Patient Services: Medication Abortion Overview
For individuals who prefer to end their pregnancy at home, PPINK offers an abortion pill option. This service is provided for those who are within 63 days of their pregnancy. Medications are prescribed by a physician and provided to you at your appointment. A small percentage of medical abortions fail. In these cases, surgical procedures are required to end the pregnancy.
Women obtaining an abortion in the state of Indiana must receive mandated information at least 18 hours prior to their abortion. This information must be provided in person. For more information about this requirement, contact us at (800) 230-PLAN.
On Day 1 of the treatment the doctor will administer a dose of Mifepristone in tablet form to swallow at the clinic. Mifepristone blocks the hormone progesterone. Without progesterone, the lining of the uterus breaks down, ends the pregnancy in the uterus, and causes vaginal bleeding.
Day 2 or 3 takes place at home or other comfortable location. Four tablets of another medication called Misoprostol are placed between the cheek and gum. After 30 minutes, remaining pieces of the tablets are swallowed. This medication causes the uterus to contract and empty. There will be some cramping and vaginal bleeding which may begin immediately or take up to 24 hours. A prescription is given to manage any discomfort. Within two to three weeks after the initial clinic visit, confirmation that the pregnancy has ended is confirmed by returning to the clinic for an ultrasound or by having blood work at a PPINK heath center or an outside lab.
Follow-up appointments are very important for women choosing the medication abortion. Candidates for the medication abortion option must be able to complete the regimen of drugs and to make between one and three visits to the clinic.
A woman cannot choose the medication abortion if she is...
More than 63 days pregnant
Taking anti-clotting medication or has blood clotting disorders
Has severe heart, liver or kidney problems
Has seizures more than once a week
Taking any medication that should not be combined with Methotrexate, Mifepristone or Misoprostol
Unable to return for follow up visits
Unwilling or unable to have a surgical abortion if the medication abortion is incomplete
Allergic to the medications
Has any condition that would invalidate her informed consent
Additional Information Related to Abortion Pill
Minors (under 18 years of age) must have parental consent from at least one parent. Minors unable to obtain parental consent or minors in extreme circumstances may seek a waiver of the consent requirement (Judicial Bypass) from their local court. For more information about Judicial Bypass, contact a local attorney or the American Civil Liberties Union of Indiana.
Additional Medication Abortion Information