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Prudent BET, Nairobi West (2025)

11/02/2024

Terminating your pregnancy is your legal right and remains as such even when the country is still under strict social-distancing regulations. am proud to be practicing as an essential services provider, offering safe abortions for unwanted pregnancies up to 20 weeks. Am accredited professionals in sexual and reproductive healthcare, and am taking all the necessary measures to ensure you are always in a safe and sterile environment that poses no risk to your health.

For more on this service and to book a consultation inbox

08/02/2024

Is it difficult to do an abortion by yourself?
Abortion pill easy to administer & can be taken in the privacy of your home. Our team will walk you through the process in real time.

A medical abortion does not need to take place in a hospital or first aid clinic in order to be safe. Abortion pill is easy to administer and can be taken in the privacy of your home. The World Health Organization suggests that individuals can self-manage their abortions until 12 weeks without the support of a health-care provider.

Using Mifepristone and Misoprostol is no more complicated than using other medications. You will get step-by-step instructions about how to use the pills,

11/01/2024

Women for women Kenya | Safe abortion and post-abortion care clinic for women in Kenya
Safe Abortion Methods for a 7-Week Pregnancy

"At the gestational age of 7 weeks, individuals contemplating termination of pregnancy have access to both medical and surgical intervention options. The primary modalities for a 7-week abortion encompass medical abortion, employing pharmaceuticals, and aspiration (suction) abortion, a surgical procedure. Each method is outlined below:
1. Medical Abortion (Abortion Pill):
• Mifepristone: Initiated at a healthcare provider's office, mifepristone (RU-486) is administered to impede the hormone progesterone, pivotal for sustaining the pregnancy.
• Misoprostol: Administered 24 to 48 hours later, either orally or va**nally at home, misoprostol induces uterine contractions, facilitating the expulsion of pregnancy tissue.
• Follow-Up: Subsequent to misoprostol administration, patients typically experience cramping and bleeding as part of the tissue expulsion process. A follow-up visit to the healthcare provider is scheduled to ensure procedural completion and address any concerns.
2. Aspiration (Suction) Abortion:
• Preparation: The patient undergoes preparatory measures, including a change into a gown and positioning on an examination table. A thorough review of medical history and a physical examination by the healthcare provider are integral.
• Anesthesia: To mitigate discomfort, a local anesthetic is administered to the cervix, with the possibility of additional sedation or pain medication for patient relaxation during the procedure.
• Suction Procedure: Utilizing dilators to gently widen the cervix, a cannula – a small tube connected to a suction device – is carefully introduced into the uterus. Subsequent gentle suction is applied to affect the removal of pregnancy tissue.
• Confirmation: Post-procedure, the healthcare provider may employ ultrasound or alternative methods to confirm uterine emptiness.

07/01/2024

Women for women Kenya | Safe abortion and post-abortion care clinic for women in Kenya
Safe Abortion Methods for a 8-Week Pregnancy

"At the gestational age of 8 weeks, individuals contemplating termination of pregnancy have access to both medical and surgical intervention options. The primary modalities for a 8-week abortion encompass medical abortion, employing pharmaceuticals, and aspiration (suction) abortion, a surgical procedure. Each method is outlined below:
1. Medical Abortion (Abortion Pill):
• Mifepristone: Initiated at a healthcare provider's office, mifepristone (RU-486) is administered to impede the hormone progesterone, pivotal for sustaining the pregnancy.
• Misoprostol: Administered 24 to 48 hours later, either orally or va**nally at home, misoprostol induces uterine contractions, facilitating the expulsion of pregnancy tissue.
• Follow-Up: Subsequent to misoprostol administration, patients typically experience cramping and bleeding as part of the tissue expulsion process. A follow-up visit to the healthcare provider is scheduled to ensure procedural completion and address any concerns.
2. Aspiration (Suction) Abortion:
• Preparation: The patient undergoes preparatory measures, including a change into a gown and positioning on an examination table. A thorough review of medical history and a physical examination by the healthcare provider are integral.
• Anesthesia: To mitigate discomfort, a local anesthetic is administered to the cervix, with the possibility of additional sedation or pain medication for patient relaxation during the procedure.
• Suction Procedure: Utilizing dilators to gently widen the cervix, a cannula – a small tube connected to a suction device – is carefully introduced into the uterus. Subsequent gentle suction is applied to effect the removal of pregnancy tissue.
• Confirmation: Post-procedure, the healthcare provider may employ ultrasound or alternative methods to confirm uterine emptiness.
Both medical abortion and aspiration abortion are acknowledged as safe and effective methodologies when executed by proficient healthcare practitioners in appropriate medical settings. The selection of the preferred method may hinge upon variables such as patient preference, medical history, and local service availability.

