What should I do in case of a complication or emergency?
If something feels wrong, or the pain or bleeding seem too strong, it is important to seek medical help.
Medical staff has an obligation to help. An abortion with pills looks exactly the same as a spontaneous miscarriage, and in both cases there is bleeding and pain. The only difference is that in spontaneous miscarriage there are no side effects from misoprostol (diarrhea, nausea, chills etc). There is no need to disclose that the pills were taken if it does not feel comfortable to do so or if it can lead to problems. The medical staff will not see the difference if the pills were taken in the mouth. About 20% of all pregnancies end in miscarriage, so it is very common for medical staff to see people with miscarriages. If the misoprostol was taken vaginally, there can be remains of pills in the vagina for 4-5 days. These can be removed by hand in case of needing medical attention.
Complications of miscarriage (or abortion) can be treated with extra doses of misoprostol, with vacuum aspiration (surgical treatment), depending on personal preferences, and/or antibiotics, if needed.