What To Take To End Pregnancy

When Should I Start Taking Folic Acid Before Pregnancy

What are the options to terminate a 4 week pregnancy? – Dr. Premlata Subhash

As we mentioned above, you need to take folic acid, in the form of tablets or foods containing enough amounts of this essential nutrients, because it is needed for supporting babys brain and spine development, and preventing the risk of neural tube defect. The most important and top question arises here is that, what is the best time for taking folic acid in order to have healthy pregnancy?

In general, the best time for taking folic acid before pregnancy is about at least3 months before becoming pregnant. This means that, if you feel any chances of falling pregnant, or you are trying for a baby, you should start taking this vital nutrient. Doctors recommend moms-to-be continue folic acid consumption until week 12 of their pregnancy.

Tansy To Induce A Natural Abortion

Before proceeding with the use of Tansy, it is important to note that Tansy is a potent and toxic herb. The popularity of Tansy had been declining as people opt for less poisonous herbs that can bring the same results.

Tansy still has its advantages. It is an excellent insect repellent. As an abortifacient, Tansy works well as long as you follow the dosage and instructions to the letter. The compound Thujone is very potent in Tansy meaning anyone with pre-existing epilepsy, kidney and liver problems, and phototoxicity should not use it.

The essential oils derived from Tansys flowers should never be ingested. They are toxic even in small quantities.

To use Tansy for abortion, put a teaspoon of dried Tansy leaves powder in a cup of hot water and let it sit for 5-10 minutes. Strain and drink 3-4 times a day for no longer than seven days. To use Tansy as a tincture, put ½ -3/4 of a teaspoon in a cup of warm water. Drink 3-4 cups in a day for no more than seven days.

Do not use Tansy together with Vitamin C to avoid a counteraction.

What Does Surgical Abortion Feel Like

For most women, surgical abortion feels like strong menstrual cramps. Women are often given medicine to help with the pain. They can usually go home as soon as an hour after the procedure. They are told to rest when they get home. Acetaminophen or ibuprofen can also help. Bleeding may continue off and on for a few weeks.

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When To Call A Professional

Contact your doctor for any of the following problems:

  • A fever of 100.4 degrees Fahrenheit or higher
  • Bleeding heavier than a normal menstrual period, soaking pads at a rate of one per hour or more, or passing large clots
  • Severe abdominal or back pain
  • Unusual or foul smelling vaginal discharge
  • No bleeding within 24 hours after the medical abortion of an early pregnancy

How Much Do The Pills Cost

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The cost of misoprostol varies around the world. But misoprostol is widely available, so its generally not very expensive. Manufacturers sell the pills to pharmacies for very little costless than $0.05 USD per pill. The highest sales price found in a recent study was $2 USD per pill.

Misoprostol is usually an affordable option for someone seeking an abortion. Of course, some pharmacists or medicine sellers may take advantage of people seeking misoprostol and try to charge too much for the pills. You can ask people you trust if they know how much the pills should cost where you live, or you can search the internet for local cost information. But remember: Misoprostol should not be expensive.

Pre-packaged combi-packs of mifepristone and misoprostol are only available in a limited number of countries , and they are less likely to be sold without a prescription. If you live in a low- or middle-income country where combi-packs are available, the prices are likely controlled, and a combi-pack should cost less than $20 USD.

7. How many pills do I need to buy?

If you have access to both mifepristone and misoprostol, you will need 1 mifepristone pill of 200mg and at least 4 misoprostol pills of 200mcg each. If you are 1012 weeks pregnant, you may need to take 1 or 2 extra doses of misoprostol to finish the abortion process. If you have access to misoprostol only, you will need at least 12 misoprostol pills of 200mcg each if you are less than 13 weeks pregnant.

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How Safe Is Medical Abortion

Very safe. No medical procedure is risk free, but the risks of early medical abortion are extremely small and considerably less than the risks of continuing a pregnancy to term. Early medical abortion can often be carried out as soon as a pregnancy is confirmed, and the earlier an abortion can be performed the lower the chance of any complications.

