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The abortion pill should not be confused with the morning after pill as it is intended for use within the first 12 weeks of pregnancy whereas the morning after pill should only be used within 3 to 5 days after intercourse. The abortion pill, mifepristone and misoprostol, is an approved pregnancy termination method in South Africa and can only be prescribed by a medical doctor.



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Both abortion pills, mifepristone and misoprostol, are usually used in order to terminate a pregnancy. Mifepristone causes the embryo to detach from the uterus thereby cutting off essential nutrients and oxygen carried by the blood. Misoprostol is then taken two days later and triggers the evacuation of the embryo remnants through the vagina. This often appears as a heavy period.



It is advisable that you consult with your medical practitioner for a further understanding of how the abortion pill works.



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The abortion pill is usually safer than a medical abortion or surgical abortion but should only be considered in the first 12 weeks of pregnancy. Like any procedure, use of the abortion pill can result in complications but if used under the supervision of a medical doctor, the chances of complications are greatly reduced. Your doctor will be best suited to handle any complications should they arise.



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The abortion pill may cause a disturbance in your normal menstrual cycle in some users but usually there are no significant dangers associated with using the abortion pill. However using the abortion pill without the supervision of a medical practitioner or after 8 weeks of pregnancy can be dangerous. Uncontrollable bleeding, severe cramping and infections can arise without correct supervision and for this reason, you should never buy or use the abortion pill from illegal sources.



Always consult with your doctor or a qualified staff at a family planning clinic before you commence with any abortion method.



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 2: How many weeks is my pregnancy?

If you are pregnant but don&rsquo;t want to be, you may decide to have an abortion. 1 in every 3 women will have an abortion in their lifetime.



The length of your pregnancy will help determine how to safely and effectively undergo an abortion with pills. Estimating the length of a pregnancy is simple, though often misunderstood. If you have a calendar on hand, you can use it for reference.



First, think back to the last time you got your menstrual period. What day did the bleeding start? If you&rsquo;re using a calendar, circle that date. Then count the number of weeks and days from that day until today&rsquo;s date. This is how many weeks and days your pregnancy is.



Let&rsquo;s use an example. Meet Sofia. Sofia&rsquo;s last menstrual period began on September 13th, and today&rsquo;s date is October 28th. How far along is her pregnancy?



To find out, Sofia marks September 13th on her calendar and begins to count the number of weeks until October 28th. She counts from September 13th to September 20th as one week, from September 20th to September 27th as two weeks, from September 27th to October 4th as three weeks, and so on. She continues like this until she reaches October 25th, which she marks as 6 weeks. Since there are no more full weeks between October 25th and 28th, Sofia counts by days. October 26th counts as one day, October 27th counts as two days, and October 28th counts as three days. This means that Sofia is 6 weeks and three days pregnant.



If you are not sure when your last menstrual period was, you can also go to a health care facility to get an ultrasound to estimate how many weeks pregnant you are. But an ultrasound is not mandatory before having an abortion with pills.



Keep in mind that it is not always necessary to know the exact number of weeks or days pregnant that you are. As long as you are less than 13 weeks pregnant, you can safely and effectively have an abortion with pills as described in this video course.



In our next video, we answer the question, &ldquo;How does an abortion with pills work?&rdquo;









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