Sunday 19 July 2015

The Abortion Pill (RU-486)

The Abortion Pill (RU-486)
 
The Women’s Clinic offers non-surgical abortions with RU-486 often referred to as “the abortion pill” at our Indianapolis location.

A non-surgical abortion is much like a miscarriage early in a pregnancy. Some women consider this method more “natural” than surgical abortions.

Others prefer surgery because it is completed more quickly and causes less discomfort for a shorter period of time.

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When can an RU-486 abortion be performed?
RU-486 abortions are performed from the time a woman knows she is pregnant until 63 days from the first day of her last normal menstrual period.

All patients electing a non-surgical abortion have an ultrasound to accurately confirm the length of the pregnancy.

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Womens Clinic http://www.drgracewomensclinic.co.za
Contact Dr Grace Womens Clinic http://www.drgracewomensclinic.co.za/contact.html


How does an RU-486 abortion work?
Women take two medications one to two days apart. The first is Mifeprex®, also known as RU-486. Mifeprex® blocks one of the hormones (progesterone) that is important for early pregnancies to develop.

By blocking this hormone, the pregnancy dies and the cervix of the uterus begins to soften.

The second medication is misoprostol, a prostaglandin that causes the uterus to contract (similar to labor) and expel the pregnancy. This causes cramps and bleeding.

Abortion pills http://www.drgracewomensclinic.co.za/abortion-pills.html
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Contact Dr Grace Womens Clinic http://www.drgracewomensclinic.co.za/contact.html


What are the steps in terminating a pregnancy with RU-486?
When you return after the pre-abortion visit, the physician provides you the first medication (Mifeprex®) which you will take in his presence.

This is a small tablet that is swallowed with water. He also provides your other medications and birth control. We will also give you a Rhogam injection if you are Rh negative.

A day or two later you will take the other medication, misoprostol, 4 small tablets dissolved in the mouth. Usually within two to four hours you will begin to experience very strong cramps and heavy bleeding. This may last an additional two to four hours.

Follow-up Visit – Two weeks later you should return for a followup ultrasound examination to verify that your uterus is empty and that the abortion was complete.

Abortion pills http://www.drgracewomensclinic.co.za/abortion-pills.html
Womens Clinic http://www.drgracewomensclinic.co.za
Contact Dr Grace Womens Clinic http://www.drgracewomensclinic.co.za/contact.html

Can any woman have a non-surgical abortion?
There are certain limitations that prevent women from having this type of termination:
  • Women must be less than 64 days in pregnancy as determined by ultrasound
  • Women with an ectopic pregnancy or who have an IUD in place
  • Women who have bleeding disorders or are taking blood-thinners are ineligible
  • Those who have been on long-term corticosteriod therapy or are allergic to Mifeprex® or Cytotec or other prostaglandins
  • In addition, anyone who might be unable to understand the effects of or comply with the treatment should not use the drug
Will medical abortions revolutionize the way abortions are provided?
RU-486 can only be used by women with a pregnancy up to 63 days.

These women tend to like the privacy and control the medical abortion allows them.

We find that many women still prefer the surgical method and the advantages it offers.
 
 
Abortion pills http://www.drgracewomensclinic.co.za/abortion-pills.html
Womens Clinic http://www.drgracewomensclinic.co.za
Contact Dr Grace Womens Clinic http://www.drgracewomensclinic.co.za/contact.html

Abortion by tablets or pills (Medical abortion)

What is an abortion pill?
Abortion pills or abortion tablets are designed to bring on an abortion for a woman who is less than nine weeks pregnant (that is less than 9 weeks since her last period). 

They are designed to be used in abortion clinics. When a woman attends an abortion clinic, her medical history is taken (for example does she take any medicines, or have any other illness that may be affected by these tablets).

Any risk factors (such as an increased likelihood of excessive bleeding) are identified to make sure that the abortion pills would be suitable for her. The clinic will also confirm that the pregnancy is an ongoing single embryo, less than nine weeks’ size, and that it is located in the womb.