Early medical abortion also avoids any anaesthetic risk that surgical procedures may pose, and any risk of infection is minimised by providing all women with prophylactic antibiotics. Rare complications that can occur include continuing pregnancy and incomplete abortion, which is why all women are encouraged to attend a follow-up appointment to check that the procedure was successful.

All women leave the clinic with an appropriate supply of pain relief, antibiotics, and detailed advice as to what to expect, and what might indicate a problem. They have access to a specialist 24 hour, seven days a week helpline and we ensure that there is the facility to attend for urgent medical treatment, if needed.

How Effective Is The Abortion Pill

The abortion pill is very effective. The effectiveness depends on how far along you are in your pregnancy when you take the medicine.

  • For people who are 8 weeks pregnant or less, it works about 94-98 out of 100 times.
  • For people who are 8-9 weeks pregnant, it works about 94-96 out of 100 times.
  • For people who are 9-10 weeks pregnant, it works about 91-93 out of 100 times. If you’re given an extra dose of medicine, it works about 99 out of 100 times.
  • For people who are 10-11 weeks pregnant, it works about 87 out of 100 times. If you’re given an extra dose of medicine, it works about 98 out of 100 times.

The abortion pill usually works, but if it doesnt, you can take more medicine or have an in-clinic abortion to complete the abortion.

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Natural Abortion Methods To End Unwanted Pregnancy

Herbal abortion, natural induced abortion or natural induced miscarriage are all the terms used to describe various methods of terminating unwanted pregnancy through using herbs, massage, vitamins, visualization or prayer to cause the body to miscarry without any surgical or mechanical intervention.

Natural abortion methods are safer and less traumatic when compared to surgical methods. It has fewer side effects and there will be the least negative emotional effect on the woman. Moreover, they are inexpensive and can be performed without any other intervention except the woman who is pregnant.

How To Use Mifeprex

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Read the Medication Guide provided by your doctor before you start using mifepristone. Keep the guide to reread if needed. If you have any questions, consult your doctor or pharmacist. Read and sign the Patient Agreement form provided by your doctor. Tell your doctor if you do not understand how to use this medication or cannot follow the instructions. Mifepristone is available only from your doctor. It is not available from store pharmacies.

You must visit the doctor’s office at least 2 times to complete your treatment and important examinations. This treatment is only given under direct medical supervision in a doctor’s office, clinic, or hospital. Be sure to have clear instructions from your doctor regarding whom to call and what to do in case of an emergency.

Your doctor may want to do an ultrasound to make sure your pregnancy is less than 10 weeks and is not outside the womb .

Take mifepristone by mouth as directed by your doctor, usually as a single dose. After taking mifepristone, your doctor should direct you to wait 24 to 48 hours before taking another medication by mouth as a single dose. The medications may not work as well if you take misoprostol sooner than 24 hours after taking mifepristone or later than 48 hours after taking mifepristone. Follow your doctor’s instructions carefully. Heavy vaginal bleeding does not mean that an abortion is complete.

Avoid grapefruit juice while using this medication unless your doctor instructs you otherwise.

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Medical Method Of Ending Pregnancy Without Surgical Abortion

This is a type of abortion when specific medications are used with the intention of aborting the fetus. The commonly used drugs are Mifepristone and Methotrexate. Mifepristone interferes with Progesterone and thus destroys the fetus, whereas Methotrexate is a toxic chemical which attacks the cells of the fetus, aborting it. In both cases, Misoprostol is given to induce labor and deliver the dead fetus.

The other medical methods are using saline water and Prostaglandins. Salt water is injected in the womb which damages and ultimately kills the fetus by salt poisoning and dehydration. Prostaglandin use involves injecting hormones in the uterus which cause premature labor and death of the fetus. Both of these methods are used in the second or third trimester.

