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MATERIALS AND SUPPORT Abortion pills/ abortion medicine Non-steroidal anti-inflammatory (NSAID) pain medications like ibuprofen, neogyl, ampiclox Sanitary pads Water Some pregnant people report that it is helpful to have somebody accompany them during a self-managed abortion, especially for abortions after 12 weeks PERFORMING A MEDICAL ABORTION USING MISOPROSTOL (CYTOTEC 200 mcg) IN UAE Globally millions have ended their unwanted pregnancies using cytotec 200mcg (misoprostol) safely. Often sold in pharmacies, cytotec is inexpensive, easy to store and handle, and is a safe method for people seeking to end their pregnancy. The medication softens and dilates the cervix, causes uterine contractions, and pushes pregnancy tissue out. Misoprostol���s multidimensional use in medicine makes it more accessible when compared to other abortion pills, like mifepristone. Misoprostol is 85% successful in inducing abortion in the first trimester, when used as recommended. The attached evidence-based guide was developed by IWHC and informed by the latest guidance from the World Health Organization (WHO) and the International Federation of Gynecologists and Obstetricians (FIGO). It explains how pregnant people can end a pregnancy with cytotec 200mcg (misoprostol), because everyone has the right to safe abortion care. For a pregnancy between 0 to 12 weeks using cytotec 200mcg For an abortion to be successful while using cytotec 200mcg, one needs to acquire 5 pills of cytotec (the dosage may differ depending on one���s body weight, mostly people with a weight above 70 kg may require more than 5 pills). There 2 different ways on how to use cytotec 200mcg for a successful abortion: Place the 5 tablets of misoprostol (cytotec 200mcg) under the tongue and allow it to dissolve for 30 minutes. Swallow what is remaining in the mouth with very little water to rinse through the mouth and swallow. For a person of average weight (below 70kg) after this step one should wait until the bleeding starts with cramping. In some individual the bleeding and cramping might take a little bit longer to happen after taking cytotec 200mcg, say like 48 hours. But under normal circumstances the bleeding and cramping should be able to start in 1 to 3 hours after taking cytotec 200mcg. Or Get 3 pills out of the 5 cytotec 200mcg pills; break the 3 pills into two making it 6 pieces of cytotec 200mcg. After breaking the 3 pills, make sure you urinate, then after insert the 6 pieces of cytotec 200mcg into the vagina. Immediately after inserting the 6 pieces into the vagina, get the remaining 2 pills and place them under your tongue, allowing them to dissolve till you swallow everything. After the procedure, make sure you don���t urinate or drink water for the next 2 hours to enable the process to take place. MEDICAL ABORTION USING MIFEPRISTONE (MIFE-KIT) IN UAE Using mifepristone kit is best on pregnancies that are above 12 weeks. Mifepristone, also known as RU-486 is a medication typically used in combination with misoprostol to bring about an abortion during pregnancy. It is also effective during the second trimester of pregnancy. Effectiveness should be verified in 2 weeks after use. Mifepristone is an antiprogestogen; it works by blocking the effect of progesterone, making the cervix easier to open and promoting contraction of the uterus when exposed to misoprostol. Mifepristone (mife-kit) is used in combination with misoprostol (cytotec) in order to perform a medicated abortion. You will take 2 sets of pills for your abortion to be effective. The pill you will take on day 1 is mifepristone. Mifepristone is taken through the mouth by swallowing like any normal pills. After swallowing the one mifepristone pill, wait for 24 hours before you use the other set of pills misoprostol, usually four pills. Put the 4 misoprostol pills under your tongue and wait till they dissolve before you swallow. For one to know that an abortion has been successful, one must bleed through the vagina. The bleeding varies in individuals, some individuals bleed for a much longer duration than others but its all normal. SURGICAL ABORTION IN DUBAI/UAE Surgical abortion involves the dilating of the uterus open/cervix then inserting a suction tube into the uterus and used to vacuum out the fetus and placenta from the uterus. A local anesthesia is used to prevent the pain during the process. Surgical abortion is a minor procedure that lasts for about 20 minutes on average. After surgical abortion you might need to be given some antibiotics to prevent any possible infections. 