Abortion pill RU486 or Mifeprex (Mifepristone) has been widely used in United States and all over the world for the last decade. It is a safe and effective method to terminate an early pregnancy. Medical or Non surgical abortion pill is a preferred option by many medical providers due to high effectiveness rate and relatively low risk of complications. When a woman presents with a complaint of unwanted pregnancy the counseling includes a physical exam, vital signs and information on all abortion options including a non surgical or a medical abortion with Mifeprex (RU 486).
The Ultrasound is performed initially to confirm an intrauterine pregnancy and a gestational age. At this time the patient is given all options regarding her pregnancy including an abortion pill. The next step is a blood test to check for iron blood level or anemia and confirm RH blood type. If a patient is RH negative she must receive a Rhogam injection to prevent any problems for a future pregnancy. After all questions about Mifeprex (RU486) and a non surgical abortion pill procedure are answered, consents are signed and risks of abortion pill procedures are reviewed.
200 mg of Mifeprex is given in the clinic to swallow by mouth. Nothing is expected to happen for 24 hours. Next day Cytotec (Misoprostol) 800 mg is given to be dissolved in side the cheeks of the mouth for one full hour. As soon as the Cytotec pills are dissolved cramping and bleeding will occur. Pain medication is provided to help with cramping. Intense cramps can be expected but should not last more then a few hours. You will be able to go back to work or school the next day with limited physical activity. There is no exercise or sexual activity for 2 weeks after Mifeprex(RU 486) abortion pill procedure has been done. The bleeding is expected to be like a normal period with small to medium size clots. The color of blood may vary from bright red to dark brown. It is important to call the clinic If the bleeding is excessive like completely saturating more then more then 1 pad an hour.
The risk of failure with Mifeprex(RU486) abortion pill is less then 5%. Keep in mind that there is also risk of failure or retained tissue with a surgical abortion. However, with Mifeprex (RU486) abortion pill there is no risk of uterine perforation or scarring from a surgical procedure, not to mention the risk of anesthesia. Possible side effects of Mifeprex(RU 486) abortion pill include but not limited to cramping, bleeding up to 3 weeks, diarrhea, nausea or vomiting, chills, headache and fatigue. The risks of Mifeprex(RU486) abortion pill include a failure to terminate a pregnancy or incomplete termination of pregnancy. Sometimes an additional dose of Cytotec(Misoprotol) is given and the retained tissue is subsequently is expelled. In the event that the tissue is not expelled a surgical procedure D&C must be performed.
The patient must return about a week after Mifeprex(RU486) abortion pill for a follow up exam. At that visit the ultrasound will be performed to confirm that the pregnancy has been successfully terminated and the Mifeprex(RU 486) abortion pill procedure was successful. Options for birth control will be discussed at the same time and a plan for birth control will be implemented.