Medical abortion at home

Patient guideline

 

In Gynecological outpatient clinic, Central Hospital of Central Finland (Naistentautien polikinikka) your health care provider will talk with you and answer your questions about induced abortion. Before taking the abortion pill, you will need to

  • discuss your options
  • talk about your medical history
  • have laboratory tests
  • have a gynecological exam. This usually includes an ultrasound to confirm and date the pregnancy
  • read and sign papers, because in Finland we have a law about legal termination of pregnancy

You will also be given a medication guide, instructions, and other information about the second medication, misoprostol (Cytotec®) and non-steroid anti-inflammatory pain medication such as ibuprofen or paracetamol to take home with you.

Your healthcare professional will give you the first medicine mifepristone (Mifegyne®) to swallow at the clinic (Naistentautien poliklinikka). That medicine can cause some bleeding but it is unlikely that the abortion will happen after taking the first pill only.

After 24-48 hours, in the evening, you have to insert four (4) 200-µg tablets of misoprostol (Cytotec®) deeply into the vagina  (Day 1). Try to insert them as high up into your vagina as possible. You can take  pain medications at the same time with the misoprostol.

Bleeding and uterine contractions (cramping) usually start within the first 4-6 hours. Next morning (Day 2) at 6.00, 9.00 and 12.00 insert two (2) tablets of misoprostol into the vagina or if there is heavy bleeding, per mouth.

If you have still not started to bleed on the third morning (Day 3) insert four (4) tablets into the vagina once more. If the bleeding is still not started after 24 hours of taking the last misoprostols, contact Naistentautien poliklinikka.

 

 

While having the abortion, it is important to have someone adult close by; this can be the partner, a friend or a relative who knows about the abortion and who can help in case of complications. Once the bleeding starts, someone should stay home with you to be able to help in case complications occur.

Cramping will be stronger than for an ordinary menstrual period and may be painful. You may have also nausea or vomiting. You can have two days of sick leave because of that.

Bleeding will be heavier and more prolonged than for a normal period: up to a week, in most cases, often with continued spotting until menstruation resumes in four to six weeks.It’s normal to have some bleeding or spotting for up to 2-4 weeks after the abortion .

While bleeding take good care of your hygiene. Use large (thick) sanitary pads. Mini pads or tampons should not be used. You should not go swimming or have baths in a tub while bleeding. It is recommend that you not have vaginal intercourse during the bleeding.

If you will have the signs of infection such as fever, an unpleasant smelling discharge from your vagina or abdominal pain, contact your own healt care center or Naistentautien poliklinikka.

You may have a wide range of feelings after an abortion. Most women ultimately feel relief. Some women feel anger, regret, guilt, or sadness for a little while. If you want to talk with someone else than your partner or friends after an abortion, health care professionals can talk with you or refer you to a licensed counselors from Mielenterveystoimisto, social workers or to support groups.

After the abortion you can get pregnant very soon that is why you should take care of your contraception. You can start the birth control pills next day after taking the misoprostol (Cytotec®). Discuss with your health care provider about getting a birth control method that's best for you.

You will need to follow up within 4-5 weeks. Follow-up is important to make sure your abortion is complete and that you are well. You should make pregnancy test from urine after 5 weeks from the abortion and it should be negative. The test you will get from the hospital with you.

 

Pregnancy test    ______/_____ 20_____  

If the pregnancy test is still positive contact Naistentautien poliklinikka.

 

 

You can call if you have any questions or concerns

  • Naistentautien poliklinikka ma - pe klo 8.00 - 15.00 tel. 014 - 269 1023
  • Synnytysvastaanotto 24-hours-a-day, seven-days-a-week , telephone number is 014 - 269 1204