MedicationTerminationProcess

Which appointments will I need to attend?

Medication termination at FPT involves either two or three appointments and a number of phone calls.

  1. Appointment 1 (60 minutes) – An FPT doctor will assess whether a medication termination is right for you and refer you for an ultrasound and blood tests. We will also take some swabs in the clinic. You can also see a GP for this appointment. If you have already seen your GP and had an ultrasound and tests, you may not need to attend this appointment; we will let you know if this applies to you.
  2. Phone call 1 (30-45 minutes) – Once we have the results of your ultrasound and blood tests, a doctor from FPT will call you at a pre-arranged time to discuss the results and confirm a medication termination is right for you.
  3. Appointment 2 (60 minutes) – The termination medication is given to you with written instructions. You can take the first tablet at home or at the clinic and the second tablet 36 hours later.
  4. Phone call 2 (15 minutes) – A nurse will call you 48-72 hours after your second appointment to check you are ok. You must have a phone that we can reach you on.
  5. Appointment 3 (30 minutes) – 14-21 days after you take the medication, you will have a check-up with an FPT doctor to confirm the termination is complete.

 

What happens during a medication termination?

Medication termination is a two-stage process.

The first stage involves taking a tablet which blocks the hormone necessary for the pregnancy to continue. This is followed 36 hours later by a second medication that causes the contents of the uterus to be expelled.

You can take the first tablet at the FPT clinic or at home, depending on your preference. If you have a negative blood group, you will also be given an injection of Anti D.

36 hours later you take the second medication and you will experience bleeding that is heavier than a normal period.

You will experience some cramping and you may feel sick and have vomiting and diarrhoea.

In a small number of cases there is excessive bleeding that means you must go straight to a hospital. Find out more about when you need to urgently call us during your medication termination in this document:

In a small number of cases, the medicine doesn’t work and you will need to go back to the doctor or clinic for more medication or for a surgical procedure.

 

What medications are involved?

You will need to take two different types of medicine.

The first medicine you take is called Mifepristone, which is also sometimes known as RU-486 or the ‘abortion pill.’

The second medicine is called Misoprostol. This medicine is taken approximately 36 hours after the first tablet.

This Marie Stopes video has more information on taking the termination medication.

The medicines for medication terminations have been used around the world for a long time and have a low risk of complications. The success rate is almost 98%.

Your doctor will also provide you with painkillers and anti-nausea medication.

You may also need an injection of Anti D if your blood group is negative. It’s ok if you don’t know your blood group as one of the blood tests that you have when you come for your termination assessment is to check this.

 

Why do I need an Anti D injection if I am Rh negative?

People that have a negative blood group need an injection of something called Anti D. Every person is either Rh positive or Rh negative. Most people are Rh positive (85%). Women who are Rh negative need to have an injection of Anti D with each pregnancy.

Family Planning Tasmania has produced some easy-to-read information on Anti D.

 

What will the termination feel like?

The bleeding will be heavier than a normal period and may include blood clots. You will experience some cramping and you are likely to feel more pain than with a usual period. You may feel sick and have vomiting and diarrhoea. You can use painkillers like Panadol but may need a stronger painkiller as well as medication to help with nausea.

 

How will I feel after the termination?

Most people who have made their own decision to terminate a pregnancy and have had appropriate support feel like they have made the right decision. Other people have mixed emotions and may feel sadness and loss.

Doctors and nurses at Family Planning Tasmania can help you with support and counselling. If necessary we can refer you or your partner for up to three consultations with either a Psychologist, Social Worker, or Mental Health Nurse (there may be a charge for this).

 

Medication termination after care information in easy English

Family Planning Tasmania has produced some easy-to-read information on what to do after you have a termination.

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