Most women can have a medication abortion safely. But all medical procedures have some risks, so safety is a concern.
Rare, but possible risks include
an allergic reaction to either of the pills
incomplete abortion — part of the pregnancy is left inside the uterus
failure to end the pregnancy
infection
blood clots in the uterus
undetected ectopic pregnancy
very heavy bleeding
Most often, these complications are simple to treat with medicine or other treatments.
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In extremely rare cases, very serious complications may be fatal. The risk of death from medication abortion is much less than from a full-term pregnancy or childbirth.
Serious complications may have warning signs. Call your health care provider right away if at any time you have
heavy bleeding from your vagina and are soaking through more than two maxi pads an hour, for two hours or more in a row
clots for two hours or more that are larger than a lemon
severe abdominal pain or discomfort that is not helped by medication, rest, a hot water bottle, or a heating pad
chills and a fever of 100.4°F or higher after the day of the procedure
nausea, vomiting, and/or diarrhea that lasts more than 24 hours
an unpleasant smelling discharge from your vagina
signs that you are still pregnant
You should start to feel better each day after the abortion. Feeling sick — having abdominal discomfort, diarrhea, nausea, vomiting, or weakness — more than 24 hours after taking misoprostol could be a sign of serious infection. Contact your health care provider right away if you have any of these symptoms. Do not wait until your scheduled follow-up.
You may need another visit with your provider. Rarely, women need vacuum aspiration or hospitalization. Take your medication guide with you if you need to visit an emergency room, a hospital, or a health care provider.
The abortion pill may not be right for all women. You shouldn't use the abortion pill if you
are more than 63 days — nine weeks — pregnant
are not willing to have an aspiration abortion in the unlikely case that the medicines do not end your pregnancy
cannot come to follow-up appointments
do not have access to a telephone, transportation, and backup medical care
have a known or suspected molar pregnancy — one in which the placenta develops abnormally
have severe adrenal gland, heart, kidney, or liver problems
take any medicine that should not be combined with the medications used in medication abortion — mifepristone or misoprostol
take anti-clotting medication or have a blood-clotting disorder
currently have an IUD. You will need to have it removed before having a medication abortion.
Talk with your health care provider to find out if medication abortion is likely to be safe for you. If medication abortion isn't right for you, don't worry. Another abortion method is likely to be safe for you.
BREASTFEEDING DURING MEDICATION ABORTION
A little bit of misoprostol will be present in breast milk after you take it. If you are breastfeeding, the misoprostol may cause your infant to have diarrhea. Let your health care provider know if you are breastfeeding so you can work out the best plan together.
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