Step by Step Guide

Updated October 22nd 2020

To protect your health and wellbeing during the coronavirus pandemic, the HSE has changed the way we provide abortion care.  On this page you’ll find everything you need to know.

Make an appointment

Call one of our clinics to make an appointment. The receptionist will tell you the times and dates of your first and second consultations with a doctor. Your first consultation will be by phone and your second consultation will be in the clinic.

Information and support 

One of our specialist pregnancy counsellors will phone you and explain the way we are providing abortion care. The counsellor will also send you some information to read before you speak to the doctor. You can talk to the counsellor about any concerns or worries you may have about your abortion care and discuss how we can best support you.

Your first consultation 

One of our doctors will contact you by phone at your appointment time. The doctor will ask you about your medical history. She will need to know the date of your last period to calculate how many weeks pregnant you are.

  • If you are less than 9 weeks pregnant, you can have an early medical abortion at home. This means you will take medication to end the pregnancy.
  • If you are between 9 and 12 weeks pregnant, you will need to have the abortion in hospital. The doctor will organise this for you.

The doctor will explain everything you need to know about the abortion process. She will also discuss contraception, if you wish.

When she has all the information about your medical history and your pregnancy, the doctor will decide if you need to have an ultrasound scan to confirm the date of the pregnancy. She will only send you for a scan if it is absolutely necessary.

We cannot provide ultrasound scanning in the IFPA clinic. If you need a scan, the doctor will tell you where you need to go to get an ultrasound scan.

Your second consultation

Your second consultation will be in the clinic. To keep you safe, we will keep contact time short.  The doctor will wear an apron, gloves and mask when she sees you. You will also be asked to wear a mask.

The doctor will answer any questions you may have and, if you are happy to proceed, you will take the first pill – Mifegyne 200mg – in the clinic. The doctor will then provide you with your Home Care Pack.

Managing your early medical abortion at home

Step 1

Write down the time you took the first pill in the blue Step-by-Step guide provided with your Home Care Pack.

You will take the second medication between 24 and 48 hours (1–2 days) after this.

Write the time you will take the second tablet in the space provided in the Step-by-Step guide.

Step 2

The second medication

There are 3 misoprostol (MisoOne) tablets in your Home Care Pack.

Take 2 misoprostol (MisoOne) tablets between 24 and 48 hours (1–2 days) after taking the mifepristone (Mifegyne) tablet.

Take 3 painkillers just before you take these.

You will experience some pain and bleeding. If you have no pain or bleeding after 4 hours, take the third misoprostol (MisoOne) tablet.

Step 3

Follow-up support

If you wish, one of our counsellors will call you a few days after the abortion to see how you are doing.

Step 4

Pregnancy test 

There is a pregnancy test in your Home Care Pack. Use the test on the date the doctor has written in the Step-by-Step guide.

When you do the test, you should see 1 line only. If you see 2 lines (i.e. the test is positive) or if you still feel pregnant after 2 weeks, phone the clinic immediately.

Step 5

Follow-up by the IFPA nurse

For the final stage in your care plan, an IFPA nurse will phone you for a check-up. She will answer any questions you may have.

Counselling 

An unintended or crisis pregnancy can cause a lot of different emotions. You can make an appointment with a specialist pregnancy counsellor before, during or after your medical abortion.

Contact us

If you have any problem, phone 1850 49 50 51 to make an appointment

  • IFPA Dublin City Centre 01 872 7088
  • IFPA Tallaght 01 459 7685
  • IFPA Lo-call 1850 49 50 51

Or call the HSE My Options 24-hour helpline: 1800 828 010