What it's like to take the abortion pill

Date

Lydia Kae*

One woman's experience with RU-486.

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Photo: Simone Becchetti

My period wasn’t due for another few days, but I knew I was pregnant. The three previous pregnancies that blessed my husband and I with our cherished, healthy children began with the same symptoms: a creeping nausea, bleeding gums when I brushed my teeth, a sudden aversion to my morning cup of tea.

But there was no question of continuing this pregnancy. For personal reasons - health, family, employment - I knew it with unwavering certainty.

Living in regional South Australia, my local area health service was my only option. My GP was empathetic. Apologetically, he explained that before I could access a termination of pregnancy I would need to have a blood test and an ultrasound - the ultrasound to confirm gestation, and to ensure that it was within my uterus. It was the law, I had no right to informed refusal. More positively, a medical abortion was now available to me, an option less invasive or risky than surgical dilation and curettage.

However, for the ultrasound to be definitive I would need to be five to six weeks pregnant. And that day, at my GP’s office, I was merely three weeks and four days pregnant.

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During that long fortnight’s wait I became increasingly symptomatic, and swung between pragmatism, frustration and quiet sadness. I cared for my children, tried to keep busy, and tried not to think about what ticked inside my body.

Getting the blood test, the nurse remarked over the baby’s due date - close to Christmas. When I politely informed her I was having a termination she coloured and stuttered. When I made an appointment for the ultrasound, the receptionist asked, How many weeks? And then eventually, lying on the bed in the dimly-lit room at the imaging clinic, the sonographer turned the screen away as she inserted the transducer into my vagina. Everything is where it needs to be, she told me.

Finally, sitting in a consultation room at my local women’s health clinic with the licensed doctor and a nurse, I signed forms and consented to risks. The procedure, its side effects, and how it might feel were explained to me. I was given painkillers and antinauseants to take home and then, at last, I was handed a small, square foil blister pack containing a single, large, round tablet.

A medical abortion is essentially a forced miscarriage. Two drugs are used to induce menstruation: the first, mifepristone, more commonly known as the abortion pill or RU-486, is an anti-hormone that blocks progesterone, the hormone essential for a pregnancy to continue. Two days later a second drug named misoprostol is given that induces uterine contractions to expel the products of conception.

After taking the mifepristone I went home, flooded with sad, grateful relief. No side effects presented themselves after taking the medicine, although I still experienced strong morning sickness.

Two days later, on the morning of my second appointment, I lost a clump of blood-stained mucous. It was almost over. Returning to the clinic I was given four misoprostol tablets, tiny and hexagonal-shaped. The nurse helped me insert them buccally - between my cheek and lower jaw, two on each side, where they would dissolve over an hour and be absorbed into my bloodstream. The pills were tasteless, and I could talk and even drink water whilst they gradually disintegrated.

On the way home I felt apprehensive. I’d been told to expect anything from mild discomfort to excruciating, labour-like pain, but I only trembled with adrenaline. About an hour later, I went to the toilet and noticed I was bleeding. A smear of bright red blood upon wiping.

It was sixteen days late, but my period had arrived.

Other than some initial cramping, my menstruation is rarely uncomfortable. This was the same. Mild, painless cramps, no vomiting or nausea except for the lingering morning sickness. And six hours later, my nausea disappeared. For the first time in two weeks I ate dinner with my family. I was able to smile and laugh with them.

For six days I had moderate, period-like bleeding, and on the seventh day I lost the pregnancy tissue - a lump of reddish tissue, about the size of a fifty cent piece. At first I thought it was a blood clot; there was nothing discernibly foetal about the shape or appearance. But it was firmer than a blood clot, and lighter in colour. I felt a sense of intense closure, a gratitude of sorts. After this, the bleeding slowed to light spotting for about another ten days.

My menstrual cycle returned, as normal, one month later, almost like clockwork.

Despite the regular use of mifepristone for over two decades in 46 other countries–including China, New Zealand, the United States, Canada, and the United Kingdom–medical abortion has only been available in Australian since 2012. Appearing on the WHO Model List of Essential Medicines, in some countries the abortion pill is available over the counter.

