Here's What a ‘Self-Managed’ Abortion Actually Means and Entails, According to a Certified Nurse Midwife

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Here's What a ‘Self-Managed’ Abortion Actually Means and Entails, According to a Certified Nurse Midwife
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The term can be a little confusing.

are one of the most popular methods of ending a pregnancy and are an option for pregnant people up to 10 weeks of gestation. A 2018 review by the National Academies of Sciences, Engineering, and Medicine found that abortion medication ended pregnanciesIn 2020, medication abortion accounted for 54 percent of all abortions, according to a report issued by the. “Research shows that self-managing an abortion with abortion pills can be safe and effective,” says Severino Wynn.

“To begin the abortion, you will first take mifepristone to block the hormone progesterone,” she says. “Without progesterone, the lining of the uterus breaks down and pregnancy cannot continue. Most people do not have any symptoms or feel different after taking the mifepristone. The second medication, misoprostol—which is taken either right away or up to 48 hours after taking the first pill—will cause cramping and bleeding similar to a heavy period or miscarriage to empty the uterus.

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