Medically supported at home abortion pills?

Interested in medically supported at-home abortion pills?

If you have a mailing address in one of these states, you may be eligible for abortion pill medication, delivered discreetly within 2-4 business days of your video visit with a compassionate medical provider. We’ve found many clients prefer the convenience and privacy of getting the abortion pill at home and have peace of mind with 24/7 medical support from Nico Women’s Clinic.

Medical abortion: The abortion pill by post 

This service is a safe and legal way to end a pregnancy at an early gestation without needing to attend a clinic for treatment. You will have a telephone consultation and full medical assessment with a trained nurse or midwife who will assess your suitability for treatment. If treatment is suitable and safe, you will receive abortion pills by post a few days later, or we can book you for an alternative treatment in the clinic. Sometimes a scan or other in-clinic checks are required before treatment.

Your Treatment Pack

You will receive your treatment package direct from the pharmacy from 1 to 3 days from your telephone consultation (sometimes longer with Bank Holidays). If your package is delayed in the post for a few days you should still take the tablets as directed once they arrive. The package is plain with no indication of its contents, it will be tracked but not signed for.

Your treatment pack will contain:

  • Medabon pack containing 1 tablet of mifepristone
  •  4 tablets of misoprostol 
  • 2 plastic-wrapped misoprostol tablets 
  • Codeine (only provided if requested and medically suitable)

The timing of when you administer your medication is important. If your pregnancy is 10 weeks gestation you will need to come into the clinic to take your medications.

  • Step 1 – You will swallow the first medicine (mifepristone) with water
  • Step 2 – 1 to 2 days later you will take the second medicine (misoprostol)
  • Step 3 – 3 to 4 hours after the first dose of misoprostol, you will take another dose

You will then pass the pregnancy at home.

Step 1 – Mifepristone

Swallow the mifepristone tablet with water.

You may have nausea or vomiting after swallowing the mifepristone. If you do vomit, you should still use the misoprostol as outlined below. Please telephone if you have any concerns or if you vomit within 30 minutes of swallowing the mifepristone.

Most women do not have bleeding or pain until they take the second medication (misoprostol). Bleeding can occur after taking mifepristone but it is usually light. If bleeding does happen, you should still use the misoprostol and may wish to consider placing it between your cheek and gum. Contact us if you have any concerns

Steps 2 and 3 – Misoprostol

Misoprostol tablets are placed in the vagina or between the cheek and gum. See below for more detail.

Misoprostol (the second medication) causes strong, painful cramps and heavy bleeding.

Instructions for using misoprostol (second medication)

You will have 6 tablets of misoprostol.

Step 2 – misoprostol

Use 4 tablets placed either in your vagina or between your cheek and gum.

Into the vagina

Insert 4 tablets as high as possible in the vagina; the exact location is not important only that they do not fall out. You can do this while lying down, squatting or standing with one leg up – whatever is most comfortable for you.

Abortion Pills 

Use sanitary towels to monitor your bleeding during abortion pill treatment. The amount and type of bleeding can vary for each person and each abortion. It is normal to experience light, moderate, or heavy bleeding during a medical abortion. Not everyone will pass blood clots during a medical abortion, but for those who do, the clots should be no larger than a lemon. It is NOT normal to have no bleeding/scant bleeding or flooding (see the image below), therefore you should telephone Nico Clinic at +27608366772 for advice if:

  • 24 hours after taking the misoprostol, you do not bleed at all, have spotting/only see blood on a tissue when wiping 
  • You experience heavy bleeding soaking 2 maxi size sanitary pads for 2 hours in a row 

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