02/01/2024

How to use misoprostol for safe abortion before 12 weeks of pregnancy?
Until 12 weeks of pregnancy, a woman needs a total of 2400 mcg of misoprostol.

She needs: 12 pills of 200 micrograms each (or 24 pills of 100 micrograms each)

3 doses of pills need to be taken, 800 mcg each time.

Step 1- A woman should put 4 pills of 200 mcgs (or 8 pills of 100 mcgs) misoprostol under the tongue. The pills should stay for at least 30 minutes, or until the tablets are dissolved! She can swallow her saliva, but NOT the pills. After 30 minutes it is ok to swallow what remains of the pills.

Step 2- After 3 hours she should repeat: put another 4 pills of 200 mcgs (or 8 pills of 100 mcgs) misoprostol under the tongue. The pills should stay for at least 30 minutes, or until the tablets are dissolved.

Step 3- After 3 hours she should take the last 4 pills of 200 mcgs (or 8 pills of 100 mcgs) under the tongue again for a third time. The pills should stay for at least 30 minutes, or until the tablets are dissolved.

In between the doses of misoprostol, one can eat and drink normally. Do not drink alcohol, as it is important to pay attention to what is happening.

The success rate is approximately 85%.

This means that 8 to 9 women of every 10 women who use misoprostol correctly will have a safe abortion using this procedure.

** If a woman is using mifepristone plus misoprostol, the pills are used differently.

26/12/2023

Most women are able to know if the abortion was successful quite soon after using the medicines, because pregnancy symptoms disappear quite quickly and/or some women might see the embryo or embryonic sac. Even if the woman feels she is not pregnant anymore, it is important to make sure the abortion was successful. Women should either do an ultrasound 10 days after the medical abortion or do a pregnancy test 3-4 weeks after the abortion.

Urine pregnancy test - Even though HcG (human chorionic gonadotrophin – the pregnancy hormone) drops rapidly after abortion, this hormone can stay in a woman’s body for several weeks after a pregnancy. Pregnancy tests are still inconclusive or falsely positive several weeks after the abortion. As many as 66% of the pregnancy tests done 2 weeks after abortion are positive, even when the woman is no longer pregnant. It is better to wait 3-4 weeks before doing a pregnancy test otherwise a woman might have a false positive. 34, 35

Ultrasound – Although an ultrasound can confirm if the abortion was successful (pregnancy was expelled) right after the abortion, women are advised to wait 2 weeks before having a scan. An early ultrasound may lead to a wrong diagnosis of incomplete abortion and unnecessary vacuum aspiration or curettage. Medical abortion involves a process that can last for several weeks before the uterus is empty, so remains in the uterus are not a sign of an incomplete abortion. There is no need for medical attention if there are no other signs of complication.

Blood pregnancy test – Blood pregnancy tests are a good alternative to ultrasound, especially if it is possible to do 2 blood pregnancy tests. Women can do a blood pregnancy test when they do the abortion (it can also be done just before or after the abortion) and then repeat the test 4-5 days after the abortion. If the level of hormone called HcG decreases this means the abortion was successful.

14/12/2023

What are the symptoms of complications?
Complications after early medical abortions are rare, and include severe bleeding and infection. A woman should go to the doctor or hospital if she has any of the signs of complication below:

Severe bleeding (more than 2 maxi pads soaked every hour for more than 2 hours in a row).
Severe abdominal pain that isn’t relieved with painkillers or continues for 2-3 days.
A fever that reaches 102o F at any point or a fever of over 100o F for more than 24 hours.
Abnormal va**nal discharge (unusual greenish or yellowish color, and/or strong unpleasant odor).
Any person who knows someone used abortion medication to end their own pregnancy might feel obliged to report it, though they are generally not required to do so. If a woman seeks medical attention, she does not have to say she used medicines. The person seeking medical attention can say she is having a miscarriage. The symptoms and treatment for complications of a miscarriage are the same as those for complications of medical abortion. Miscarriage occurs naturally in 15-20% of all pregnancies, and all hospitals in the USA can treat any complications of miscarriage. There are currently no tests that can identify the medicines in the woman’s blood or urine. There is no way that the doctor can know she has taken medicines unless the patient discloses or has the pills on or in their body (in their mouth or va**na). 55

