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In 2000, the Food and Drug Administration approved a drug called Mifeprex, a brand of mifepristone. Taken in combination with a medication called misoprostol, it’s used to safely and effectively end pregnancies up to 11 weeks. This nonsurgical method of terminating a pregnancy is known as medication abortion. In 2017, medical abortions made up 39 percent of all abortions.

A little recap of how these pills work: A medication abortion begins after you take 200 milligrams of Mifeprex by mouth, usually at a doctor’s office or clinic but increasingly at home during the coronavirus pandemic. The medication blocks progesterone, the hormone responsible for keeping the embryo attached to the uterine wall. Then you can go home. Depending on how far along you are, 24 to 48 hours later, you’ll take four misoprostol pills (800 micrograms total), vaginally or by dissolving them under your tongue. If your pregnancy is farther along, you might take a second set of misoprostol pills four hours later. This second medication dispels the embryo from your uterus, which can feel and look similar to a heavy period. You’ll also have a follow-up appointment in person or over the phone with your provider one to two weeks later to take an at-home pregnancy test or get a blood test or ultrasound.

Medication abortions are noninvasive and don’t require anesthesia. They’re also 98 percent effective before 8 weeks of pregnancy and only cause serious side effects in about 0.4 percent of people who choose them.

Other first-trimester options include aspiration, a procedure that uses suction to remove what’s inside the uterus, which can be used as early as your first positive pregnancy test or up to 16 weeks from your missed period. There’s also dilation and curettage (D&C), a surgical procedure in which the cervix is dilated before the uterus is emptied that can be used up to 16 weeks from the last period.

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ABORTION PILL TREATMENT AT HOME IN UAE, DUBAI, ABUDHABI, KUWAIT & QATAR

In response to the Coronavirus Pandemic, the Government has approved
telemedicine for abortions. Dr VELMA Abortion clinic now provide
clients with abortion pills at home. This is available for those
pregnancies in the first 10 weeks of gestation. Only clients who are
deemed suitable will be able to have this service.
If you are considered suitable for the abortion pill following a
telephone consultation, you will be posted the treatment to your home
address or you can pick the pills up at the closest clinic.

For a safe abortion to happen, one needs to use two different
medicines: mifepristone and misoprostol.
One pill/ tablet of mifepristone is administered first to block the
body’s progesterone (hormone responsible for the growth of the fetus)
hence stopping the growth of the pregnancy.

Four pills of the second medicine misoprostol is then administered
after 24 hours from the first dose of mifepristone. Misoprostol causes
cramping and bleeding to empty the uterus. It’s similar to heavy
crampy periods. Your doctor or nurse will give you both medicines at
the health center. When and where you’ll take them depends on state
laws and your health center’s policies. Your doctor or nurse will give
you detailed directions about where, when, and how to take the
medicines. You may also get some antibiotics to prevent infection. A
medical practitioner cannot tell the difference between a miscarriage
and an abortion, so if need arises for you to visit a hospital always
insist on miscarriage to avoid any troubles from the authorities.

A GUIDE TO SELF MANAGED ABORTION (SMA) IN UAE, DUBAI, ABUDHABI, KUWAIT & QATAR

Pregnant people with an intrauterine contraceptive device (IUD) should
have it taken out or take it out themselves before using misoprostol.

MATERIALS AND SUPPORT

1. Abortion pills/ abortion medicine
2.Non-steroidal anti-inflammatory (NSAID) pain medications like
ibuprofen, neogyl, ampiclox
3.Sanitary pads
4.Water
5.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
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Often sold in pharmacies, cytotec is inexpensive, easy to store and
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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.

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
How does the process work?

There are two types of pills necessary to complete an early medical
abortion which must be taken within 48 hours of each other; these
pills are Mifepristone and Misoprostol.
The first pill is a Mifepristone tablet, this blocks progesterone, a
hormone that is needed for your pregnancy to continue. The
Mifepristone tablet is taken orally with a glass of water. We then
advise that you wait for one to two days before taking the Misoprostol
pills.
After your 24-48-hour break, you will take 4 Misoprostol pills which
will cause your body to expel the pregnancy from the womb. Our pack
comes with an instruction leaflet, which provides you with full
details on how and when to take the pills. The second pills start the
contractions to expel the fetus from the womb; we suggest taking a
pain killer 10 minutes before.
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.
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.

Therefore Abortion is a fundamental right to each and every girl child
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Always consult a professional before you decide on carrying out a
medicated abortion.
What can you expect when taking a medical abortion pill at home?
Below we have highlighted how the process works, helping you to
understand the process and navigate through this uncertain time.

1) Contact Dr VELMA Abortion clinic in Dubai at +971507107546.
A member of staff will arrange an appointment via phone call within
the next couple of days at a time suitable to you. During this
conversation, a full assessment of your situation will take place.
This will involve taking a full medical history, dates of your last
period etc. We will also conduct a full safeguarding assessment to
ensure that you are safe. At the end of the consultation, we should
determine if you are suitable to take the pills at home.

You are then able to choose whether you want the medication posted to
your home address or if you want to pick this up from one of our
clinics, this option is available too.
What can you expect after the treatment is taken?
When taking the early medical abortion at home, you are likely to see
some bleeding. This can vary from woman to woman, with some having
heavy bleeding and quite a lot of pain, while others have very little
bleeding and mild pain. Most women are in between the two, however, it
is important to remember that this is not a completely pain-free
procedure.
The abortion usually takes place between 4 and 6 hours following the
insertion of the tablets however in some cases the abortion can take
place earlier or later (up to 7 days later).

Potential side effects

All women react differently to this treatment. Some have heavy
bleeding and quite a lot of pain, while others have very little
bleeding and mild pain. Most women are in between the two, however, it
is important to remember that this is not a completely pain-free
procedure.

You may experience the following:
-Nausea or sickness
-A feeling of light-headedness
-Feeling feverish
-High temperature
-Diarrhoea

You should take it easy for a couple of hours. After this time you may
find that moving around will ease any discomfort.
The abortion usually takes place between 4 and 6 hours following the
insertion of the tablets however in some cases the abortion can take
place earlier or later (up to 7 days later).
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