The Ultimate Guide to Medical Abortion in Johannesburg
A medical abortion in Johannesburg is when abortion pills mifepristone and misoprostol are used together to terminate a pregnancy under 10 weeks done either at the clinic or self managed at home.
Key Points
- Medical abortion is a safe, non-surgical method.
- It is more effective within the first 10 weeks of pregnancy.
- Common side effects include cramps and light bleeding.
- Available at licensed women’s clinics in Johannesburg.
- Always done under professional medical supervision for safety.
What Is a Medical Abortion?
A Medical Abortion (medication abortion) is a nonsurgical way of terminating a pregnancy in the first trimester without surgery. This procedure uses prescribed pills mifepristone and misoprostol which the FDA first approved Mifeprex in 2000 and approved a generic version of Mifeprex, Mifepristone Tablets, 200 mg, in 2019.
Mifepristone blocks progesterone hormone needed to support a pregnancy. Misoprostol causes cramping compared to strong period pains and bleeding to empty your uterus. This pregnancy termination method is widely used in many countries all over the world and supported by healthcare professionals for its safety, privacy, and effectiveness.
Why is a medical abortion performed?
Having a medical abortion is a personal decision and there many reasons why a woman decides to end an early pregnancy safely with pills. Common reasons may include:-
- Personal circumstances: A woman may feel like she’s not ready to have a baby
- Health concerns: The pregnancy poses a high risk to the woman’s life.
- Fetal diagnosis: The fetus has an unexpected health problem.
- Treating a Miscarriage: Abortion pills help expel remaining tissue when a miscarriage hasn’t occurred on its own.
How Many Weeks Can You Have an Abortion?
In South Africa In South Africa, abortion is legal up to 20 weeks under the Choice on Termination of Pregnancy Act (Act No. 92 of 1996). This law ensures that any woman has the right to choose to terminate a pregnancy for any reason within the first 12 weeks.
From 13 to 20 weeks of pregnancy, abortion is permitted if specific conditions are met:
- The pregnancy is the result of rape or incest.
- The pregnancy poses a risk of injury to the woman’s physical or mental health.
- There’s a substantial risk that the foetus would suffer from a severe physical or mental abnormality
- If continuing the pregnancy would significantly affect the social or economic circumstances of the woman.
How Does a Medical Abortion Work?
A medical abortion in Johannesburg begins with having a one on one a consultation with a doctor ore registered nurse. The steps followed may differ slightly but might involve:-
- Confirming the pregnancy.
- Urine tests / ultrasound scan may be done.
- You will then be briefed on how the abortion process works.
What happens during a medical abortion?
Step 1
You will start by taking mifepristone (Mifeprex® or RU-486). It can be dissolved under the tongue or swallowed with water. This medicine works by blocking the hormone progesterone, which is needed for the pregnancy to continue. Without progesterone, the uterine lining thins, and the pregnancy cannot stay attached.
Step 2
Within 24 to 48 hours of taking mifepristone, you can take misoprostol, which is inserted vaginally. Misoprostol (Cytotec®) causes your uterus to contract, bleed, and expel the pregnancy. Most people start to feel the side effects from the medicine within a few minutes, which might include nausea, chills, or cramping.
Step 3
After taking misoprostol, you may start to feel nausea, vomiting, and cramping similar to period pains. These are temporary side effects of the medication and will gradually go away on their own. Bleeding is expected within 4 to 6 hours, although the timing and flow can vary from person to person.
What Are the Side Effects of Abortion?
During the termination, nearly every woman encounters a range of side effects resulting from medication, and it is important to recognize that the side effects of abortion can vary significantly from one individual to another. The side effects might include:-
- Nausea
- chills
- Fever
- Vomiting
- Diarrhea
- Severe to mild cramping
How does passing an abortion look like?
Passing an abortion usually looks like a heavy period and may include cramping as the uterus empties. You may also see blood clots and some pregnancy tissue.
Possible Risks of a Medical Abortion
Abortions, when performed by trained medical professionals and at the correct gestation period, are considered very low-risk procedures. However, the likelihood of complications increases as the pregnancy progresses and is significantly higher in cases of unsafe or illegal abortions. Possible complications might include:
- Infections.
- Incomplete abortion.