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Types of medications and procedures for a medical abortion/abortion pill Mifepristone (RU 486) and Misoprostol (cytotec 200mcg)-MIFE-KIT in Dubai This is a combination of two medications, mifepristone which blocks the hormone progesterone hence stopping the growth of the fetus by preventing it from staying implanted on the uterus and misoprostol which contracts the walls of the uterus hence flushing out the fetus through the vagina. Oral misoprostol in Abu Dhabi/ Dubai/UAE Misoprostol is sold under brand name cytotec200mcg or Misoclear; it���s mostly used to terminate unwanted pregnancy in the 1st trimester of a pregnancy. The abortion is done by placing the misoprostol pills under the tongue to dissolve as one swallows the solvent. The process takes about to 30 minutes before all the pills dissolve and the results take effect in an average of 1 to 2 hours, although there can be a delay in some individuals the window for the result is 24 hours after orally taking misoprostol. Vaginal and oral misoprostol This is the process where some pills of misoprostol are placed under the tongue and some are placed in the vaginal route. This kind of procedure reduces side effects and more effective on early pregnancies. Methotrexate This is given in form of a shot and is used to terminate ectopic pregnancies (tubal pregnancy), methotrexate takes a while before it completes the abortion and it must be administered with some vaginal misoprostol. Vaginal misoprostol/Misoclear This is the process where misoprostol is only placed in the vaginal route, it should be used in abortion of very early pregnancies and its less effective compared to the other methods of medical abortion. Symptoms after taking misoprostol After using medicine for abortion one is expected to experience the following; Abdominal cramping Vaginal bleeding Nausea Chills Fever Vomiting Headaches Diarrhea There is medicine for example ibuprofen that is used to manage the pain in case of severe abdominal cramps and also antibiotics for example ampiclox 500mg is used in case of infections after abortion although it���s very rare. How to know that an abortion has been successful In most cases it���s easy for one to tell that the abortion was successful when some of the symptoms like nausea and breast tenderness begin to disappear within days after abortion and in some situations one is able to see the embryonic sac during the bleeding, but it���s very important for one to; carry out a urine pregnancy test weeks after the abortion to confirm if it���s a negative test result. In some cases one needs to take an ultra sound test to confirm whether the abortion was successful or not, the ultra sound test is much effective and gives the result as soon as the abortion is completed. After abortion it might take about 2 to 3 weeks in some cases for ovulation to occur even before your period starts, so it���s safe to use contraceptive methods to prevent conception. SURGICAL ABORTION IN UAE Surgical abortion involves the dilating of the uterus open/cervix then inserting a suction tube into the uterus and used to vacuum out the fetus and placenta from the uterus. A local anesthesia is used to prevent the pain during the process. Surgical abortion is a minor procedure that lasts for about 20 minutes on average. After surgical abortion you might need to be given some antibiotics to prevent any possible infections. Surgical abortion is safe and effective once done by professional medical personnel and its success rate is 99%. EMERGENCY CONTRACEPTIVES/EMERGENCY PILLS Emergency contraceptive pills or morning-after pills are used to delay or disrupt ovulation in women hence preventing unwanted pregnancy. Emergency pills are only effective to prevent unwanted pregnancy only in 72 hours after unprotected sex. Emergency contraceptives cannot terminate an already established pregnancy, so for emergency pills to be effective, they should be swallowed as soon as possible after unprotected sex. Types of emergency contraceptive pills sold in Dubai; Levonorgestrel containing pills are effective in 72 hours after unprotected sex, these include ipills, jasmine, Lydia, Postinar, etc. Ulipristal acetate containing pills are effective in 120 hours after unprotected sex. 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