.

Ovulation may occur from ten days after the MTOP so you should use contraception as soon as the miscarriage has finished. If you would like to use the contraceptive pill, you should take it on the same day as the misoprostol, or the day after.

Breastfeeding

We don’t know what effects mifepristone and misoprostol have on a breastfed infant. Misoprostol can cause vomiting and diarrhea. Because of this, we recommend that misoprostol should be taken immediately after a feed and the next feed should not take place until six hours later.

Risks Associated with a Medical Termination of Pregnancy (MTOP)

Approximately 5% of women will have a failed medical termination and require a curette. Serious complications are rare but any medical or surgical procedure has potential complications.

Excessive Bleeding

Bleeding is expected with medical terminations. It is most likely to occur within four hours of taking the four misoprostol tablets. It may be much heavier than a normal period. We check your hemoglobin and if it is low, monitor your blood loss. Hemorrhage requiring a blood transfusion can occur with rates of 1 — 2 in 1000. There is a risk of death if severe blood loss is not treated urgently.

Retained Products of Conception

This complication causes very heavy vaginal bleeding with cramping pain. It happens when the pregnancy tissue has not been completely expelled from the uterus (5%). Extra misoprostol can often help the uterus to expel the rest of the tissue. If not, a curette may be required to remove the remaining tissue. We will do this at no extra cost.

Continuing Pregnancy

Occasionally the pregnancy may continue, and a curette is necessary. This is less common with early pregnancies, and the rate is one in a hundred. An assessment with an ultrasound is made two weeks after the initial consultation to ensure that a successful abortion has occurred.

Infection

Pelvic infection after medical abortion is uncommon. The symptoms of infection are abdominal pain, elevated temperature, and vaginal discharge with or without bleeding.  There is an ongoing debate about the risks of vaginal application of the four misoprostol tablets.  There has been one death in Australia. This has also happened with oral application, but it is even less common. It is possible that these deaths were coincidental and not related to the MTOP. There have been no deaths in Europe, where millions of women have had MTOPS.

Our Advice

The risk with vaginal application is very low or zero. However, it is better to be on the safe side and use the oral route. But if you are very nauseated or vomiting from the pregnancy, the vaginal route is less likely to increase these symptoms and should be used. Termination pills in Riffa,

Symptoms of septicemia are feeling extremely unwell, and a high temperature over 38 degrees. If you have any concerns, call the clinic or go to the hospital.

Ectopic Pregnancy

About 1 in 200 pregnancies grow in the tube and not in the uterus. Medical abortion is not possible with this kind of pregnancy. Ectopic pregnancies are very serious and may cause death. If we think you are at risk we will give you a special information sheet.

Psychological Effects

Major emotional or psychological problems after an MTOP are uncommon. They are more likely if you have a pre-existing problem or are pushed into a termination against your will. The clinic can arrange a referral to appropriate counselors if necessary.

Fetal Abnormalities

Birth defects are normally 2 – 3%. The abortion pill is not known to increase the risk of birth defects, but fetal malformations have been reported after first-trimester use of misoprostol. Therefore, you have to complete the abortion once the procedure has begun. You cannot change your mind.

Other Complications

Allergic reactions to the mifepristone or misoprostol are very rare.

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