- Future preterm birth
- Or even death
📌 Learn More :- The Common Abortion Risks You Need To Know ↗
Why Is Medical Abortion Preferred?
Medical abortion is a common choice in South Africa because it’s a simple and safe way to end an early pregnancy. Other key reasons for its preference include:-
- No anaesthetic is needed.
- It carries more risks compared to surgical abortions
- It’s offers more privacy and be self-managed at home.
- It feels more natural similar to having a heavy period or miscarriage.
- Medical abortions are more affordable.
The choice between a medical and surgical abortion is a personal choice usually based on individual circumstances and previous medical history. To learn more read our blog post on the best abortion method for you.
Does medical abortion affect fertility?
No, medical abortion does not cause long-term fertility problems. According to current medical evidence, an uncomplicated medical abortion also does not increase the risk of ectopic pregnancy or breast cancer.
⚖️ Legal & Access Information
Abortion is legal in South Africa up to 12 weeks on request, and up to 20 weeks under certain conditions. Safe, confidential abortion services are available at licensed private clinics and government hospitals country wide.
If you’re unsure where to go or if you’re traveling from another Southern African country, click here to learn more about legal access and cross-border options.
Mifepristone
Mifepristone the first abortion tablet used in a safe and effective medical abortion. It works by blocking the hormone progesterone, which is essential for pregnancy to continue. This causes the lining of the uterus to break down, stopping the pregnancy from growing.
Misoprostol
Misoprostol the second abortion medication used in the medical abortion process, taken 24 to 48 hours after Mifepristone, works by causing the uterus to contract, helping the body to pass the pregnancy naturally similar to a miscarriage.
- It’s important to note that abortion medication has been shown to be safe and effective when used under medical supervision. Studies indicate that over 95% of women who follow the recommended protocol do not need any further medical intervention following their initial treatment.
Who Is Not Eligible for a Medical Abortion?
In South Africa, abortion is legal under the Choice on Termination of Pregnancy Act, 1996 (Act No. 92 of 1996), which gives every woman the right to choose a safe and legal abortion performed by a registered healthcare professional.
Women who are 12 weeks into the pregnant are not eligible to end a pregnancy using pills. It is also unsafe for those with certain health conditions like:-
- Blood clotting Disorders or anemia.
- Chronic adrenal failure
- Ectopic also known as tubal pregnancy.
- Women who are on long term use of steroids.
- And those with an intrauterine device. “IUD”
However should you find yourself in need of a safe abortion, It’s advisable to speak with a qualified abortion provider they will be able to advise accordingly or even consider you to opt for a surgical abortion procedure if that aligns with your needs and circumstances. It is essential to thoroughly understand all available options, as well as the potential benefits and risks associated with each abortion method.
Women who are 12 weeks into the pregnant are not eligible to end a pregnancy using pills. It is also unsafe for those with certain health conditions, including:
– An ectopic pregnancy (a non-viable pregnancy developing outside the uterus)
– Blood clotting disorders or anemia
– Chronic adrenal failure
– Long-term use of steroid medicines
– Inherited porphyrias (rare blood disorders)
– Intolerance or allergy to mifepristone or misoprostol
You shouldn’t use abortion pills if you have an intrauterine device; it needs to be removed before taking the pills. People with these conditions still have options for terminating their pregnancies. It’s advisable to speak with a qualified abortion provider or an abortion-informed healthcare professional to discuss your next steps. If you’re experiencing symptoms of an ectopic pregnancy, seek immediate medical attention.
Determining the legality of abortion is a complex issue that heavily depends on geographic location, as each country has its own set of laws and regulations governing pregnancy termination. For instance, some countries have enacted comprehensive bans on abortion altogether, effectively prohibiting the procedure under almost all circumstances. In contrast, there are nations where the termination of pregnancy is legal;
however, even within these jurisdictions,these regulations often dictate critical factors such as how far along a person can be in their pregnancy to qualify for an abortion. Some countries may allow procedures only during the first trimester or impose additional restrictions based on personal circumstances such as health risks or instances of rape.
Is Termination the right option?
When faced with an unplanned pregnancy, it’s crucial to understand that you are the only person who can determine whether continuing with the pregnancy or terminating the it would be the right option. Your personal values and life goals are unique, hence making you the best judge of what’s appropriate for your current situation.