If the pregnancy does not fit into this category (for example a tubal/ectopic pregnancy, or a pregnancy of more than 12 weeks’ size) it would be unsafe for the abortion clinic to prescribe the abortion tablets.

In such a situation the abortion clinic would discuss alternative methods of abortion. If suitable, the woman takes the pills at the clinic, with a certain time-interval between doses, if she wishes to bring on an abortion.

At the clinic there is a specialist doctor on-hand to deal with any complications or problems that may arise during this process, such as excessive bleeding or collapse.


Abortion pills http://www.drgracewomensclinic.co.za/abortion-pills.html
Womens Clinic http://www.drgracewomensclinic.co.za
Contact Dr Grace Womens Clinic http://www.drgracewomensclinic.co.za/contact.html


Can I get an abortion pill in Ireland and take it at home?  
Abortion pills are not legally available in Ireland. In Ireland, it is not legal for anyone to supply or receive a “prescription-only” medicine online. 

It is not legal to buy an abortion pill in Ireland online or to get it for free from any source.

A medical practitioner, either in Ireland or abroad, cannot provide an online prescription for the abortion pill, with the intention of it being supplied in or into Ireland. 

These medicines will be detained by Customs and handed to the Irish Medicines Board for enquiry.

Abortion pills should be prescribed only after a face-to-face medical consultation in a country where abortion is legal, and taken under medical supervision, where staff can act quickly if complications arise.

What might the side-effects be of taking an abortion pill?
If a person were to buy abortion pills online or from a friend, there is no way of knowing what the tablets might contain (despite what the advertisement says) and what the side effects might be.

The side-effects of abortion tablets may include- excessive bleeding, pain, collapse, diarrhoea and shortness of breath. It could be very unsafe to take these pills. Also the pills may not work properly.

If a woman has excessive bleeding or pain, or other complications after taking an abortion pill, she should seek medical attention straight away from her GP, a family planning clinic or her local hospital. 

Medical staff will always help a woman in this situation. Looking after her could be difficult if the staff do not know that a woman has taken these pills or what the pills contain.

It is advisable to bring any information and packaging that comes with such pills to the hospital/GP/Family Planning clinic as it may help the medical staff in their diagnosis and the medical care they can give. 


Abortion pills http://www.drgracewomensclinic.co.za/abortion-pills.html
Womens Clinic http://www.drgracewomensclinic.co.za
Contact Dr Grace Womens Clinic http://www.drgracewomensclinic.co.za/contact.html


 If I attend medical services and say that I have taken an abortion pill, will they take care of me or will they inform the GardaĆ­? 
A doctor will always look after a woman in this situation. A doctor is not required to report to the GardaĆ­ that a woman has taken an abortion pill.

Doctors must not breach patient confidentiality except where they deem it appropriate in limited and exceptional circumstances as provided for by the Ethical Guidelines published by the Irish Medical Council, such as

(i) if the person is under 17 years of age and the doctor believes that the patient became pregnant in abusive circumstances; or

(ii) if the person discloses to the doctor that they were subject to abuse during their childhood and if the doctor believes that they or anyone else is at risk of further acts of abuse; or

(iii) by court order, as required by law.  The doctor should inform the patient (or parents/guardians if under 17) of their intention to make the disclosure and the reasons for doing so unless doing so might endanger the patient. 

It is preferable but not necessary in these circumstances to obtain the patient’s consent.

The Ethical Guidelines further state that a doctor may only disclose patient information with or without the agreement of the patient when it is necessary to protect the patient or others from serious risk of death or serious harm or if it is in the public interest. 

If they do so, they are obliged to consider whether disclosing the information to an appropriate person/body who understands that the information must be kept confidential, without revealing the identity of the patient would achieve the same potential benefits. 

