Preparing for your Early Medical Abortion: A guide for your consultation

This guide has been created to help you prepare for your upcoming consultation with one of our nurses.

Its purpose is to provide you with a clear overview of the Early Medical Abortion (EMA) process so you can feel informed and ready to discuss your personalised care plan. Please read through this information before your appointment. It will introduce you to the key stages of the process and help you think about any questions you may have for the nurse. During your consultation, the nurse will cover everything in detail, including your specific medication schedule and aftercare instructions.

PHASE 1: Understanding the medical abortion process

An EMA is a safe and effective method for ending a pregnancy that is less than 10 weeks along. The process involves two medications and is designed to be completed in the privacy of your home.

The two medications

Your nurse will discuss two key medications with you:

  1. Mifepristone: This is the first medication, which works by blocking a hormone needed for the pregnancy to continue.
  2. Misoprostol: This second medication is taken 24 hours later and causes the uterus to contract, starting the miscarriage process.

What to generally expect

After taking the second medication, you will experience cramping and bleeding, similar to a very heavy period. This is a normal part of the process as your body passes the pregnancy tissue. The most intense part is usually brief. Your nurse will discuss what is considered normal and what to look out for.

Learn more about a medical abortion

PHASE 2: Your nurse consultation and medication

Preparing for your nurse consultation

Your consultation is an important step where the nurse will create a plan tailored specifically to you. Here is what you can expect to discuss, so you can come prepared with questions.

Your medical history
The nurse will review your health history to ensure this is a safe option for you.

Pain and nausea management
Everyone’s experience is different. The nurse will prescribe personalised pain and anti-nausea medications and explain exactly how and when to use them.

Step-by-step instructions
You will receive a detailed timeline for taking each medication.

Safety and side effects
The nurse will explain potential side effects and the warning signs of any complications.

Recovery and follow-up
You will learn about the recovery process and the mandatory follow-up test required to confirm the abortion is complete.

Thinking ahead: questions for your nurse

Reading this guide may bring up some questions. We encourage you to write them down and bring them to your consultation. Common questions include:

  • What is the best day for me to start the process?
  • What should I do to prepare my home and support system?
  • How much bleeding is considered too much?
  • When can I return to work/school and normal activities?
Learn more about the medication

PHASE 3: A brief look at recovery

After the miscarriage is complete, your body will begin to recover. Your nurse will provide detailed aftercare instructions, but here is a general overview:

  • Rest: Plan to take it easy for a few days after the process.
  • Bleeding: It is normal to have on-and-off bleeding for a few weeks.
  • Follow-up: A follow-up test is essential to ensure the process is complete. Your nurse will explain how and when to do this.
Learn more about recovery

We hope this quick guide helps you feel more prepared for your consultation. Our team is here to ensure you have a safe, informed, and supported experience.

For more information - view our detailed guide or watch our videos

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