After an Abortion

1 May, 2019 | Renah | No Comments

After an Abortion

 After a medical abortion:

What to Expect
After taking the first pill (mifepristone) you may:
  • Have bleeding and cramps, however, most people will not have any side effects from this medication.
After taking the second set of pills (misoprostol), you may:
  • Experience nausea, chills, cramps, upset stomach, fever, and diarrhea.
  • Have moderate to very severe cramps and increased bleeding 30 minutes to 4 hours after taking the 4 misoprostol pills. Cramps and bleeding will become more intense, usually until the pregnancy has passed.
  • Have clots as large as lemons.
  • Have very light bleeding or spotting for a few weeks afterward.
  • Maybe very intense as the pregnancy passes.
  • May reduce if you rest and apply a hot water bottle or heating pad.
  • Take ibuprofen (Motrin® or Advil®) or naproxen (Aleve®). Do not take ASA (Aspirin®) for pain – it may increase bleeding.

Call the emergency number you were given at your appointment or proceed to the nearest emergency room if you:

  • Soak 4 or more maxi pads in 2 hours.
  • Pass very large blood clots (larger than the size of a lemon).
  • Have a fever: 38.0° C or 100.4° F or higher for 4 hours in a row or develop a fever 24 hours after taking misoprostol.
  • Have chills or shaking 24 hours after taking misoprostol.
  • Have unusual vaginal discharge (green or yellow in color) or discharge that has a bad odor.
Where to get help

Call the emergency number you were given at your appointment or proceed to the nearest emergency room.

The following are normal after medical abortion:
Within 24-48 hours
  • Nausea, vomiting and breast tenderness lessen.
Within 1-2 weeks
  • Pregnancy symptoms (fatigue, bloating, and mood changes) lesson.
  • Pregnancy hormones can stay in your body after a pregnancy has ended. It is possible to still have a positive pregnancy test within 6 weeks of an abortion.

Within 4-6 weeks

  • You should have a normal period.

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