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staff to talk about whether abortion is the right decision for you, and what
your abortion options are. You'll get an exam and lab tests, and you may get an
ultrasound to figure out how far into your pregnancy you are. Your nurse or
doctor will let you know if there's anything else you need to do to prepare for
your abortion. They'll give you written instructions on how to take your pills.
You will have access to a caring professional through the process — you'll get
a number you can call 24/7 if you have any questions or concerns. You'll have a
lot of bleeding and cramping after you take the second medicine, so plan ahead
to make the process more comfortable. You can be at home, or wherever is
comfortable for you to rest. You may also want to have someone you trust with
you (or nearby) that you can call for support if you need anything Stock up on
maxi pads, food, books, movies, or whatever you like to help pass the time, and
a heating pad for cramps. Make sure you have some pain medicine — but don't
take aspirin because it can make you bleed more. What happens during a
medication abortion? The abortion pill process has several steps and includes
two different medicines. First, you take a pill called mifepristone. This
medicine stops the pregnancy from growing. Some people feel nauseous or start
bleeding after taking mifepristone, but it's not common. Your doctor or nurse
may also give you antibiotics to take to prevent infection. The second medicine
is called misoprostol. You'll either take the misoprostol right away, or up to
48 hours after you take the first pill — your doctor or nurse will let you know
how and when to take it. This medicine causes cramping and bleeding to empty
your uterus. For most people, cramping and bleeding usually starts 1-4 hours
after taking the misoprostol. It's normal to see large blood clots (up to the
size of a lemon) or clumps of tissue when this is happening. It's kind of like
having a really heavy, cramps period, and the process is very similar to an
early miscarriage. (If you don't have any bleeding within 24 hours after taking
the second medicine, misoprostol, call your nurse or doctor.) The cramping and
bleeding can last for several hours. Most people finish passing the pregnancy
tissue in 4-5 hours, but it may take longer. The cramping and bleeding slows
down after the pregnancy tissue comes out. You may have cramping on and off for
1 or 2 more days. You can take pain medicine like ibuprofen about 30 minutes
before you take the second medicine, misoprostol, to help with cramps. You can
also take anti-nausea medicine if your doctor or nurse gives it to you. Don't
take aspirin, because it can make you bleed more. It's normal to have some
bleeding and spotting for several weeks after your abortion. You can use pads,
tampons, or a menstrual cup — whatever's the most comfortable for you. But your
nurse or doctor may recommend you use pads for the first few days after the
abortion so you can track how much you're bleeding. The last step is to follow
up with your nurse or doctor. You may go back into the health center for an
ultrasound or blood test. Or you'll get a pregnancy test to take at home,
followed by a phone call with your nurse or doctor. These tests will make sure
the abortion worked and that you're healthy. In the unlikely case that the
abortion doesn't work and you're still pregnant, your doctor or nurse will
discuss your options with you. You may need another dose of medication or to
have an in-clinic procedure to complete the abortion. من النساء الحوامل اللواتي
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