Medical Family Planning
Abortion Clinics and Medical Family Planning Clinic Counselling in Gatineau Ottawa Area
Now available New Medical Abortion Pill - Medical Family Planning Clinic in Ottawa:
Medical Family Planning Medical abortion is a safe abortion procedure induced by medication rather than surgery. No referrals necessary.
In Ontario, two medications options used for medical abortions.
The new Mifegymiso: Mifepristone and Misoprostol
is now available at our clinic.
We are the first accredited clinic in Ottawa to offer this medication.
This medication is now also covered by OHIP.
We are also prescribing Methotrexate and Misoprostol as another option.
With your health care provider you will decided which medication is best suited for you.
Methotrexate is also used for non-viable pregnancies or spontaneous abortion (miscarriages).
How far in your pregnancy can you get the medication?
A medical abortion is available only to women who are less than 8 weeks pregnant for Methotrexate-Misoprostol medication, although up 9 weeks and 6 days pregnant for the new Mifegymiso medication. The calculations are from the first day of their last period. If you are not sure how far along you are, or cannot remember the date of your last period, we can help you with an ultrasound exam to reliably determine the age of the pregnancy and it's location. Once prescribed by our doctor, the medication is now covered by OHIP. This medication is provided by our doctor only on the second visit once we have received the blood work lab report and diagnostic imaging report.
Some of our patients have asked: "How safe is the medication"?
Methotrexate has been used for over 50 years and has been studied and used as a safe method of medical abortion since the early 1990s. It stops the implantation of the ovum that occurs during the first several weeks after conception and also stops the embryo’s development.
This medication is an option to terminate unplanned pregnancies as part of a voluntary abortion until the 8th week for Methotrexate -Misoprostol (Projected from the 1st day of the last period and confirmed by diagnostic imaging).
It is also the same medication administered for late abortions in a hospital due to a medical necessity.
Many patients asked "When can I get the pills and what should I expect "?
There are 3 steps involved in the process of a medical abortion at our clinic:
Your first visit to our clinic; you will have two appointments.You will be scheduled for a dating and viability ultrasound appointment. This dating ultrasound is to confirm the actual date of the pregnancy prior to the procedure followed by a doctor’s consultation appointment. Your doctor will consult with you and explain all your options and procedure, he will also send you for specific blood testings,to determine your blood type, hemoglobin, kidney and liver functions. You are also tested for STDs *If possible we may send you to do your blood testings prior to your appointment. During this first visit you may not given any medication.
If you have the possibility to do your blood testings two business days prior to your first visit we can combine your first and second visits.
Second visit; You will have a doctor’s appointment and will be given the medication if your blood work results are compatible with the two medications,the medication is now covered by OHIP. Once the doctor has consulted with you and validated the compatibility of your blood lab results, you will take the first medication in the presence of your health care provider.This is the medication that stops the pregnancy. Your doctor will also prescribe antibiotics and pain medication. Within the next few days, as prescribed by your doctor you will take the Misoprostol tablets. This is the medication that evacuates your uterus. You will probably start to have strong cramps and bleeding, similar to a heavy period. Pain medicine or a heating pad can help with the cramps. You may also have nausea, vomiting, diarrhea, fever, chills, or feel tired. If you saturate more than two feminine Maxi-pads an hour for two consecutive hours, you should present yourself to the nearest emergency department. It is important to always be with someone who can drive you to the hospital. You will be asked to signed a consent that you understand the procedures clearly.
You should not take this medication when alone, in case you need assistance to go to the emergency.
It is very important that you return to the clinic for your follow up visit to make sure that the abortion is complete.You must adhere to any follow-up arrangements or appointments as advised by your doctor.
STEP 3: Follow-up is very important so that your doctor can confirm that the termination of pregnancy is completed and exclude possible complications.
The doctor will request a trans-vaginal pelvic ultrasound appointment or blood work and a follow up appointment. In the rare case that your medical abortion is incomplete, you may need to take an additional dose of Misoprostol.
If you are still pregnant when you return for your visit, you may need a surgical procedure. At this point, it is not feasible to continue with the pregnancy, as the medications would have affected the development of the fetus.
Many patient ask: " What about the success rate"?
Your choice of medication determines your success rate, your health care provider will be the best person to inform you .
The new Mifegymiso's statistics indicate a successful at 98% up to 7 weeks and 95% up to 10 weeks of pregnancy.
There is approximately a 2% - 4.8% chance that the course of treatment will not be fully effective, in which case you will need to have a surgical procedure to complete the abortion. If you have a continuing pregnancy and decide to keep the pregnancy, fetal malformations from the use of Mifegymiso or Mifepristone or Misoprostol may occur.
Less than 1% have complications such as serious infections or serious bleeding.
Frequently patients asked: What if it did not work?
If you are still pregnant when you return for your follow-up visit, you may need a surgical procedure or additional medication. At this point, it is not feasible to continue with the pregnancy, as the medications would have affected the development of the fetus.Your doctor will refer you to a clinic.
Many patients worry about:"Can this medication affect future pregnancy"?
The medications are neutralized by your body within one week and do not affect future pregnancies or your general health.
Please note that a medical abortion may not be the best option for women:
- with certain physical conditions or women currently using an IUD
- who want the abortion over quickly.
- who are traveling outside city limits.
- who cannot return for follow up visits or are alone without support in case they need to be driven to the hospital for emergency care.
- who cannot understand the instructions because of language or comprehension barriers without an interpreter.
It is very important to tell theabortion provider of any allergies or drug sensitivities you have, any medications or supplements you take, and any health problems or diseases you have.
An unwanted pregnancy is a common incidence in the life of a woman which comes by surprise and catches one off guard. In some situations women can make quick decisions on terminating a unwanted pregnancy. Many young women in crisis such as sexual assaults, drug rape or other undesirable situations should consult with our doctor to better understand their options. In others the decision is also very difficult, may need time and a consultation with trusted people. Professional counseling can be helpful and could inform you about the consequences a decision may entail.
If help is needed in making an individual decision we will be glad to be of assistance.
Once you have read and understood the above and wish to proceed with a medical abortion, we ask you to please make an appointment by telephone.