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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 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 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 with UAE | Dubai, Qatar | Doha, Kuwait, Saudi Arabia and all parts of the Gulf countries plus the Middle East, so contact a professional doctor like Dr.Velma before you decide on carrying out a medicated abortion thus achieving the best and safest abortion results. WhatsApp: + what is the brand name for misoprostol? | Who needs misoprostol? 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