top of page
Search

What to Expect During an At-Home Abortion

  • My Life Clinic
  • 10 hours ago
  • 4 min read

While skipping the abortion clinic and ordering online may look like an easy, stress-free, safe

option, you may not know the risks involved. We can share more about what you need to know ahead of time and what to do if things go wrong at home.


Your best first step is to confirm a viable intrauterine pregnancy and rule out an ectopic

pregnancy, which can be life-threatening. An ultrasound can also tell you how far along you are.


This information can determine if you qualify for the abortion pill and what your options are.

Book a cost-free consultation and ultrasound appointment. No insurance is required, and

same-day appointments are often available.



Nurse in green scrubs with headset sits at a desk, video chatting on a laptop in a bright, white room. Glasses and papers lie nearby.

Is it safe to order abortion pills by mail?

The abortion pill comes with a black box label, which is the highest level of caution assigned by the FDA. Taking the abortion pill without seeing a doctor or having an ultrasound is never

recommended. The side effects range from unpleasant (cramping, bleeding, nausea, headache, fever) to life-threatening (sepsis, rupturing of the uterus, undiagnosed ectopic pregnancy, and more). Due to a lack of regulations and unsafe medications, the FDA also issued a warning about ordering pills online.


We put you and your safety first, and we'd never recommend an unsafe option. While we do not refer for or provide abortion services, we can give you the answers you need to make an

informed choice.


What happens during an at-home abortion?

The first pill, mifepristone, is taken by mouth and works by blocking the action of the hormone (progesterone) that supports a developing pregnancy. * Mifepristone cuts off the nutrients to the fetus. The second drug, misoprostol, causes your cervix to soften and begins the labor process, causing the uterus to contract hard enough to expel the fetus.

After both drugs have been taken, you can expect the following to occur:

  • Bleeding, cramping, and contractions start between one and four hours after taking the

second pill.

  • Heavy bleeding with blood clots for the next several hours.

  • Heavy cramping for several hours.

  • A low fever or chills that last about a day after taking the second pill.

  • Nausea and dizziness


Other side effects and risks of a chemical abortion are:

  • Incomplete abortion

  • Large, life-threatening blood clots or continuous bleeding

  • High fever and infection

  • Diarrhea and digestive pain

  • Vomiting

  • Ulcers

  • Severe pelvic pain

  • Sepsis

  • Rupturing of the uterus

  • Other allergic reaction to the drug(s)

If you have an incomplete abortion, large blood clots, a fever over 104, or allergic

reactions to the medication, contact 911 immediately. In rare cases, it can be potentially

fatal.

We also often hear from women who had an abortion at home. Some share how isolated and

alone they felt. Others said they wished someone had been with them. They were scared to be alone when the situation didn’t go as planned or needed medical help. No woman should ever feel this way. If you’ve already had an abortion and need to talk about your experience or have just started the at-home process, please contact us.

What if I already ordered abortion pills online?

Ordering the abortion pill online is not considered safe. While it is possible, the restrictions and regulations that keep prescriptions safe are not guaranteed when purchasing over the internet. However, if you’ve already ordered pills, we can still provide you with an ultrasound to confirm how far along you are. You can still talk about your options and make a decision without the long-term consequences to your health.

I only took the first pill; what are my options?

It’s possible to continue your pregnancy if the first dose was taken and action is taken within

24-48 hours. If you change your mind after taking the pill, contact the Abortion Pill Reversal

network immediately. They will discreetly connect you with a network of doctors and health

professionals who can start the reversal process.

Since the first drug cuts off progesterone to the fetus, a hormone needed for the fetus to live, the abortion pill reversal protocol gives women progesterone so the pregnancy can continue to develop.

How We Can Help

We provide pregnancy testing and ultrasound confirmation to any woman considering abortion so that you can have the answers you need to make an informed choice. It’s also important to talk through your medical and health history so you can know if there are any conditions that would prevent you from taking the abortion pill.


We care about your safety. Contact us to learn more about all of your pregnancy options.



References

Flanders, N. (2022). Five abortion pill dangers every woman should know. Live Action News.

Bowen, S. (2020). At-home abortions: A deadly trend. Pregnancy Help News.

Research, C. F. D. E. A. (2023b). Information about Mifepristone for Medical Termination of Pregnancy Through Ten Weeks Gestation. U.S. Food And Drug Administration. https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/mifeprex-mifepristone-information

Novielli, C. (2022). Abortion industry promotes ‘missed period pills’ so women won’t know if they were pregnant. Pregnancy Help News. https://pregnancyhelpnews.com/abortion-industry-promotes-missed-period-pills-so-women-won-t-know-if-they-were-pregnant

Boquet, S. J. (2022, May 6). At-Home abortions are not Pro-Woman | Human Life International. Human Life International. https://www.hli.org/2021/04/at-home-abortions-are-not-pro-woman/

Ertelt, S. (2018, July 23). Abortion pill injures more women than ever before, requiring hospitalizations or even blood transfusions - LifeNews.com. LifeNews.com.

 
 
 

Comments


Commenting on this post isn't available anymore. Contact the site owner for more info.

My Life Clinic is a free women's center providing onsite pregnancy tests, pregnancy confirmation ultrasounds, STI testing & treatment, and additional sexual health, pregnancy, and reproductive health resources, services, and support. We are a 501(c)(3) faith-based non-profit in Missouri.


Please note that the information presented on this website is intended for general education purposes only and should not be relied on as a substitute for professional and/or medical services. We do not provide abortions or recommendations for abortion providers. We provide education on abortion pills and in-clinic procedures in Columbia, MO and Boone County. All services are confidential and free of charge.

Our clinic is located 802 N. Providence Rd, Suite 2; Columbia, Missouri 65203. Clinic hours are Monday-Friday, 9am-5pm. Call or text our team at 573-874-3561.

Quick Links

Hours

Get in Touch

Monday-Friday

9:00am-5:00pm

802 N. Providence Rd, Ste 2 
Columbia, MO 65203

Call or Text 573-874-3561

  • Facebook
  • Instagram

© 2026 - MY LIFE CLINIC - All Rights Reserved

bottom of page