Unless there is a particular benefit in revealing your identity, the doctor is obliged to keep the matter confidential.  If the doctor decides to take any action in relation to your case, he/she is obliged to inform you that they are taking this action unless informing you would cause you serious harm. 


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Womens Clinic http://www.drgracewomensclinic.co.za
Contact Dr Grace Womens Clinic http://www.drgracewomensclinic.co.za/contact.html

 What is the difference between taking an abortion pill at home and taking it in an abortion clinic abroad?  
There are three significant differences between taking the abortion pill at home and taking it in an abortion clinic:
1.) Attending an abortion clinic abroad is legal.  Under Irish law, women have the right to travel for the purpose of getting an abortion. It is not legal to buy the abortion pill in Ireland, or to get it for free.   

2.) When a woman attends an abortion clinic, her medical history is taken, the pregnancy size and location is confirmed and any risk factors are identified to make sure that the abortion pills would be suitable for her.  If suitable, she takes the pills at the clinic, with an interval between doses, under a doctor’s supervision in order to bring on an abortion.  This means that if there are any complications, a doctor is on-hand to deal with them. 

3.) A woman has no way of knowing if an abortion pill ordered online or obtained from a friend is a “genuine” abortion pill. This pill may not work. There is no way of knowing what these products actually contain and what the side effects might be for her. This is potentially very unsafe. 

Abortion pills http://www.drgracewomensclinic.co.za/abortion-pills.html
Womens Clinic http://www.drgracewomensclinic.co.za
Contact Dr Grace Womens Clinic http://www.drgracewomensclinic.co.za/contact.html

How It Works

Medical abortion requires two pills. The first, mifepristone, causes the embryo to detach from the uterine wall. Most women don't feel a thing.

Two days later, a pill called misoprostol contracts the uterus to expel the embryo. You can expect heavy bleeding, with clotting and bits of tissue, to last about two weeks.

Crazy fact: The pills are only 95 percent effective. If you're in the unlucky 5 percent, you can do it again or opt to have a procedure.

Abortion pills http://www.drgracewomensclinic.co.za/abortion-pills.html
Womens Clinic http://www.drgracewomensclinic.co.za
Contact Dr Grace Womens Clinic http://www.drgracewomensclinic.co.za/contact.html

Termination Services


Abortion or Termination of Pregnancy (TOP) Services:


We perform abortion / terminate pregnancies without questions, for any woman of any age or race.

If you feel you can not continue with a pregnancy then it is within your right to terminate it. It is legal to do this according to the Termination of Pregnancy Act No. 92 of 1996 of South Africa.

Parental or partner consent is not necessary. It is completely up to you the person carrying the baby to decide. As soon as you think it is something you want to do then do not second guess your self. Act as quickly as possible because the longer you take the more expensive it is going to turn out for you.

Our services are available country wide.

All you need to do is to call us or drop us an email and then we shall quickly assist you. No questions asked.

Any girl or woman can ask for a TOP in the first three months (12 weeks) of pregnancy. It is important to act quickly if an unwanted pregnancy is suspected.

If you are three to five months (13-20 weeks) pregnant, a different set of rules apply for TOP.

Private & Personal:

Our services are private and personal. It is between you and the practitioner. No other person gets involved. This is done to ensure that your private activities remain your private activities and it is up to you to tell or not. On our side it is a professional service and it remains at that

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Womens Clinic http://www.drgracewomensclinic.co.za
Contact Dr Grace Womens Clinic http://www.drgracewomensclinic.co.za/contact.html

Why women and teens abort?

Abortion is not a light decision to go through. Many women realize that they have decided to get read off a life that would otherwise live. But there are issues that take them to that decision and for that we have to respect that choice.

Women decide to abort for one or more of the following reasons:

Financial Instability:

Would be mothers realize that their own financial well being is not stable. They struggle for everything that comes into their life, if their own life is such a struggle how about if they add on a new one? Children are extremely expensive creatures.

A baby will be completely impossible to manage when you can not look after your own self.