When sure about your decision its then advisable to contact a reputable women’s clinic near you to have necessary assessments done and determine if your suitable for the procedure. Post-abortion counselling will be provided as a precautionary measure to determine why you considering abortion and possibly rule out other considerations you might not have thought about .
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- After your health education session, you will go to the exam room for the abortion procedure. The physician will review your medical history with you, and answer any questions or concerns you have.
- Your surgical abortion will be performed, and should take about 5-8 minutes (in the 1st trimester)
- When your procedure is complete, a medical assistant and another provider will take you to the recovery room. There, you will rest for 30-60 minutes.
- In the recovery room, we can give you medications to help with cramping. We will also review your aftercare instructions and medications. A nurse will monitor your heart rate, blood pressure, breathing and oxygenation, temperature, and bleeding, and offer you a snack and a drink. When you’re ready to go home, we will contact your ride for you.
For more information about surgical abortions, please
Ethical Considerations of Termination of Pregnancy
s://www.sahealth.sa.gov.au/wps/wcm/connect/83a92880452d4a61835cd3005ba75f87/Final+abortion+ethical+considerations+March+2024.pdf?MOD=AJPERES&CACHEID=ROOTWORKSPACE-83a92880452d4a61835cd3005ba75f87-oUMQezM
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There are a range of moral and ethical issues which may arise about unplanned pregnancy
and abortion. At the Pregnancy Advisory Centre we support a woman or pregnant person’s
right to make their own decision about their pregnancy, based on their unique circumstances,
in relation to their own personal values. This information is not intended to tell a pregnant
person what they should think about abortion, it aims to explore some the ideas and dilemmas
that some people face when making a decision about an unplanned pregnancy.
It is always advisable to visit a reputable women’s clinic near you in order
Pro-Choice Vs. Pro-Life: Understanding Both Stances
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Finding Legal Abortion Providers
Women seeking abortion services need to be aware of pregnancy crisis centers.
Women seeking abortion services, can use searches like “abortion clinic near me,” and locate legal abortion providers closest to them. It is also important to note that availability and services may vary by location, and some abortion clinics may require initial consultations before scheduling the procedure.
Alternatively with the latest developments in women’s healthcare, pregnant women less than 12 weeks into the pregnancy can remotely access pregnancy termination services via Telehealth platform also know as Tele-Abortion services. This option allows women to consult online, and even order abortion medication online without physically visiting an abortion clinic.
Costs and Insurance Coverage for Termination of Pregnancy
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Our staff will file claims for you with health care insurers or other programs such as Medicaid. They also will help your doctor with needed documentation. Medical bills and insurance coverage are often confusing.
If you have questions about your bill, please contact our office.
If you need help understanding your insurance coverage or health plan, start with our insurance company or health benefits manager.
If you do not have health coverage, we will try to help you and your family find financial help or make other arrangements. We need your help with collecting needed information and other requirements to obtain coverage or assistance.
When it comes to your medical Aid insurer covering for the pregnancy termination costs, they might be
Patient Rights and Confidentiality
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Aftercare and Recovery Following Termination of Pregnancy
After undergoing an abortion, it is common for some women to experience a wide array of strong emotions and notable mood changes in the days and weeks that follow the procedure. These emotional fluctuations can be largely attributed to the sudden and significant change in hormone levels that occurs as the body adjusts to the absence of pregnancy.
Many may feel inclined to seek comfort and understanding from close friends or family members during this vulnerable time. Having trusted individuals who can listen without judgment or offer empathy can make a significant difference in how women process their experiences post-abortion.
Additionally, professional support from counselors or therapists who specialize in reproductive health may also be beneficial for those who are struggling with their emotions after an abortion. These professionals can provide coping strategies on how to manage mood changes effectively and also guidance on how to properly care for yourself in this era while fostering a safe space for women to express their thoughts and feelings openly.
Physical Recovery Tips and Timelines
Recovering from an abortion is a critical and often overlooked aspect that deserves careful consideration. The physical and emotional impact of this procedure can be significant, requiring thoughtful self-care and support to navigate the healing process.
