Understanding Medical Abortion Prescribing

Medical abortion is a safe and effective option for early pregnancy termination using medications like mifepristone and misoprostol. As a physician or nurse practitioner (NP), you play a vital role in expanding access to reproductive healthcare by offering medical abortion services.

Who Can Prescribe Medical Abortion?

In Canada, both physicians and nurse practitioners are authorized to prescribe medical abortion medications. These medications are available in pharmacies, making it easier for patients to access care without requiring an in-clinic procedure.

The Medical Abortion Process

1. Patient Eligibility Assessment

   • Confirm pregnancy duration (medical abortion is typically approved up to 10 weeks gestation).

   • Note that ultrasounds are no longer required unless the last menstrual period (LMP) date is uncertain.

   • Review medical history for contraindications.

   • Provide informed consent and counselling on the procedure.

2. Prescription & Medication Use

   • Prescribe mifepristone (200 mg) orally, followed by misoprostol (800 mcg) buccally 24-48 hours later.

   • Educate the patient on what to expect, including cramping, bleeding, and possible side effects.

3. Follow-Up Care

   • Schedule follow-up within 7-14 days to confirm completion and assess for complications.

   • Offer additional support, including contraception counselling.

Billing for Abortion Care in Alberta

Abortion care is covered under Alberta’s healthcare system, but billing can sometimes be complex. Pro-Choice YQL offers support to help physicians and nurse practitioners navigate the billing process and ensure proper reimbursement. Contact us for guidance and resources tailored to Alberta’s billing practices.

Join Our Referral Network

Pro-Choice YQL is building a robust referral network to connect patients with compassionate, well-trained providers. By joining our network, you’ll help expand access to timely and supportive abortion care across Alberta. Contact us to learn more about how to become part of this vital community.

Conscientious Objection

If you choose not to provide abortion care due to personal beliefs, it’s essential to ensure patients are still supported. Please refer them to providers who offer this service without judgment or delay. For more information on your responsibilities and patient care, visit our Conscientious Objection Page.

Why Offer Medical Abortion Services?

• Improves Patient Access: Reduces barriers to reproductive healthcare, especially in rural and underserved areas.

• Safe & Effective: Over 95% success rate with low complication risks.

• Enhances Autonomy: Empowers patients to make informed choices about their reproductive health.

Additional Resources

• Society of Obstetricians and Gynaecologists of Canada (SOGC)

• Canadian Pharmacists Association

By offering medical abortion services, you contribute to equitable healthcare access and empower patients with reproductive choice. Start prescribing today to make a difference!