Step 1: Insert
four
200-mcg tablets (or their equivalent) deeply into the vagina or in the mouth under the tongue or in the
cheek pouch. If tablets are placed under the tongue or in the cheek pouch, hold
in the mouth for 20-30 minutes to allow
them to
dissolve, and then swallow the remaining fragments.Bleeding and uterine contractions(cramping) may begin
half an hour following this first step and will almost always start within the
first 12 hours. Bleeding itself does not mean that an abortion has occurred. Close inspection of the sanitary pad or other
receptacle may reveal whether the pregnancy has been terminated.This will be difficult to detect in very
early stages of pregnancy, however, because the embryonic tissue is indistinguishable from the normal clotting of menstrual blood.
Step 2:
If tablets were
administered vaginally in Step 1, insert four more 200-mcg tablets of misoprostol deep into the vagina three to 12
hours
after the first administration.If tablets were
administered by mouth in Step 1, place four more 200-mcg tablets under the tongue or in the cheek pouch three
hours after
the first administration and hold them there for
20-30 minutes
until they dissolve. The shorter time
interval between steps for tablets in the
mouth is needed to achieve the same effectiveness
as
vaginal administration at longer intervals but may cause more side
effects.
Step 3: If the pregnancy has
not been terminated after using the second set of pills and bleeding, insert
four more 200mcg tablets of misoprostol 3 to 12 hours after the second vagina
administration or three hours after the second administration by mouth. The
majority pregnancies up to 12 weeks duration are terminated within hours of the
first administration of misoprostol. Generally, more than three quarters
of women experience abortion within the first 24 hours, although it sometimes
takes longer.
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