It is essential that individuals who have undergone a pregnancy termination to be provided with the resources, information, and compassion needed to address the unique challenges they may face during this sensitive time. Addressing the recovery phase holistically, with attention to both the bodily and psychological needs, can help ensure a smoother transition and promote long-term well-being.
Legal Considerations for Medical Pregnancy Termination
Women who have undergone a medical termination
The Process of a Medical Abortion
What to Expect!
The first step in a medical termination process is scheduling a consultation with a qualified healthcare provider, either via a Telehealth platform or in-person at an abortion clinic. During this appointment, an ultrasound or other tests will determine the pregnancy’s gestational age and discuss your health history.
If suitable for abortion medication, your healthcare provider provider will guide you on how to take the medication. The medication will either be self administered in your own privacy at home under the supervision of the doctor or get the whole abortion procedure done at the clinic premises. You will also receive instructions on managing potential side effects and when to return for a follow-up appointment.
Post-Abortion Recovery
Most people feel fine after a medical abortion if they just rest for a while. It’s normal to take it easy for a day or two afterward, and then resume your usual activities. If your had self-managed abortion at home, your abortion provider will schedule a follow-up appointment after a few days to confirm that the abortion is complete.
If you had your abortion at a clinic, you usually won’t need to come back for any tests or follow-up visits unless you have any concerns. Recovery times vary. Most people feel better within a few days after a first-trimester abortion, though it can take longer for later procedures or if complications occur. Our Post-Abortion Recovery Guide outlines what to expect during recovery, how to manage normal side effects, and when to seek medical help.
How Much Do Abortion Services Cost?
Abortion costs in Johannesburg can vary depending on the clinic, the stage of pregnancy, and the type of care included in the service (such as ultrasounds or follow-up visits). At Carlton Women’s Clinic, we aim to keep our pricing clear and affordable, but it’s important to know what may or may not be included in a quoted price.
For a detailed breakdown of possible additional charges and how to avoid unexpected expenses, see our guide on The Hidden Costs of Abortion: What You Need to Know ↗
Cost of a Medical Abortion
Across Johannesburg, the average cost of a medical abortion typically ranges from R1000 to R2,000. Prices can vary based on factors such as how far along the pregnancy is and what level of after-care support will b included.
Cost of Abortion Pills
The abortion pill cost alone in South Africa usually ranges from R599 to R1,200, depending on where it’s obtained and whether medical supervision is included. It’s important to only use approved abortion pills (Mifepristone and Misoprostol) from a registered women’s clinic to ensure safety and effectiveness.
Where to Get a Medical Abortion in Johannesburg
When choosing where to have a medical abortion, it’s important to make sure the provider is licensed and legally approved to offer abortion services. You can safely get a medical abortion from a licensed women’s clinic, a registered healthcare provider, or through a telehealth consultation if you’re less than 12 weeks pregnant.
Although there may appear to be many abortion providers when you search online, not all are trustworthy or licensed to offer pregnancy termination services. Here are a few reputable providers you can contact:-
Public providers (free)
In South Africa, safe abortion services are available for free at government hospitals and public health clinics. However, many women choose to visit private women’s clinics because they offer shorter waiting times, greater privacy, flexible appointments. Learn more on How To Choose And Find Legal Abortion Providers Near You. ↗
Private providers (fee-based)
Private clinics play a crucial role in ensuring access to abortion services.These clinics typically provide their services for a fee, but they often maintain high standards of professionalism and medical expertise. Among the most reputable providers countrywide are:-
- Carlton Women’s Clinic Johannesburg: A trusted abortion provider offering safe, professional and affordable medical and surgical procedures in johannesburg and other major cities. Many clients have shared positive experiences and appreciated the clinic’s compassionate care.
- Abortion Support South Africa: This organization provides a telemedicine service, allowing for at-home, pill-based abortions after an online consultation with a nurse.
- Cavewell Abortion Clinic: A registered women’s clinic providing a range of reproductive health services, including safe and legal abortion. They offer pregnancy termination up to 2o weeks, but it’s best to confirm the exact legal limit based on how far along you are.
Cross-Border Access from Southern Africa
Women who have undergone a medical termination
Myths and Facts About Medical Termination of Pregnancy
Women who have undergone
Additional Resources and Support
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