Follow these instructions: Most women can return to normal activities in 1 to 2 days after the uterus has cleared. Avoid strenuous exercise for 1 to 2 weeks. Do not have sexual intercourse for 1 to 2 weeks or as advised by your doctor. Be sure to use birth control when you start having sex again. And use condoms to prevent infection. For more information, see the topic Birth Control.
Do not rinse the vagina with fluids douche. This could increase your risk of infections that can lead to pelvic inflammatory disease. Normal symptoms that most women will experience after a medical abortion include: Bleeding or spotting for up to 14 days. Bleeding may last longer for pregnancies of more than 7 weeks.
Cramping for the first 2 weeks. Some women may have cramping like menstrual cramps for as long as 6 weeks. Call your doctor immediately if you have any of these symptoms after an abortion: Severe bleeding.
Both medical and surgical abortions usually cause bleeding that is different from a normal menstrual period. Severe bleeding can mean: Passing clots that are bigger than a golf ball, lasting 2 or more hours.
Soaking more than 2 large sanitary pads in an hour, for 2 hours in a row. Bleeding heavily for 12 hours in a row. Signs of infection in your whole body, such as headache, muscle aches, dizziness, or a general feeling of illness. Severe infection is possible without fever. Severe pain in the belly that is not relieved by pain medicine, rest, or heat Hot flushes or a fever of If bleeding does not occur, then the medicines may not be working.
A second dose of misoprostol may be needed. Methotrexate and misoprostol may take up to 3 weeks to be effective. Bleeding not spotting for longer than 2 weeks New, unexplained symptoms that may be caused by medicines used in your treatment No menstrual period within 6 weeks after the procedure Signs and symptoms of depression. Hormonal changes after a pregnancy can cause depression that requires treatment. The old laws are also beginning to face challenges in the courts and are being attacked on a variety of constitutional grounds.
The ratio of in-hospital abortions to live births in New York City was approximately one to for private patients and something like one to 10, in municipal hospitals. At the same time the women whose deaths were associated with abortion in New York City in a typical year were 56 percent black, 23 percent Puerto Rican, and 21 percent white.
The to 10, in-hospital abortions contrast, of course, with the estimated one million performed outside hospitals annually. Generally speaking, the laws do not distinguish in their prohibitions of abortions between doctors and nondoctors. Moreover, the out-of-hospital abortions performed by doctors are obtained by the same group which accounts for the bulk of the in-hospital abortions: the middle- and upper-income white woman who can afford the hundreds or thousands charged for expert medical service outside the law.
But most of the old laws on abortion remain unchanged on the statute books. In a few states, like Connecticut or Missouri, the law says that the abortion may be performed to save the life of the child as well as that of the mother, although no one is sure what this means. As a matter of fact, no one knows what the laws which permit abortion to save the life of the mother mean.
Is it enough that the pregnancy if it comes to term will seriously damage the mother's health? Or will result in the birth of defective offspring?
Clearly, a number of doctors think the answer to these questions is yes, since abortions, especially on white women with good incomes, are routinely and openly performed in some hospitals in most states and the prosecuting authorities do nothing about it. So why do the abortion laws stay on the books? One reason is the apparent inability or unwillingness of those who advocate population limitation to see the connection. This does not apply to Planned Parenthood-World Population, which in November, , passed resolutions calling for repeal of the abortion laws in support of its declared policy of voluntary parenthood.
By , almost all the major religious groups in the United States except the Roman Catholic Church were on record in favor of abortion-law reform or repeal. Medication abortion usually is done in a hospital or clinic where you can be monitored throughout the procedure. Medical abortion in the second trimester usually takes 12 to 24 hours to be completed.
The medications used may be placed in the vagina, taken by mouth, injected into the uterus, or given through an intravenous IV line.
These medications cause the uterus to contract and pass tissue. Medication to relieve pain usually is given. Regional anesthesia , such as an epidural block , may be an option. The medications usually cause the abortion to begin within 12 hours.
The abortion usually is complete within 12 to 24 hours, although the timing can vary. The medications may cause side effects such as nausea, fever, vomiting, and diarrhea. Medications to manage these side effects can be given as needed.
Talk with your health care professional about whether you can go home the same day. Abortion is a safe procedure. Major complications requiring hospitalization are rare. As with any medical procedure, there are risks. These risks can include:. Incomplete abortion—In rare cases, the pregnancy is not removed completely.
When this happens, a follow-up procedure or more medication may be needed. Incomplete abortion is more likely to happen with medication abortion than with a procedure. Infection—Your health care professional may prescribe antibiotics to prevent infection. Antibiotics also can be used after an abortion to treat an infection if one develops.
Heavy vaginal bleeding or hemorrhage —Some bleeding during and after an abortion is normal. If you have heavy bleeding, call your health care professional. Injury to the uterus and other organs—During a procedural abortion, the uterus, bowel, or bladder can be injured. If this happens, additional surgery at a hospital may be needed to repair the injuries. Rarely, the uterus or cervix can rupture tear during a second-trimester medication abortion.
The risk of these complications during a second-trimester abortion is less than 1 in 1, The risk increases the longer a woman has been pregnant. You and your health care professional should talk about what medications you can take for pain.
Ibuprofen or acetaminophen may be an option. You may get a prescription for stronger pain relief if needed. In most cases, it is safe to go back to normal activities soon after an abortion. Your health care professional should explain if you need to limit your activity.
Periods usually return 4 to 6 weeks after an abortion. You can get pregnant even before your period returns. Some birth control methods can be started right away, even the same day as an abortion.
The options include. The IUD and implant can be placed right after a procedural abortion. With a medication abortion, the implant can be placed at the time of the first abortion pill or you can get an IUD once your abortion is complete.
A cervical cap or a diaphragm can be used starting about 6 weeks after a second-trimester abortion. This gives the cervix time to return to its normal size.
Condoms can be used any time after an abortion to prevent pregnancy and sexually transmitted infections STIs. Abortion has been legal in the United States since , but health care professionals are not required to provide abortion care.
If your health care professional does not provide abortion care, you should be referred to a professional who will. There also are local and national resources that can help you find abortion care. Book an appointment Call Find a clinic.
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