Do not choose a medical abortion if you:

  • are pregnant over 8 weeks.
  • are over 35 years of age and smoke more than 10 cigarettes per day.
  • have heart, liver or kidney disorders.
  • have an IUD which will not be removed.
  • are taking any anti-coagulants or have a hemorrhagic disease.
  • suffer from high blood pressure.
  • are taking any medicine which cannot be taken along with the abortion pills.
  • have seizures or active inflammatory bowel disease.

Vitamin C To End Early Pregnancy

The use of is probably the most common of all the home remedies for abortion. Using Vitamin C appears to be comfortable enough, though there are factors that one should consider before selecting this method.

It is possible to overdose on Vitamin C. Excess Vitamin C in your body will be detrimental to your kidneys. This method is not recommended for anyone with kidney stones, sensitive kidneys, or any other kidney problems. You must pay attention to the dosage and instructions.

Vitamin C is abundant in lots of fruits. It is better, however, to consider Vitamin C supplements instead. This is mainly to keep a lid on the dosage. When purchasing the Vitamin C supplements, make sure they only contain Ascorbic Acid. Avoid any supplements that contain Bioflavonoids or Rose-hips because they have the opposite effect.

Take a maximum of 10-12 grams of Vitamin C per day for 5-10 days. This dosage should be started at 500mg and then gradually raised to 10-12 grams. Split your dose intake into equal intervals to make sure that the rise in Vitamin C levels is gradual but steady. You might need to wake up in the night to ensure you keep your Vitamin C levels at par.

Vitamin C works by raising the levels of Estrogen in your body. When Estrogen levels rise, Progesterone levels decrease. Progesterone is the hormone responsible for the growth of the embryo. Reduced levels of Progesterone will lead to bleeding and eventual spontaneous abortion.

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Terminating An Unwanted Pregnancy

For the first seven to nine weeks of pregnancy, the options may be with abortion pills. For first trimester, dilatation and curettage of uterus is advised by gynecologist as the surest way of abortion. Any type of abortion procedures should be done with the help of gynecologist.

  • Mifepristone and misoprostol: it is used up to first seven weeks of pregnancy. It is also known as RU-486 or the abortion pill.
  • Aspiration: it is a surgical method of terminating pregnancy up to 12 to16 weeks. Many people refer it as dilatation and curettage .

During the second trimester, medical abortion with pills is not effective. The type of pregnancy termination methods used is:

  • Dilatation and curettage : it is often the best surgical option method that can be used till 16 weeks of gestation.
  • Dilatation and evacuation : it is usually preferred after 16 weeks of pregnancy.

Termination of pregnancy in the third trimester includes surgical procedure of dilatation and extraction. It is also known as intrauterine cranial decompression. In many countries termination of pregnancy is considered illegal during the second and third trimester.

How Can I Get Enough Folic Acid Before Pregnancy

Bring unnecessary pregnancy to ending with an abortion pill

Consuming folic acid rich foods can help you meet your bods need, but only consuming these types of food are not enough. You should have folic acid tablet before pregnancy or branded pre-pregnancy vitamins. If you want to take supplements, keep in mind that, it is better to limit having supplements containing vitamin A, because it can lead to developmental problems, especially in the first 3 months of pregnancy.

Try to add foods like Brussels sprout, peas, fortified breakfast cereal, lentils, chickpeas, spinach, broccoli, asparagus, nuts, citrus juice, and green leafy vegetables to your diet before pregnancy to receive folic acid.

Although the above foods are rich in folic acid, but most doctors recommend ladies to take folic acid supplement which can ensures them getting enough amount of this vitamin needed for having better pregnancy.

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Women Taking Abortion Pills On Their Own

Taken from the July/August 2014 issue of the Women’s Health Activist Newsletter.

When a woman in Mexico suspects she might be pregnant when she doesnt want to be, she can buy drugs at a pharmacy or an informal market that she can take at home to bring on her period.

