NIKIWE ONLINE WOMEN'S CLINIC IN PIETERMARITZBURG 0735521667 SAME DAY PAIN FREE

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NIKIWE WOMEN'S SAFE ABORTION CLINIC /TERMINATION OF PREGNANCY 0735521667 SAME DAY PAIN FREE
NIKIWE Women"s Safe Abortion Clinic / Termination of pregnancy Clinic/ Abortion pills .WE ALSO TELEMEDICINE WITH DOOR TO DOOR AND POSTAL DELIVERY
Medical Abortion and surgical
What is a medical abortion?
• A medical abortion uses 2 different medications, The
medications end a pregnancy and make the uterus push out the pregnancy
tissue (like a miscarriage).
Can I have a medical abortion?
• You may be able to have a medical abortion if:
› Your pregnancy is 2 weeks- 22 weeks counting from the first day of
your last regular period.
› Your pregnancy is in your uterus, not in your fallopian tubes
(ectopic pregnancy).
› You do not have an intrauteruine device (IUD) in place.
• When you meet with a health care provider, they will ask you about your health

and any prescription medications you are taking. This will help them find out if
you are eligible for a medical abortion.
Important
• A medical abortion can cause very strong pain and bleeding. If
you are not sure that you can manage these symptoms at home,
you may wish to consider a procedural abortion instead. Talk
about your concerns with your health care provider to help you
decide.
• In rare cases, you may have very heavy bleeding that needs
medical attention. For this reason, if you have a medical
abortion, you must be able to get to an Emergency Department
right away.
What happens during a medical abortion?
• You will have an appointment with a health care provider to talk about the
procedure in detail.
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• You will be given a prescription for a medication called Mifegymiso.
› This prescription can be filled at any pharmacy.

What supplies will I need before taking Mifegymiso?
• You will need several large period (maxi) pads. Do not use tampons or period
cups during your medical abortion.
• You may take over-the-counter pain medication like acetaminophen (Tylenol®),
ibuprofen (Advil ®, Midol®), or naproxen (Aleve®). Be sure to have these
medications on hand before starting.
• Other comfort measures, like a heating pad or a hot water bottle, can also help
with pain.
How to take the medications
Step 1: Mifepristone (green box)
• Swallow 1 mifepristone tablet with water.
• Once you take mifepristone, there is no way to reverse the effects. This
tablet will end the pregnancy.
• Most people do not feel different after taking this tablet. A small number of
people have mild bleeding or cramping.
After taking mifepristone,
Step 2 : Misoprostol (orange box)
• Misoprostol softens the cervix and tells your body to push out the tissue
(like a miscarriage). You will have, painful cramps during this step.

• Take pain medication about 30 minutes before taking misoprostol:
› For example, you can take both acetaminophen (1000 mg) and ibuprofen
(400 to 800 mg) with food.
• There are 2 ways to take misoprostol. If you have nausea (feeling sick to your
stomach), it is recommended to take misoprostol vaginally (option 1). Both
ways work equally well.
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Option 1. Vaginally
After you take the mifepristone tablet
insert (put) all 4 misoprostol tablets in your vagina. ***** them as high up as you
can, like you ***** a tampon or a period cup.
Option 2. Orally (by mouth)
After you take the mifepristone tablet (Step 1 on page 2), place all
4 misoprostol tablets in your mouth at the same time. Place 2 tablets between
your cheek and gums on each side. Do not swallow these tablets. Leave them
there for 30 minutes. After 30 minutes, drink some water to swallow any pieces
that are left.
What will happen after taking misoprostol?
• Within 1 to 3 hours of taking misoprostol, you will start to have normal cramping,
and bleeding, and pass clots and tissue. This is the tissue starting to empty from
the uterus.
• You may have very heavy bleeding with clots as small as quarters,

• You may have bleeding and cramping for a few hours (30minutes -3hours), until
all the tissue passes.
Side effects
• After taking misoprostol, you may have:
› A fever
› Chills
› Diarrhea (loose, watery poop)
These symptoms are common. If you are worried about any of these symptoms,
call or text the Nikiwe Clinic
Follow-up appointment(s)
• You will have a follow-up appointment 7 to 14 days after you take mifepristone
(the first medication in the green box).
› During this appointment, the doctor will check that your medical abortion
worked. You may need another blood test.
› After your blood test, a nurse will call to confirm whether your medical
abortion is complete and answer any questions you may have.
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What are the possible risks?
• There is a 0.5% chance that the medication will not work and you will still
be pregnant. If this happens, it is recommended that you have more pills

DR.NIKIWE,
0735521667
Member since Jan 2019
Location: KwaZulu-Natal - Pietermaritzburg
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