Medical Abortion RU486
At Little Rock Family Planning Services we offer medical abortion RU486 services up to 8 weeks LMP.
You must be 56 days (8 weeks) or less from your last period by ultrasound. You will be required to have at least 2-3 visits. Your first visit will be for ultrasound, and consultation with the physician.). The second visit you will receive your medications for the medication abortion. Follow up is required and options can be discussed to meet your individual needs.
The fee for medication abortion covers Rhogam if needed and all medications except for narcotic pain medication that must be obtained at a pharmacy. The charge will cover the costs of a surgical abortion in our clinic if the medications fail to cause a complete abortion. Additionally the fee covers a follow up visit in 4 weeks. The fee does not cover medical care obtained outside our clinic. A surgical abortion is necessary in less than 5% of cases.
Please call our office for information about fees.
Facts About Mifepristone (RU486)
What is Mifepristone?
Mifepristone is a medication that blocks the action of the hormone progesterone. Progesterone is needed to sustain a pregnancy. Mifepristone has been used, in combination with other medications called prostaglandins, for medical abortion since 1988 in France and China, and since the early 1990’s in the United Kingdom and Sweden. It has been more recently licensed in nine other European countries and Israel. Millions of women worldwide have safely used Mifepristone regimens to end their pregnancies.
How Mifepristone works to end pregnancy
Mifepristone blocks the action of progesterone, which is needed to sustain a pregnancy.
This results in:
- Changes in the uterine lining and detachment of the pregnancy
- Softening and opening of the cervix
- Increased uterine sensitivity to prostaglandin
- Mifepristone is used in combination with another medication, a prostaglandin called Misoprostol (Cytotec). Misoprostol causes the uterus to contract, and helps the pregnancy tissue to pass.
How effective is the combination of Mifepristone and Misoprostol in terminating an early pregnancy?
The orginal FDA approved regimine was approximately 95% effective in achieving a complete abortion when using Mifepristone/Misoprostol up to 49 days after the first day of the last menstrual period. Newer evidenced based regimens are more effective and allow you to administer the second medication at home.The new research has also demonstrated the safe and effective use of this combination of medication later in the pregnancy than the original 49 days. Follow up to ensure the abortion was successful is needed. Some women will need an aspiration abortion.
Treatment regimen with Mifepristone/Misoprostol
Please note: After FDA approval of Mifepristone/Misoprostol there has been new clinical data about the effectiveness of various regimes that vary from the one that the FDA approved. We are using one of these regimes that have been shown to be safe, effective and are more convenient for women using the method.
Possible side effects of a Mifepristone abortion
Side effects, such as pain, cramping and vaginal bleeding, result from the abortion process itself, and are therefore expected with a medical abortion. Other side effects of the medications themselves may include nausea, vomiting, diarrhea, chills, or fever. Complications are rare, but may include excessive vaginal bleeding requiring transfusion (occurs in approximately 1 in 1,000 cases), incomplete or infection. If the medications fail to end the pregnancy, a suction abortion must be performed.
Reasons you may not qualify to have a medical abortion
- It has been more than 56 days (eight weeks) since your last menstrual period began as determined by ultrasound.
- If you have an IUD, it must be taken out before you use Mifepristone.
- You have problems with your adrenal glands (chronic adrenal failure) or severe heart, liver, or kidney problems.
- You take a medication to thin your blood.
- You have a certain bleeding problems.
- You take certain steroid medications.
- You cannot return for the follow-up visit(s).
- You cannot easily get emergency medical help should a problem occur.
- You are allergic to Mifepristone, Misoprostol, or medicines that contain Misoprostol (Cytotec).
- You are not sure that you want to end your pregnancy and you would be unwilling to have a surgical abortion if the medication abortion fails.