In both cases, women used medications to cause an abortion. Both did it outside the formal medical system. And both did it safely, without any harmful health consequences. But the woman in Idaho did it in fear and uncertainty, without knowing what to expect and without confidence that the drugs she had taken were safe and would be effective. And she went to jail. Yet, it is the United States where abortion is generally considered to be legal, and Mexico where it is highly restricted, and even banned entirely in some Mexican states.

The illogic and contradictions in these contrasting experiences are driving an important new conversation among reproductive health, rights, and justice advocates in the United States about womens self-use of medication abortion.

Medication Abortion or Using Pills to End a Pregnancy

Medication abortion is an abortion that is caused by taking a drug or combination of drugs to end a pregnancy. In the United States, the Food and Drug Administration has approved the specific combination of mifepristone and misoprostol for medication abortion, and it is also approved for use in about 50 other countries around the world.

Evidence and Information About Self-Use of Medications for Abortion

What Are The Possible Risks Of Taking The Abortion Pill

Medication abortion has been used safely in the U.S. for more than 20 years. Serious complications are really rare, but can happen. These include:

  • the abortion pills dont work and the pregnancy doesnt end

  • some of the pregnancy tissue is left in your uterus

  • blood clots in your uterus

  • bleeding too much or too long

  • infection

  • allergic reaction to one of the medicines

These problems arent common. And if they do happen, theyre usually easy to take care of with medication or other treatments.

In extremely rare cases, some complications can be very serious or even life threatening. Call your doctor or health center right away if you:

  • have no bleeding within 24 hours after taking the second medicine

  • have heavy bleeding from your vagina that soaks through more than 2 maxi pads in an hour, for 2 or more hours in a row

  • pass large clots for more than 2 hours

  • have belly pain or cramps that dont get better with pain medication

  • have a fever of 100.4 or higher more than 24 hours after taking misoprostol

  • have weakness, nausea, vomiting, and/or diarrhea that lasts more than 24 hours after taking misoprostol

If you have complications during your medication abortion, you may have to go back to the doctors office or health center. In the unlikely event that you are 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 abortion to end the pregnancy.

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How Much Folic Acid Before Pregnancy Should I Take

It is more advisable to ask your doctor or healthcare professional about the right amount of folic acid that you need to take before pregnancy, based on your bodys need and circumstance. But according to researches, the recommended dose of folic acid is 400 micrograms of supplement per day.

Although, the general recommended dose of folic acid consumption is 400 mcg, but some people require a higher dose of folic acid, about 5 mg, because they are at a higher risk of developing a baby with neural tube defects. The following reasons make your body to get higher dose of folic acid before pregnancy

  • Having neural tube defect
  • Experiencing neural tube defects in previous pregnancy
  • Being heavy drinker
  • Having epilepsy

What Is The Current Legal Position On Home Use

Natural Ways to Terminate Pregnancy

Scotland was the first part of the UK to introduce home use in October 2017. The Scottish decision was the subject of an unsuccessful legal challenge in SPUC Pro-Life Scotland Ltd v Scottish Ministers. The substance of the challenge was that classifying a home as a place where a termination could be carried out was not a permissible understanding of the Abortion Act 1967, and that allowing women to take misoprostol at home ran afoul of the requirement in the Abortion Act 1967 that abortion be carried out by a medical practitioner. The court held that the extension of places where terminations could be carried out to homes was a reasonable and rational one, and that while doctors are ultimately responsible for the regime of care administered to a woman seeking a termination, there was no requirement for a doctor to be physically present throughout the treatment. The court considered that patients who self-administer medication at home, e.g. diabetics self-administering insulin, are still fairly considered to be under the treatment of their doctor.

In June 2018 the Welsh Health Secretary, Vaughan Gething announced that his department had communicated approval to Welsh health boards for the home use of misoprostol. In August 2018 the Health Secretary of England, Matt Hancock, announced that his department would be following suit and planned to implement home use of misoprostol by the end of 2018.

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