Instructions for Using Cytotec Misoprostol Vaginally
( Medical Abortion Pills )
Use of Misoprostol as Medical abortion pills You have to insert 4 Misoprostol CytotecPills into your vagina
What is medical Abortion ?
A medical abortion is a type of non-surgical abortion. in which medication (medical abortion pills like Cytotec misoprostol) is used to bring about abortion. An oral preparation for medical abortion is commonly referred to as an abortion pill.
How to Insert the Cytotec (Misoprostol)
1. Empty your bladder.
2. Wash your hands.
3. Push the four Misoprostol tablets one at a time up into the vagina as far as you can using your finger.
4. Then lie down for about 30 minutes after you insert the Misoprostol.
Sometimes the tablets come out when your bleeding starts or if you are up and about. If the tablets fall out while you are bleeding, do not worry. In most cases, enough of the medication will have been absorbed. If the tablets fall out before your bleeding starts, you may reinsert them.
Some women wonder if they will see pregnancy tissue as they bleed. You may see a sac that is white or grayish and looks somewhat like a grape. You may see only blood clots. An embryo is approximately the size of a grain of rice at the time when medical abortion is most commonly provided, and is typically not seen. When it is seen, it is generally limited to women who are close to 63 days gestation.
Preparation of Madical Abortion
Most women will experience cramping and bleeding within a few hours of inserting misoprostol. The cramping and bleeding are usually heavier than what you might have during your period. Cramping may start before the bleeding. Some women expel blood clots that range in size from small (the size of a quarter) to quite large (the size of a lemon).
After the pregnancy is expelled the bleeding usually decreases. About 90% of women expel the pregnancy within 24 hours of taking vaginal misoprostol.
Other side effects that may occur after using misoprostol include
nausea, vomiting, diarrhea, warmth or chills, headache, and tiredness.
These side effects usually last for a fairly short time and go away on their own. Because of these side
effects, it may be a good idea to insert the misoprostol when you have several hours with no other responsibilities.
You will also want to have plenty of large maxipads, as well as medication for pain, and other comfort measures, such as a heating pad, hot water bottle, and warm liquids, ready before you insert the misoprostol. Be sure to drink plenty of non-alcoholic, caffeine-free beverages (e.g. water, juice, sports drinks) to avoid dehydration.
Some women find that it helps to have a partner or friend with them when they use the misoprostol. Some women may prefer to have privacy, but have someone they know they can reach if they need help. While it is rare to have an emergency, it is important that you make plans ahead of time about how to call for medical facility if you needed to.
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WHEN TO CONTACT A DOCTOR OR GO TO A HOSPITAL
1. You are soaking through two or more large maxipads each hour for 2 hours in a row, or the bleeding seems heavier than you expected.
2. You have severe pain and pain medication is not helping.
3. You have severe diarrhea or vomiting that lasts several hours.
4. You feel faint, lightheaded, or dizzy.
5. You have a fever of 100.4°F or more that lasts several hours.
6. You have a fever that starts a day or more after you take misoprostol.
If you have any concerns or questions, please contact us any time. There is someone available to answer you 24 hours a day.
The Days After Using Misoprostol
You may have some bleeding or spotting for several more days or a few weeks after using misoprostol. Most women find that their pregnancy symptoms decrease. While you can return to your normal activities, you may be more tired than usual for a few days.
You might want to avoid strenuous activities or exercise until your follow-up visit. You can get pregnant very soon after an abortion, even before your next period comes.You should have a check-up to make sure that the abortion is complete.
For some women, even if they have had bleeding, the abortion may not be complete. The only way to know for sure is pregnancy test.
strongly recommended. If the abortion not done. make a 2nd attempt or a vacuum aspiration (surgical abortion)
Because the medication can cause birth defects in this pregnancy if it continues.