In Episode 4 of our series on safe abortion, learn how both mifepristone and misoprostol abortion pills work. This video is part of an eight-chapter instructional series co-produced by Doctors Without Borders/Médecins Sans Frontières (MSF) and HowToUseAbortionPill.org. The intention behind these videos is to help ensure that abortion with pills is conducted in a safe, accessible, secure, and respectful manner. In these videos, we'll be taking you through a helpful guide on what to expect before, during and after an abortion with pills.

To get free access to safe abortion information, click here - https://www.howtouseabortionpill.org

HowToUseAbortionPill.org also offers this video series in 26 additional languages at https://bit.ly/3EkMTkz

To find resources specific to your country, click here - https://www.howtouseabortionpill.org/...

Read more about how to ensure a safe abortion with pills from MSF at https://bit.ly/30XJVnC

The information and materials provided by MSF in these videos are intended for general information, general discussion, and education only. Nothing contained in these MSF materials is intended to be a substitute for professional medical care. By providing this information, MSF is not engaged in the practice of medicine, nursing, or the provision of any health care service.

MSF hereby disclaims any and all liability to any party for any direct, indirect, implied, punitive, special, incidental or other consequential damages arising directly or indirectly from any use of the materials shared, which is provided as is, and without warranties.

Video transcript:
Lesson 4: How do I take mifepristone and misoprostol to have an abortion before 13 weeks?
The information about an abortion with pills in this video is intended for pregnancies less than 13 weeks. Pregnancies that are 13 weeks or more need a different approach.

For an abortion with mifepristone and misoprostol, you will need to take one 200mg pill of mifepristone and four to eight 200mcg pills of misoprostol. You’ll also want to have a painkiller on hand, like ibuprofen, to help reduce pain. Acetaminophen and paracetamol do not work for pain during an abortion so they are not recommended.

Here’s how mifepristone and misoprostol are taken together to end a pregnancy before 13 weeks:

Step 1: Swallow one 200mg pill of mifepristone with water.
Step 2: Wait 24-48 hours.
Step 3: Place 4 misoprostol pills (200 mcg each) under your tongue and hold them there for 30 minutes as they dissolve. You should not speak or eat for these 30 minutes, so it is good to be someplace quiet where you will not be disturbed. After 30 minutes, drink some water and swallow everything that is left of the pills. This is also a good time to take a painkiller like ibuprofen, as the cramping will start soon.
You should begin bleeding and cramping within 3 hours of using the 4 misoprostol pills.
Step 4: 24 hours after taking the 4 misoprostol pills, if you didn’t start to bleed, or if you are unsure that the abortion worked, place 4 more pills of misoprostol under your tongue. Hold them there for 30 minutes as they dissolve. After 30 minutes, drink some water and swallow everything that is left of the pills.

If mifepristone is available in your setting, then you can skip the next video and go directly to “What will I experience during an abortion with pills?”

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