Unit 5: Uterine Evacuation with Medical Methods

This unit explains recommended mifepristone and/or misoprostol regimens, the essential information to provide, and the expected effects, side effects, and warning signs of uterine evacuation with mifepristone and/or misoprostol. Additionally, it describes the potential complications of uterine evacuation with mifepristone and/or misoprostol and complications management as well as post-procedure care and follow-up.

By the end of this unit, participants will:

• Explain recommended mifepristone and/or misoprostol regimens.
• Explain the essential information to be given to women having uterine evacuation with mifepristone and/or misoprostol.
• Explain the expected effects, side effects, and warning signs of uterine evacuation with mifepristone and/or misoprostol.
• Describe potential complications of uterine evacuation with mifepristone and/or misoprostol and complications management.
• Describe post-procedure care and follow-up for uterine evacuation with mifepristone and/or misoprostol.

Total: 105 minutes (1 hour, 45 minutes)

• 30 minutes: Facilitator Presentation and Group Discussion
• 60 minutes: Demonstration and Role Plays
• 15 minutes: Facilitator Presentation and Group Discussion

• Print, download, and gather materials
• Prepare flip chart pages for the “Identifying and Managing Complications of Uterine Evacuation with Medications” activity

• Refer to the Facilitator’s Guide for the Detailed Session Guide and list of materials needed for this unit
• Presentation
• Participant Workbook
• Download and print copies of the four Ipas Medical Abortion IEC Materials:
  • Abortion Pills in First 12 Weeks since Last Period: Mifepristone and Misoprostol in the Cheek
  • Abortion Pills in First 12 Weeks since Last Period: Mifepristone and Misoprostol under the Tongue
  • Abortion Pills in the First 12 Weeks since Last Period: Misoprostol in the Cheek
  • Abortion Pills in the First 12 Weeks since Last Period: Misoprostol under the Tongue