For as long as women have been fertile, women have experienced undesired pregnancy. The safe availability of medical abortion for early pregnancy is a progressive, positive step for Australian women. However, abortion still remains on the criminal code in most Australian states and territories. Even in ACT and Victoria where termination of pregnancy is entirely legal, the abortion pill is only available from specialist clinics and practitioners and only after an ultrasound.

Each woman’s experience of medical abortion will be different. It can be unpleasant or painful, and not all women will feel comfortable experiencing a miscarriage at home. It can take days, there is blood, and involves passing foetal tissue. But I found the experience cathartic. I was able to grieve, and I was able to nurture my body and what it was going through. And despite Australia remaining decades behind other countries in its availability of abortion, I’m grateful to live in a time where I have safe and legal access to this vital procedure.

Like most women who have had an abortion, I feel regretful it had to happen, but no regret that it did happen. Although I hope I never have to, if I found myself unexpectedly pregnant again, I would choose another medical abortion.

*Not the author’s real name. Some details changed to protect identity.

 

39 comments

  • It sounds like the procedure went fairly smoothly and fit the “safe, legal, and rare” criteria that is often stated as being the ideal standard for abortions. It would be interesting to see what other changes beyond the obvious one of abortion being legal in all states and territories that the author and others would like to see made to the current system in Australia?

    Commenter
    Hurrow
    Location
    Hurrowhurrow@yahoo.com.au
    Date and time
    August 28, 2014, 9:10AM
    • I began reading with trepidation, thinking this was going to be a non-too-subtle attempt at pushing the anti abortion agenda. I'm very glad that this was not the case. I know that my mother ( who would be in her nineties if still alive) lived in constant dread of falling pregnant. My parents used the diaphragm contraceptive device and it worked fairly well. There were only two of us, my brother and me.
      My parents could not afford another child and they certainly would not have welcomed a third, though they would have loved it fiercely if it had come to pass. In the days of a single income there was a very fine line.
      Anyway, thanks for that piece; I'm glad you confounded my expectations.

      Commenter
      Nitya
      Location
      Lilli Pilli
      Date and time
      August 28, 2014, 9:32AM
      • You thought they would publish an anti-abortion piece on Daily life?

        You must be new here.

        Commenter
        Freddie Frog
        Date and time
        August 28, 2014, 10:23AM
      • Yes same, anti-choice hysteria is everywhere since this new govt got in.

        Commenter
        D Murphy
        Date and time
        August 28, 2014, 4:01PM
      • "One Woman's experience" - advertised as some sort of reveal-all story exploring the pros and cons. And what did we get ? Only lots of pros. It's all upside apparently. In fact the purpose of the article seems to be to encourage women to abort. As usual when it comes to abortion there's two polarised extreme positions and no room to explore the reality.

        Commenter
        Davo
        Date and time
        August 28, 2014, 5:53PM
    • How does a mother grieve the loss of a child that they themselves decided to terminate?

      Saddened that another person's future was ended so soon.

      Commenter
      RA
      Location
      Victoria
      Date and time
      August 28, 2014, 10:10AM
      • Ignorant, is how I'd describe your comment.
        A fertilised egg/zygote/embryo is a POTENTIAL child, not the same as a sentient, existing, living & breathing human being. Many things can and do happen between conception and birth.

        It's the height of ignorance that you and others like you, cannot tell or acknowledge the difference.

        Commenter
        JB
        Date and time
        August 28, 2014, 11:09AM
      • Saddened that you should take such a judgemental approach to someone else's decision. How dare you question 'Lydia's' right to decide what's best for her body, family and situation.

        Commenter
        LucyX
        Date and time
        August 28, 2014, 11:13AM
      • How can you be sad for a being that wasn't validated? I put it to you that you are not sad but regretful that foolproof contraception doesn't exist, perhaps?

        Commenter
        Rachael
        Location
        Sydney
        Date and time
        August 28, 2014, 11:33AM
      • Perhaps they realise what they've done?

        Commenter
        Adrian
        Location
        Wollongong
        Date and time
        August 28, 2014, 11:45AM

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