dontwantit- ill go over everything that happens before the taking the four pills at home, since we have talked a lot about what happens after.
so when you go in to take the mifepristone, after signing a ton of papers and answering awkward questions lol, they will take your vitals first- blood pressure and a finger prick to check your blood type and iron levels.
you will have an ultrasonud done, and sarbear is right- its a vaginal ultrasound (when the pregnancy is this early, they can only do a vaginal ultrasound)
then youll probably have to wait some more like i did-- this part was the worst for me, i waited about an hour and it felt like 5 hours!
then they will 'educate' you on all the pills you will take home with you-- you will probably be given a bag with three bottles of pills in it, misoprostol, promethazine, and antiobiotics (if you ask for birth control pills, they will give you your first month to take with you too)
then the clinician will hand you the mifepristone and will watch you take it. (what the mifepristone does is it stops your body from producing pregnancy hormones, so the fetal tissue will stop growing and then detatches from the uterus- so its still inside of you but its loose tissue) this pill wont make you cramp or bleed
then you can go home after this, and the rest of the day will be normal- you dont have to stay home that day either
then one hour before you plan to take the misoprostol (also known as cytotec) you should take the promethazine- it helps with nausea (while i was pregnant, i had really bad nausea, so they told me to start taking promethazine the night before)
then either 24 or 48 hours after the mifeprestone, you will take the four cytotec(misoprostol) you might be informed to put two in each cheek and wait about 30 minutes for them to dissolve and then swallow the rest or your clinic may want you to insert them vaginally(i took them orally, two in each cheek- so i cant answer too many questions about this method) and what the misoprostol does is it dilates your cervix (this causes the cramps) and allows the loose tissue to expell from your body
make sure you are wearing pads and that you take tylenol right after the cytotec(misoprostol)
then this is the part where everyone will vary-- for me, exactly one hour after taking the cytotec, i threw up (not everyone gets nauseous from it though). and then i had the worst cramps i had ever experienced (and i have pretty bad period cramps but this worse) but the cramps are different for everyone. the intense cramps lasted for about 6 hours
bleeding started slightly after the cramps but was pretty light, about the same as a period for me, just with more stringy goopy clots- but bleeding can also vary for everyone. and you wont be able to see the actual egg and fetal tissue (its so small and theres no distinction between the blood clots and actual fetal tissue) the size of blood clots can also vary. but mine were small.
and if you cramps are as bad as mine were- this is what i did to try and just relax and forget about the pain. i just laid in bed with my knees bent up (it helped take some pressure off my pelvix bone and helped relieve some cramps) and just drink lots of liquids, plenty of water and also drink something you actually like, cause the familiarity will help you relax (i love yellow gatorade, so i drank at least half a gallon haha) and background noise helps me to sleep, so i had the tv on very low volume, and i just shut my eyes and tried to sleep with my knees bent. i fell asleep after about four hours of really bad cramps. then when i woke up and the cramps started to go away, i really didnt want to eat but my boyfriend (now fiance yay!!) tried to get me to eat so he gave me foods taht i actually like (once again, itll help you relax by eating what you enjoy) so i ate a couple bowls of raspberry orange and lime sherbert for dinner that night lol
the cramping was gone after the first day from taking the cytotec
the bleeding can continue for up to three weeks like we said before- mine lasted for ten or eleven days
just continue to wear pads and remember to take the antibiotics regularly until you run out.
hopefully this whole step by step helps someone out
wow this is a really long message...