COVID-19: Service Update
Ayrshire and Arran is continuing to provide abortion services. Please contact us on 01563 827025 to make an appointment (Monday to Friday 10am to 1pm).
You will have a telephone appointment with staff from Day Ward at the Ayrshire Maternity Unit. The doctor or nurse will explain your options in detail, ask about medications you are taking and medical problems you might have. They will arrange for you to be seen briefly on Day Ward as long as you are well and don’t show any signs of Corona virus infection.
You must tell the team if you are self-isolating, have symptoms of corona virus or have had a positive corona virus test. We will make different arrangements for you.
Most terminations are done by taking medication. If you are less than 10 weeks pregnant you may be able to collect the medication to take at home ( EMAH- early medical abortion at home)
EMAH is for people
- 16 years of age or over
- in good health, with no significant previous pregnancy problems
- who have a telephone
You will be given a pack of medication for the first and your second treatment day, with instructions about how to use the medication.
We recommend that you have someone at home with you for the whole of the second treatment day
- What to expect at home
- You may get bleeding between your first and second treatment days. If this happens, it is very important that you still take the second medication – both treatments are needed to ensure the abortion is successful.
- You will have bleeding that is heavier than your normal period.You are likely to pass some large clots. The bleeding usually starts within 2-3 hours of the second treatment. Make sure you have plenty large or night-time sanitary towels at home. Use the toilet as often as you need to, and flush it as normal but put all sanitary towels in a bin ( not down the toilet).
- The bleeding will be quite heavy for the first few days, and will then get lighter . Most women bleed for 7-10 days in total after treatment, although sometimes the bleeding will last for a few weeks.
- You will be fertile again very soon after your treatment, so it is very important to start using contraception straightaway. If you have chosen contraceptive pills, start on the day after the second medication is taken. If you have chosen an implant or injection, this will have been given at the clinic. If you wish an intra-uterine method (coil) we will arrange an appointment to return for this, and give you contraception to use until the appointment.
- Confirming the abortion has worked
- This treatment is very effective but around 1 in 100 women are still pregnant
- To check that the treatment has been successful, we give you a special type of home pregnancy test to do two weeks after your treatment.
- This test detects if there is still a high level of pregnancy hormone, which could indicate that you are still pregnant. If the test is positive, or you are concerned that you could still be pregnant, we will arrange for you to return for a scan. If your test is negative, and you have no concerns, there is no need to return.
If you are not happy to do the pregnancy test yourself, you can ask for an appointment and return to the clinic for a test.
Contact us for advice if you
- have continuous heavy bleeding (soaking three or more pads in one hour whilst resting)
- don’t bleed within 24 hours of your second treatment
- bleed for less than 4 days in total
- develop a smelly discharge, fever or abdominal pain that does not respond to painkillers
- still ‘feel’ pregnant (sore breasts, sickness, bigger tummy) after one week
- do not take your medication as instructed
- have a positive follow -up pregnancy test or if the test doesn’t work
- have any other concerns
Day Ward : 01563 825329
If you need urgent advice outwith these hours contact the Assessment Unit on 01563 825300 24 hours a day.
If you have very heavy bleeding or severe pain