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IMPORTANT MESSAGE TO NOTE
Medical providers cannot tell the difference between abortion with misoprostol and miscarriage. Misoprostol cannot be found in blood samples. Hospital personnel may lie to you about this, and may report abortions, including miscarriages, to legal
authorities. Self-managed abortion is still a crime in many countries, so be careful what you say!
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HOW ABORTION PILLS/ ABORTION MEDICINE FUNCTIONS IN THE BODY
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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.
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A GUIDE TO SELF MANAGED ABORTION (SMA) IN UAE, DUBAI, ABUDHABI, KUWAIT & QATAR BEFORE SMA
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
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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


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PERFORMING A MEDICAL ABORTION USING MISOPROSTOL (CYTOTEC 200 mcg)

Globally millions have ended their unwanted pregnancies using cytotec 200mcg (misoprostol) safely.
Often sold in pharmacies, cytotec is inexpensive, easy to store and handle, and is a safe method for people seeking to end their 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 4 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.
Or
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.
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MEDICAL ABORTION USING MIFEPRISTONE (MIFE-KIT)

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