It is important to remember that some people in the United States have faced arrest or jail for ending their own pregnancies. Although abortion itself is legal, those who end their own pregnancies may risk unjustified arrest and imprisonment under laws that require the abortion pills be given by licensed health care workers and that criminalize self-induced abortion. Such laws vary from state-to-state. In spite of these laws, any person who is experiencing a rare complication from a medication abortion can seek follow up care, because all clinicians can treat a miscarriage, and cannot detect the pills.

14/12/2023

Complications after early medical abortions are rare, and include severe bleeding and infection. A woman should go to the doctor or hospital if she has any of the signs of complication below:

Severe bleeding (more than 2 maxi pads soaked every hour for more than 2 hours in a row).
Severe abdominal pain that isn’t relieved with painkillers or continues for 2-3 days.
A fever that reaches 102o F at any point or a fever of over 100o F for more than 24 hours.
Abnormal va**nal discharge (unusual greenish or yellowish color, and/or strong unpleasant odor).
Any person who knows someone used abortion medication to end their own pregnancy might feel obliged to report it, though they are generally not required to do so. If a woman seeks medical attention, she does not have to say she used medicines. The person seeking medical attention can say she is having a miscarriage. The symptoms and treatment for complications of a miscarriage are the same as those for complications of medical abortion. Miscarriage occurs naturally in 15-20% of all pregnancies, and all hospitals in the USA can treat any complications of miscarriage. There are currently no tests that can identify the medicines in the woman’s blood or urine. There is no way that the doctor can know she has taken medicines unless the patient discloses or has the pills on or in their body (in their mouth or va**na). 55

It is important to remember that some people in the United States have faced arrest or jail for ending their own pregnancies. Although abortion itself is legal, those who end their own pregnancies may risk unjustified arrest and imprisonment under laws that require the abortion pills be given by licensed health care workers and that criminalize self-induced abortion. Such laws vary from state-to-state. In spite of these laws, any person who is experiencing a rare complication from a medication abortion can seek follow up care, because all clinicians can treat a miscarriage, and cannot detect the pills.

12/12/2023

What is important to know before using the abortion pills?
1. To confirm the pregnancy.

2. To know the length of pregnancy. This can be best estimated by counting the days since the first day of the last menstruation. To easily calculate the length of pregnancy, use the pregnancy calculator on the right hand side of this page.

3. To make a plan.

It is important to have someone for support and in case of a medical complication, although complications are very rare. It is good to get ibuprofen for the cramps. If a woman is nauseous due to pregnancy, she can consider taking an anti-nausea medicine so that she does not vomit up the pills.

Plan to start the medicines as soon as possible. An abortion with pills at home is safest and most effective if done before 9 weeks of pregnancy.

On the day of taking the medicines, one can eat and drink normally. The medications don't need to be taken on an empty stomach. Avoid drinking alcohol or eating heavy meals while taking the medicines. Be sure to keep the medicines away from children.

Think about what day you want to take the misoprostol (the second pill that provokes cramps and bleeding), and on that day, try to be somewhere comfortable and near a bathroom.

4. To confirm that there are no serious medical conditions or an IUD. If she has an IUD it must be removed before using misoprostol.

5. To confirm that there is a possibility to get to medical care in case of an emergency within 2 hours, and make a plan for how to get there in case it's needed.

12/12/2023

When should abortion pills not be used?
A woman should not use abortion pills if:

She is being forced by someone to have an abortion.
She is more than 9 weeks pregnant.
She is allergic to mifepristone or misoprostol.
She has an IUD (intrauterine device – it should be removed before using the medicines).
She has any of the following conditions: chronic adrenal failure, hemorrhagic disorders or bleeding disorders/diseases, porphyries.
She has an ectopic pregnancy (a pregnancy outside the womb).
She cannot get to a hospital or doctor within two hours.
She is alone. She should ask a partner or a friend to stay with her while she uses the medicine

Prudent BET

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