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Medical Termination of Pregnancy

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  1. If you have taken mifepristone, in 1 to 3 days you will take the misoprostol.

  2. If you have taken methotrexate, in 4 to 6 days you will take the misoprostol.

  3. Call the clinic if you

    • do not experience bleeding and cramping within 48 hours of taking the misoprostol;
    • have heavy vaginal bleeding that is soaking through more than 2 maxi pads an hour for 2 hours in a row;
    • have a fever greater than 101° for more than 4 hours;
    • throw up for more than 4 hours; or
    • have a lot of pain even with pain medication.

  4. You may continue to have some bleeding for up to four weeks.

  5. Return to clinic in 1 to 3 weeks to make sure you have no complications from teh procedure. Even if you experienced cramping and bleeding, this is no guarantee that your pregnancy has ended.

  6. Start your birth control before you have sex.

  7. Wait 2 weeks before having sex again.

  8. Expect your next period in 4 to 8 weeks.

  9. You may return to work tomorrow, or as soon as you feel ready.

Lynne Bartholomew, MD
Department of Obstetrics & Gynecology
University of Washington

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