How the EMA happens
- You will be given two sets of medications which together, cause effects similar to a miscarriage.
- The first set of medications (Mifepristone) at home, then the second set of medications (Misoprostol) is also taken at home 24-48 hours later.
- You should not expect to work on the day of the second set (misoprostol), and possibly the next day. After that you should be fine to go back to work.
- You should expect bleeding and cramping to start 30 minutes after taking the second set of medication (ranging from mild to severe) which can last up to 3 weeks.
- A special low sensitivity urine pregnancy test is required around 3 weeks later to ensure the termination is complete.
- It is highly recommended that you have someone to support you at home for at least the first 24 hours after taking the second set of medications.
After both sets of medication
- Bleeding and cramping are side effects of the EMA.
- Nausea and vomiting, Fever and chills are common side effects of misoprostol (the second step).
- A prescription for medications to help with pain and cramping can be provided.
- Complications are rare but there is a chance that the medical abortion will be unsuccessful (approx 2%) requiring a surgical procedure.
- A contact phone number will be given for support through the EMA and any concerns afterwards.
Contraception options will be discussed. If you live in Waitemata or Auckland areas you can get free LARCs or IUCDs at Auckland Medical Aid Centre. Some methods of contraception can be started at the time of, or shortly after the medical abortion tablets are taken.