After an Abortion

After a medication abortion:

What to Expect
After taking the first pill (mifepristone) you may:
  • Have bleeding and cramps, however most people will not have any side effects from this medication.
After taking the second set of pills (misoprostol), you may:
  • Experience nausea, chills, cramps, upset stomach, fever, and diarrhea.
  • Have moderate to very severe cramps and increased bleeding 30 minutes to 4 hour after taking the 4 misoprostol pills. Cramps and bleeding will become more intense, usually until the pregnancy has passed.
  • Have clots as large as lemons.
  • Have very light bleeding or spotting for a few weeks afterwards.
Cramps
  • May be very intense as the pregnancy passes.
  • May reduce if you rest and apply a hot water bottle or heating pad.
  • Take ibuprofen (Motrin® or Advil®) or naproxen (Aleve®).Do not take ASA (Aspirin®) for pain – it may increase bleeding.

Call the emergency number you were given at your appointment or proceed to the nearest emergency room if you:

  • Soak 4 or more maxi pads in 2 hours.
  • Pass very large blood clots (larger than the size of a lemon).
  • Have a fever: 38.0° C or 100.4° F or higher for 4 hours in a row or develop a fever 24 hours after taking misoprostol.
  • Have chills or shaking 24 hours after taking misoprostol.
  • Have unusual vaginal discharge (green or yellow in colour) or discharge that has a bad odour.
Where to get help

Call the emergency number you were given at your appointment or proceed to the nearest emergency room.

The following are normal after a medical abortion:
Within 24-48 hours
  • Nausea, vomiting and breast tenderness lessen.
Within 1-2 weeks
  • Pregnancy symptoms (fatigue, bloating, and mood changes) lessen.
  • Pregnancy hormones can stay in your body after a pregnancy has ended. It is possible to still have a positive pregnancy test within 6 weeks of an abortion.

Within 4-6 weeks

  • You should have a normal period.

Important: You can get pregnant at any time after your medication abortion.

Follow up: It is very important to get your bloodwork done a week after your appointment and to be available for phone follow up.

Post-Abortion Counselling

We offer free post abortion counselling to those living in Manitoba, no matter where you had your abortion. if you would like to speak with someone about your abortion experience, please call contact counselling intake at 204-947-2422 ext. 204 to make an appointment.


After an aspiration abortion:

Important: Do not drive or make any important decisions for 24 hours. Take care of yourself.
Do:
  • Rest for today and take it easy for the next 24 – 48 hours
  • Drink lots of fluids and eat well-balanced meals
  • If you must travel for more than 1 hour, get up, stretch your legs and walk around for 5 – 10 minutes for every hour of travel
Avoid:
  • Heavy exercise and heavy lifting for 3 – 4 days
  • Alcohol and street drugs for 48 hours
  • Smoking for 2 hours after your procedure – it may make you dizzy
  • Inserting anything into your vagina for 1 week
  • Listen to your body – it will let you know when you’re ready to return to your usual activities
What to Expect:
  • Bleeding, blood clots and cramps are all normal after an abortion.
Bleeding:
  • May be light or none for the first 3 days after an abortion
  • May become heavier on the 4th or 5th day with clots, dark bleeding and cramps
  • Can range from no bleeding to a very heavy menstrual period
  • Light bleeding or spotting may last 2 – 4 weeks after an abortion
  • May increase with physical activity
Blood Clots:
  • Could be as large as a lemon any time within 4 weeks following your abortion
Cramps:
  • Happens because the uterus is returning to its usual size
  • Lessens if you rest and apply a hot water bottle or heating pad
  • Take ibuprofen (Motrin® or Advil®) or naproxen (Aleve®) for pain
  • Do not take ASA (Aspirin®) for pain – it may increase bleeding
Call the emergency number you were given at your appointment or proceed to the nearest emergency room if you:
  • Soak 4 or more maxi pads in 2 hours
  • Pass very large blood clots (larger than the size of a lemon)
  • Have a fever: 38.0° C or 100.4° F or higher
  • Have chills or shaking
  • Have unusually coloured vaginal discharge (yellowish or greenish) or bad odour
Still feel pregnant 2 weeks after your abortion? Where to get help:
Our staff can help you by telephone at 204-947-2422 ext. 200. You can also:
  • Call Health Links 204-788-8200 or 1-888-315-9257
  • Go to the Emergency Department (HSC if in Winnipeg) or your nearest hospital
The following are normal after an abortion:
Within 24-48 hours
  • Nausea, vomiting and breast tenderness lessen. Nipples may leak fluid.
Within 1-2 weeks
  • Pregnancy symptoms (fatigue, bloating, and mood changes) lessen.
Within 4-6 weeks

Important: You can get pregnant at any time after your procedure.

Post-Abortion Counselling

We offer free post abortion counselling to those living in Manitoba, no matter where you had your abortion. if you would like to speak with someone about your abortion experience, please call contact counselling intake at 204-947-2422 ext. 204 to make an appointment.