1. Medical Abortion (Abortion Pills at 14 Weeks)
At 14 weeks, the abortion pill regimen includes Mifepristone + Misoprostol, but it requires higher doses and medical supervision due to increased risks of incomplete abortion.
✔ Mifepristone (First Pill): Stops the pregnancy from progressing.
✔ Misoprostol (Second Pill): Taken 24-48 hours later, it induces contractions to expel the pregnancy.
✔ Additional Misoprostol Doses: More doses may be needed to fully expel the pregnancy.
🔹 What to Expect:
- Stronger cramps and heavier bleeding than at earlier stages.
- Tissue, blood clots, and pregnancy-related material pass through the vagina.
- Common side effects: nausea, vomiting, diarrhea, fever.
🔹 Safety & Considerations:
- Higher chance of incomplete abortion → Medical follow-up is necessary.
- More painful and takes longer than earlier-stage abortions.
- In some cases, a D&E procedure may be needed if the abortion is incomplete.
2. Surgical Abortion (D&E) at 14 Weeks
At 14 weeks, the most common and safest method is Dilation & Evacuation (D&E).
✔ Dilation & Evacuation (D&E):
- Step 1: The cervix is gently opened using medication or small medical tools.
- Step 2: A combination of suction and surgical instruments removes the pregnancy tissue.
- Step 3: The procedure is quick (10–20 minutes) and done by a trained provider
🔹 What to Expect:
- Minimal pain during the procedure (local anesthesia or sedation may be used).
- Mild to moderate cramping afterward.
- Light bleeding for a few days to a week.
🔹 Safety & Considerations:
- Very low risk when done by a trained professional.
- Faster, more controlled, and more effective than abortion pills at 14 weeks.
- Best for those who want a short, in-clinic procedure with minimal discomfort.
Which Method is Best at 14 Weeks?
✅ Medical Abortion (Pills): Works but has a higher risk of incomplete abortion and stronger side effects.
✅ Surgical Abortion (D&E): Safer, quicker, and more effective at this stage.
