Understanding At-Home and Safe Abortion: Safety, Risks, and Medical Guidelines

Hi, and welcome to Telefem! It’s so nice to meet you! If this is your first time here, we want to tell you that you’re in a safe space, full of trust. We are here to answer all your questions and provide you with trustworthy information regarding safe abortion in Mexico. Let me introduce you to one of our articles, and if you still have questions, feel free to contact us through WhatsApp!

If you have ever wondered whether it is possible to have a safe abortion at home with remote care, in this blog, we will address that topic so you can be better informed.

Remote Abortion Support with safe guidance

Yes. It is possible to have a safe abortion with the care of specialists remotely. This process can be self-managed, meaning you carry it out yourself without needing to go to a clinic, but you must consider that you do need to follow the proper process according to the weeks of pregnancy.1

If you are unsure how safe it can be, I can tell you that the Lineamiento Técnico para la Atención del Aborto Seguro en México1 is an official document that standardizes the processes and protocols for abortion care in Mexico.

These Guidelines establish safe abortion as an essential and priority service because it is crucial to consider the pregnancy weeks to carry out the termination process in case of an unwanted pregnancy.

Remote guidance of an expert is an example of how technology is used for good since medical care can be provided remotely to those who need it through chats, calls, or video calls.2

If you are looking for a service that connects you to medical care for an unplanned pregnancy, Telefem is a nonprofit organization that does exactly this, it connects you with specialists who guide you remotely. Additionally, you will receive a kit with everything necessary to exercise your right to decide about your body.

What factors make a self-managed abortion at home safe?

A self-managed abortion at home can be safe if the protocols established by international organizations like the WHO are followed. These guidelines state that an effective and successful process requires specific medications with established dosages tailored to the weeks of gestation.2

The success of a self-managed at-home abortion also depends on self-care during the process. To achieve this, you need to have sufficient information and tools. Here are some recommendations:

1. Information: it is essential to have the right information to carry out the procedure, but you do not need to study a master’s degree on the topic. To address this, you can access an abortion support service provided by collectives or organizations like Telefem, where specialists will guide you through the process, and you will also receive a kit with all that you need.

2. Legality: research the legal status of abortion in your state and the institutions that provide care in case you need emergency medical services. Currently, abortion is legal in 23 states in Mexico.3

3. Number of weeks: know and confirm how many pregnancy weeks you have (gestational age). With this information, you can identify the doses of medication you need. If you don’t know how far along you are in your pregnancy, use Telefem’s pregnancy calculator by entering your last menstrual period.

4. Medications and doses: follow the instructions for each medication carefully and take the exact doses at the recommended times.

5. Symptoms: know the effects or symptoms you may experience during the process so you can also identify warning signs. It is recommended that you carry out the process with someone you trust in case you experience any situation requiring support or attention.

What should I observe to confirm that my abortion was complete?

The standard process of an abortion using medications should involve vaginal bleeding and expulsion of clots that are somewhat more abundant than a regular period.

But if you want to confirm that everything is proceeding safely and effectively, consider these points:4

Check if you expelled the gestational sac. This is a brown, pink, or gray gelatinous bag that can be the size of an orange seed, a small grape, or an apple seed; the size depends on the number of weeks of pregnancy.

-After a couple of days, regular pregnancy symptoms such as nausea, breast pain, sleepiness, urination urges, etc., should stop.

–Bleeding may stop after a few days or continue for up to 2 weeks, but in smaller amounts, gradually decreasing.

Can I confirm with an ultrasound or pregnancy test?

Wait until the bleeding has stopped before performing an ultrasound. It is not necessary, but it is an option if you want to confirm 100%.

-To perform a pregnancy test, you need to wait up to 4 weeks after the bleeding. If you do it earlier, the result may still be positive even without pregnancy. This is because the levels of human Chorionic Gonadotropin Hormone (hCG), also called the pregnancy hormone, decrease slowly after the uterus empties.5

If you are not calm, staying in contact with professionals who can answer your questions will also be essential. That is why at Telefem, we connect you with specialists who can always guide you until your discharge. This way, you will not go through this process in uncertainty. 

You’re Not Alone

Keeping in touch with trained professionals makes all the difference. That’s why Telefem is here — to guide and support you.  With Telefem, you’ll be safe.

Send us a WhatsApp today — we’re ready to help you.

* This content is for informational purposes only and does not replace professional medical advice.

References:

  1. SEGOB. Lineamiento Técnico para el aborto seguro en México. [Internet]. 2022. [Visit March 2025]. Available at: https://www.gob.mx/cms/uploads/attachment/file/779301/V2-FINAL_Interactivo_22NOV_22-Lineamiento_te_cnico_aborto.pdf 
  2. OMS. Marco de Implementación de un servicio de telemedicina. [Internet]. 2016. [Visit March 2025]. Available at: https://iris.paho.org/bitstream/handle/10665.2/28413/9789275319031_spa.pdf?sequence=6 
  3. Razo J. Mapa: el aborto en México, ¿dónde es legal y dónde está prohibido?. CNN en español. [Internet]. 2024. [Visit March 2025]. Available at: https://cnnespanol.cnn.com/2025/01/29/mexico/aborto-mexico-mapa-orix/ 
  4. Ipas Latinoamérica y el Caribe (Ipas LAC). Material de apoyo para el acompañamiento del aborto. 2. Durante un aborto inducido con medicamentos. 1era ed. [Internet]. 2022. [Visit March 2025]. Available at: https://ipasmexico.org/wp-content/uploads/2022/09/02-Durante-un-aborto-inducido-con-medicamentos.pdf 
  5. Ipas. Confirmación de aborto completo. [Internet]. 2022. [Visit March 2025]. Available at: https://www.ipas.org/clinical-update/spanish/recomendaciones-para-el-aborto-antes-de-las-13-semanas-de-gestacion/aborto-con-medicamentos/confirmacion-de-aborto-completo/