One other thing it is easier and far better to abort than to dump a leaving child in some sewer or dustbin. It is easier to leave with abortion than with a dumped child.

This fact makes women to abort and get read off a fetus than a leaving person.

Negative Impact on the Mothers Life:

Have a child out of wedlock or outside a marriage is no easy decision. It may lead to the total degradation of the mothers life. It is therefore better for the mother to get an abortion than to go through with the pregnancy because of the consequences.

Relationship problems /unwillingness to be a single mother:

Many would be mothers do not have stable relationships, having a child means being single mothers. It means fending for this child for the rest of its life or to have a permanent stool at the courts to force the father to help. That is if you know who the father is.

It these issues that force women to go through an abortion and survive the consequences.

Other reasons:

Other reasons are medical and other personal issues. But whatever motivates you to have an abortion it is your choice that we have to accept and appreciate. No person has reason to judge you. It is a private choice. In any case where will these people be when you are raising the child. They will be no where and it will be your baby.

It is your choice.


Do you want an abortion?

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Womens Clinic http://www.drgracewomensclinic.co.za
Contact Dr Grace Womens Clinic http://www.drgracewomensclinic.co.za/contact.html

When is it best to Abort?

Abortion done in the first trimester (90% of all abortions) are considered a safe procedure whether it's done by the pill or surgery. First trimester is between 0 to 12 weeks.

Later abortion is just a little bit risky but no more risky than child birth. Late abortions are like labor but all abortion procedures are safer then labor. One reason is because you can control it more.

None of the abortion procedures are considered dangerous if you are of normal health.

When you are aborting you will get cramps so of course and it hurts a bit. But that is as far it gets.

And if you do not get cramps the embryo/fetus can not come out. Pills used in medical abortion are completely safe.


Do you want an abortion?

Call or Whatsapp

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Womens Clinic http://www.drgracewomensclinic.co.za
Contact Dr Grace Womens Clinic http://www.drgracewomensclinic.co.za/contact.html

Abortion Procedure


How Abortion is Done


Abortion means ending a pregnancy before the fetus (unborn child) can live independently outside the mother.

If abortion happens spontaneously before 24 weeks of pregnancy, it is called a miscarriage. An induced (or "therapeutic") abortion is caused deliberately in order to end the pregnancy.

Abortions are (most safely) done in the first trimester (before the 12th week of pregnancy).

Pregnancy weeks are counted from the first day of the woman's most recent menstrual period. The type of abortion performed depends on how far the pregnancy has progressed.

There are two procedures used to abort they include medical and surgical abortions.

Medical Abortion

During the first 49 days of pregnancy, a medical termination is possible without surgery.

Medical abortion uses two different drugs, methotrexate or mifepristone, which may be followed by another drug called misoprostol. While these drugs cause an abortion without surgical procedures such as dilation and vacuum, they do take longer to work than surgical abortion but they are perfect and will do the job for you.

These drugs work by blocking progesterone, a crucial hormone during pregnancy. Without progesterone, the uterine lining does not provide food, fluid and oxygen to the tiny developing baby.

The baby cannot survive. A second drug is then given that stimulates the uterus to contract and the baby is expelled.

You may experience nausea, severe cramping, vomiting and bleeding. But the result is an aborted feotus.

Surgical Abortion

Vacuum aspiration (the suction method) is a surgical type of abortion. It is a surgical procedure that involves anesthesia (mild sedation) and can be performed within the first trimester of pregnancy.

During vacuum aspiration, the cervix (opening of the uterus) is gently dilated (widened) about a quarter-inch, a narrow tube is inserted through the vagina and cervix to the uterus, and then pregnancy and contents of the uterine internal lining are vacuumed out.

The procedure takes only a couple minutes and the woman can usually return home later in the day.

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Womens Clinic http://www.drgracewomensclinic.co.za
Contact Dr Grace Womens Clinic http://www.drgracewomensclinic.co.za/contact.html