Using misoprostol can expedite the normal processes involved while emptying the uterus spontaneously. It also avoids using instruments that could possibly damage the uterus. Using the medication will also speed up the resolution faster than just waiting for the pregnancy to pass.
You will pick up your prescription at the pharmacy. The prescription will be for:
Prior to starting the medication, you should wash your hands and dry them well. You should insert all four tablets of misoprostol into your vagina. If you place the tablets and then you don’t see them, you have inserted them correctly. Do try to place them as far up into the vagina as possible. We expect bleeding and cramping to result from the medications.
Bleeding and cramping typically start 4-8 hours after insertion of the tablets, but can start within an hour of inserting the tablets. Bleeding will most likely be heavier than a heavy period. The bulk of the heavy bleeding typically occurs within 24 hours, but bleeding can continue 1-2 weeks. Many women will experience 1-3 hours of very heavy bleeding. You can expect to pass some blood clots; they may be as large as the size of a 50 cent piece. Misoprostol side effects include nausea, vomiting, diarrhea, fever, and chills.
You may want to take a pain reliever when you insert the misoprostol. You can take pain medications every 4-6 hours as directed. Heating pads may also keep you comfortable. There are no restrictions on eating or drinking. You should plan on taking the day off work for at least the first 24 hours after inserting the misoprostol.
If you have minimal or no bleeding/cramping after inserting the misoprostol, call the clinic. You may be instructed to insert a second set of the misoprostol tablets.
Occasionally, the body is unable to pass the products with the misoprostol and a D&C is required.
If you have the expected bleeding and cramping, we will want to see you approximately 1 week after the misoprostol insertion for an ultrasound to confirm the miscarriage is complete.