Before the medically induced abortion can be initated, you will be vaginally scanned to determine how far along the pregnancy is.

You need to buy pain relieving medication, so that you can treat any pain that might occur during the abortion:

• Paracetamol (for example Pamol, panodil or Pinex)
• Ibuprofen (for example Ibumetin, Brufen or Ipren)

You can buy these at the pharmacy or in most grocery stores.

It is important that you have an adult with you, who can support and help you.

You need to take one tablet of Mifegyne 24 to 48 hours before the abortion. We will set the precise time with you. The medicine will be supplied by us.

Mifegyne will stop the development of the pregnancy. It has side effects such as nausea, pain and vaginal bleeding.

Some feel nausea and throw up after taking Mifegyne. If this happens within an hour after you took it, you need to contact the clinic.

You place 4 tablets of Cytotec as far up into the vagina as possible. A nurse can help you, if you find it too difficult. It is important with at least 24 hours between Mifegyne and Cytotec.

The Cytotec tablets initiate the abortion by inducing the uterus to contract and empty itself. Then you lie down for an hour, so that the medicin is absorbed into your body. After one hour it is important to get up and walk around, because it will make the medicine work better. When you get up after one hour, the tablets might fall out, but that is normal. The mucous membrane has absorbed, what it needs.

Simultaniously you will get pain relieving medication 2X500 mg Paracetamol and 2X200 mg Ibuprofen.
We recommend that you take this continously every 6 hours for the next few days. We also recommend the use of a heating pad.

You will be discharged, when the abortion is complete, and we asses the vaginal bleeding is fine.

It is normal within the first hours to have:

• heavy bleeding with clots. You might need to change pad a couple of times every hour within the first hours, when the bleeding is in its strongest. This will normally decrease again. Typically the abortion will happen within 4-6 hours.
• strong abdominal cramps, which will decrease within the next 24 hours.

You will have a blood sample taken, before we initiate the abortion. The blood sample measures the pregnancy hormone in your blood. You will talk to a nurse about when the blood sample has to be taken.

The blood sample will show us if the pregnancy hormone is decreasing as it should, so it needs to be meassured again within 8-10 days after the first blood sample.
The first blood sample is used as a reference point, so after the second one has been taken, you need to call Clinic of Women's Diseases for the result.
The secretary can be contacted on week days at +45 78 42 99 01 between 13-14 PM.

It is normal to experience bleeding heavier than your regular period for one week. After that it should decrease.

It is normal to bleed 3 to 4 weeks in total. The bleeding should be decreasing in this period.

As long as you are bleeding you must avoid

• bathtubs, swimming pools, swimming in lakes/the sea
• intercourse without a condom
• tampons/menstrual cups.

You need to consult a doctor if you:

• experience bleeding heavier than your regular period (aside from the first week)
• severe lower abdominal pain (besides the first days)
• fever
• foul-smelling vaginal discharge

Call the Clinic and Ward of Women's diseases, if you experience any signs of infection within the first 24 hours.

After the first 24 hours you have to call your general practioner or the medical emergency service.

Abortion can be a big descision and for some a hard experience. It is normal to be both relieved, happy and sad. Some cry more easily. Some feel a psycical and psychologically emptiness. It is also normal to have decreased sex drive for a while.

You may feel the need to talk to family or a good friend about your situation and/or you can make an appointment with your general practitioner.
And remember that men and women can react differently, so maybe the man also needs support and someone to talk to.

It is also possible to contact Mødrehjælpen on phone number +45 3345 8640.

If your blood type is rhesus negative, you need to have an injection with Anti-D not more than 72 hours after the abortion. Anti-D prevents your body from forming antiboddies which can be harmful to a fetus in a future pregnancy.
If you need to have Anti-D, we will arrange it with you.

You can expect your next period to be delayed due to the abortion, so it is very important to use birth control.
Be aware that the ovulation happens before the period. This means you can get pregnant again before you next period. It is important, that you have decided your future contraception before the abortion.
The next period will typically be within 4-6 weeks after the operation.

• If you want to use birth control pills, you should take the first pill on the same day that you have the abortion.
• If you want a IUD, your general practitioner can place it at the end of your period. Until then use a condom.

It is not necassary to take a sick leave, but you should take it easy for a couple of days after the abortion.

It is normal to feel nauseous, tension in the breasts, hot flashes and be tired because of the pregnancy hormones, that hasn't left the body yet. The symptoms should be descreasing. If they don't, you need to call your general practioner.

It can be due to vaginal bleeding, pains or questions about the abortion.

The first 24 hours you can contact Ward of Women's diseases. Afterward you can contact your general practitioner or emergency health service.

• experience heavy vaginal bleeding a week after the abortion.
• experience symptoms of pelvic infection such as fever, foul-smelling vaginal discharge or bleeding.
• wishes to get more information about contraception (your general practioner)