A woman’s choice of concluding a pregnancy is not a frivolous one, there is a lot of contemplation that goes behind it and lot is considered. Abortion is mostly the only way out of a very tricky situation, now this perception of tricky situation can differ from person to person (the person going through the situation) for some it may be coerced or non-consensual pregnancy, ignorance that it can result even from first intercourse, failure of contraception  or inability to use one due to partners dissent, fear of side effects from contraceptive pills, improper use of methods, monetary causes, social unacceptability or just that one does not want to be a mother yet or is done being a mother. In many cases, it is seen that a woman who is already a mother does not want further children and goes for an abortion so that she can take care of her children who are already there, in teen pregnancies they have a lot to lose. What’s worth noting is that most of the women who undergo unintended pregnancy are already taking some of the other precautions but it is a tedious task to take note of it every time as we are talking about a very emotionally heightened state. So they do go through it and deal it with it the way they seem best. In many countries where there are no abortion laws or tough abortion laws, women go through unsafe abortions and their lives come at a risk. The fight against abortion can be of great benefit to all the women only if it is just turned a tad differently, the fight against unsafe abortion, where we all fight against the possible causes of unintended pregnancy and they can do a greater good.

Abortion Pills have been a worldwide phenomenon since their inception; these are pills that are used to conclude a pregnancy, also known as medicinal abortion. The far and wide use of these pills can be attributed to a lot of advantages they provide to women. These are relatively far more affordable and convenient method as they just involve ingestion of pills. They are quite safe when done as per the FDA guidelines and are a lesser painful method. Abortion pills are tool-free and very effective with 98 % success rate; these are however used for the termination of early pregnancy and can be used up to 9 weeks of gestation. Abortion pills contain two FDA approved drugs called Mifepristone and Misoprostol as their active ingredients, depending on the brands some contain just one of the two drugs and some contain both the drugs. The brand containing individual drug is used for the termination of pregnancy up to 7 week old and brands containing both drugs can be used for a pregnancy up to 9 weeks. A few mentionable brands are given under.

Abortion pills are the most preferable drug for womens who do not want to continue their unexpected pregnancy.

Misoprostol brands: Cytotec

Mifepristone brands: RU486, Mifeprex, Mifegyne, Korlym

Combination brands: MTP Kit

Mifepristone is a drug that belongs to the category of Antiprogestin drugs, it acts by blocking a hormone called progesterone which is essential for sustaining a pregnancy as it supplies oxygen and nutrients to the fetal tissues, the blockade results in death. Misoprostol excludes the fetal cells; it is a prostaglandin analog which induces strong and forceful contraction in the myometrial lining of the uterine wall which sheds the tissues in form of a blood clot. 

The dose for Mifepristone alone brands:  Brands containing Mifepristone alone contain three pills which should be taken orally, on an empty stomach and with water. After a gap of two days, validate the process by getting an ultrasound done. In a few cases some remnants of the pregnancy are left and to clear that off you are required to take two Misoprostol pills either orally or inserted vaginally and validate the news of abortion after two days.

Misoprostol brand comes with 12 pills (200mcg each). Take these pills either by ingesting orally or insert them vaginally. These pills should be arranged 3 groups containing four pills each which should be taken at evenly spaced time gap of 5 hours. Take a two days gap and confirm abortion by having an ultrasound.

MTP Kit, a combination brand contains five pills, one Mifepristone pill which is taken first, orally on an empty stomach and with water. After two days of wait, take the four Misoprostol pills given in the pack, these pills can either be taken orally or can be inserted vaginally. On the 14th day, you are advised to get an ultrasound done to confirm the process.

Some side effects that trouble women relying on these drugs are nausea, back pain, stomach cramp, diarrhea, exhaustion, headache, vaginal bleeding, wooziness, and vomiting.

Note of precautions to be exercised:

  • It is not safe to go through this process with an Intra-Uterine Device placed; you are advised to take it off if there is one placed.
  • Do not use these pills for aborting an ectopic pregnancy.
  • Take required rest and food rich in protein and iron so as to recover faster from the losses incurred.

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