A self-managed abortion is an abortion that you can do yourself with medication.
Two medications are used:
An abortion with medication is very safe and effective. It successfully ends 98% of pregnancies.
Swallow the pill with water.
You may have some light bleeding, spotting or cramping, or nothing at all.
1–2 hours before you take misoprostol, eat a meal. Take anti-nausea medication (Dramamine 50–100 mg) and pain relievers (600–800 mg ibuprofen).
Put 2 misoprostol pills between your cheek and gums or under your tongue and leave for 30 minutes.
Do not eat or drink while you have the misoprostol pills in your mouth. You can suck on a hard candy during this time to help with the bitter taste.
After 30 minutes, drink water and swallow the pills left in your mouth.
Repeat taking 2 pills every 3 hours until the abortion is complete. You will receive 12 misoprostol pills but you may not need to take all the pills to complete your abortion. Every person taking the medical abortion pills and every pregnancy is different, so take only what you need to complete the abortion. Read How to know if the pills worked? and you can contact your support person if you have questions.
If you are known to have Rh negative blood type, you will need to follow-up with a provider to receive a RhoGam shot within 72 hours after the abortion is complete. You can get this at your local ER or OB provider. You should not tell them you had an abortion, but you can say you had a miscarriage after a positive pregnancy test.
Fever (above 100.4°F or 38°C) lasting over 24 hours even after taking fever medication (Tylenol, ibuprofen)
Severe pain that keeps you from your regular activities and does not go away after taking 600-800 mg ibuprofen. (Heavy cramps and pain after Step 2 is normal. This pain should diminish within 24 - 48 hours.)
Extremely heavy bleeding. If you soak more than 2 overnight pads per hour for 2 hours in a row (the pad is full, front to back & side to side).
Remember: If you go to a healthcare facility, do not reveal that you took pills to cause an abortion.
There is no way to tell that you took the pills. Say that you think you are having a miscarriage. Miscarriages are common, and their treatment is the same as for abortion.
If you go to a hospital or other healthcare facility, do not tell anyone that you took the pills. There is no way for anyone to know you took the pills. Tell them you think you are having a miscarriage. Miscarriages are common and occur naturally.
Your phone is your private property. You do not have to show your phone to anyone who does not have a search warrant from a court.
Your digital footprint can be used against you if there is a search warrant from a court. To keep yourself safe:
Use the Signal app for communications—especially with your Support Team member, but also with anyone involved in your situation.
If you have questions about your legal rights or need a lawyer, call Repro Legal Helpline (844) 868-2812 or search for reprolegalhelpline.org