What is the abortion pill?
The abortion pill is a medicine that ends a pregnancy. The medical name for the abortion pill is mifepristone. It
works by blocking the hormone progesterone. Without progesterone, the lining of the uterus breaks down and
the pregnancy cannot continue.
The abortion pill is followed by another medicine called misoprostol which makes the womb contract, causing
cramping and bleeding similar to a miscarriage.
A bpas healthcare professional will give you the abortion pill (mifepristone) to swallow when you are in the
If your blood group is Rhesus-negative you will have an Anti-D injection.
You may then leave the clinic. Most women are able to carry on their usual lives at home or work, but you may
have some bleeding and period-like pains.
It is unlikely that the abortion will happen after taking the first pill. However, this can happen occasionally. If
you think you may have miscarried after taking the first pill it is likely we will do another ultrasound scan at your
You may have nausea or vomiting. If you vomit within one and a half hours of taking the pill, please inform the
clinic as soon as possible, as the tablet may not have been absorbed.
You will return to the clinic anywhere from 6 hours up to 3 days later. At this visit, misoprostol tablets are placed
in the vagina. You can place the tablets yourself or have a healthcare professional place them. You can put these
tablets in while lying down, squatting, or standing with one leg up - whatever is most comfortable for you. Try to
insert them as high up into your vagina as possible. Don’t worry too much about the exact position of the tablets
in the vagina; it is not important for them to be in a specific place to be effective.
You will be given some antibiotics to take, pain medicine with instructions for use and advice on how to care for
Aftercare Line is also available to you at anytime, 7 days a week on
The misoprostol tablets will cause you to have cramps and bleed heavily. This usually starts about 2 hours after
using the misoprostol, but may start sooner. Bleeding and cramping usually last a few hours. You may see large
blood clots or tissue at the time of the abortion and you will probably need pain medicine. There is more
information on pain control below.
Most women pass the pregnancy within 4 or 5 hours after taking the misoprostol. For others it can be quicker or
take longer. Almost all women miscarry within a few days. It’s different for every woman.
Here are some comments from women who have had the abortion pill:
“It felt like really bad period cramps. It was bearable and the pain did pass. I used a hot water bottle which
“The abortion pill wasn’t as easy as I thought. The pain was quite intense for me.”
It’s normal to have some bleeding or spotting for up to 4 weeks after the abortion. You should use sanitary pads
as it makes it easier to keep track of your bleeding.
www.milesabortionclinic.co.za |firstname.lastname@example.org | Dr Miles + 73 283 5461
www.milesabortionclinic.co.za | email@example.com | Dr Miles + 73 283 5461