Women on Waves Clinic in Amsterdam

Women on Waves can provide abortion pills till 9 weeks of pregnancy in the Amsterdam office. We are setup to help undocumented people and others who would like to get the abortion pill but don't want to go to a regular clinic or would like to make an appointment outside normal operational hours.

Would you like to get an abortion pill at the clinic in Amsterdam?

Follow the next steps: 

  1. Do the online consulation in your language on the Women on Web website. This way we will already have some information before you visit the clinic. You will have to provide an email address and mobile phone number where we can reach you. The information will only be seen by the doctors of Women on Waves and securely
  2. Book an appointment with Women on Waves Click on the link to book an appointment for an in-person consultation:
  3. Cost. The doctors at Women on Waves charge a lower amount than abortion clinics to women who are not insured for abortion care. When you visit, we will discuss what amount you can spare. You can transfer this amount via Paypal or to the account of Women on Waves. You can also do this before the clinic visit. To make a donation:
    1.  Donate via Paypal
    2. or to the Women on Waves bank account:
      • Women on Waves
      • IBAN: NL84INGB0006926248
      • BIC: INGBNL2A
  4. Come to the clinic on the day and time of your appointment
      • Telefoon:           020-4650004
      • Bezoek Adres:    Domselaerstraat 14, 1093 MA, Amsterdam        

How does it work:

If you are less than 9 weeks pregnant (counted from the first day of your last menstrual period), two types of treatment are possible: with medication (the abortion pill) or with a vacuum aspiration. At Women on Waves we are able to offer medical abortions for up to 9 weeks of pregnancy.

Physicians have a responsibility to inform patients about all aspects of examinations and treatments. Therefore, we provide written information about medical abortion. All matters briefly mentioned here will be discussed with you in more detail. After you have read and discussed the information, you can made a final decision about the medical abortion.

Not sure if you want an abortion? Then take a look at the website https://www.onbedoeldzwanger.info/ This website is reliable. If you prefer to talk to someone, we can refer you to FOIM.

 

Before

Please bring the following to the appointment if you have it:

  • Identity card
  • Insurance card
  • If not insured: extract of the basic registration of persons of the municipality or pay slip

 

Ultrasound 

We will first check how long you are pregnant with an abdominal ultrasound examination. Decide in advance whether or not you want to watch the ultrasound.

  • If you are less than 17 days late, you do not have a mandatory 5-day reflection period and you can immediately receive the medication.
  • If you are pregnant for longer, you must wait 5 days before you can have an abortion, according to Dutch law. These 5 days start from your first meeting with a doctor about your wish for an abortion. You need proof of this conversation.

 

What is a medical abortion?

A medical abortion is a termination of pregnancy caused by two medications. These cause a spontaneous expulsion of the pregnancy from the uterus.

 

How do the two drugs Mifepristone and Cytotec (Misoprostol) work?

  1. Take the first pill, 1 tablet of Mifegyne® (Mifepristone 200mg) in the treatment room. This medicine stops your pregnancy hormones from working. This is how the abortion begins. Usually you don't notice anything after taking it. Sometimes you experience some blood loss and stomach pain.
  2. The second drug, Cytotec (Misoprostol), will be taken at home. 24 hours later. Put 4 tablets under your tongue. Let them dissolve for 30 minutes. Swallow the rest after 30 minutes. Sometimes it tastes bad.

 

If you prefer to use these drugs vaginally. Put all 4 tablets with your index finger as high as possible into the vagina, just like a tampon. It is easiest to do this while lying on bed.

When used under your tongue, you may experience stomach cramps more than when you insert the tablets into your vagina.

Misoprostol causes your uterus to contract. This is how the pregnancy comes out through the vagina. That hurts. You also lose blood. Nausea, diarrhea, and a slight increase in temperature are normal side effects of the medicines. Therefore, make sure you have someone with you who can support and guide you, or call in help.

 

Blood loss

The blood loss usually starts a few hours after using Misoprostol, but sometimes earlier or only the next day. Depending on how far you are pregnant, you can recognize this as a transparent blister with sometimes a very small embryo in it. The blood loss lasts an average of 2-3 weeks, but sometimes shorter or longer. The intensity can also vary: sometimes light, sometimes heavy and sometimes like a heavy menstruation with clots. Blood loss can be gone for a week and then come back.

 

Pain

After you have used the 4 Misoprostol tablets, you usually get abdominal cramps like a heavy menstruation. The pain differs from person to person. Some women have severe cramps such as contractions. Others feel much less pain. Therefore always use painkillers. Start with this if you are using the Misoprostol. Preferably take Ibuprofen, Naproxen of Diclofenac. Look in the package leaflet for the maximum dose. Paracetamol is often less effective, but can be combined with other medicines. A hot water bottle or a cold pack against the stomach or lower back often also helps.

 

How to check if the abortion is complete?

Bleeding and pain don't always mean the pregnancy is over. It is important to take a pregnancy test after 3-4 weeks. This way you can be sure that the abortion has been successful. In 1 in 100 women, the pregnancy continues anyway. You can only discover this by taking a pregnancy test. It usually takes 3-4 weeks for the test to be negative. If the test is still positive, you can come for an ultrasound examination.

In the case of an ongoing pregnancy, we recommend that you terminate it because the medicines used give a small chance of birth defects. If you are less than 9 weeks pregnant, you can try the medical abortion treatment again. If you are pregnant longer, only a suction curretage is possible. This cannot be done in the treatment room of Women on Waves and we will refer you to a hospital or abortion clinic.

 

What to Expect After the Abortion?

After an abortion, it is normal for feelings of relief and sadness to alternate. Pregnancy symptoms such as swelling of the breasts may take time to ease. Complaints such as nausea and vomiting usually disappear quickly. Long-term health risks do not exist.

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How and when can you start contraception?

Oral contraceptives can be started right after taking the abortion medication. An IUD can be inserted after it has been determined that the abortion has been successful with medication.

 

What is the risk of complications and what should you do in that case?

The chance of a complication is very small. About 1-2% of women need treatment for excessive bleeding. This can be treated with an extra dose of misoprostol or with a suction curretage.

In case of a possible complication, it is also important to contact us:

  • heavy bleeding - more than two hours more than two sanitary towels heavily soaked
  • if no bleeding occurs within four hours of taking Cytotec (Misoprostol)
  • with persistent fever; more than 39˚C for more than 24 hours
  • severe pain that does not go away after taking painkillers.

It is also possible to visit us for an ultrasound to see if the abortion is complete and the uterus is empty.

 

Other issues

If you have a negative blood type and are more than 9 weeks pregnant, the doctor will discuss Rhesus prophylaxis with you. We will also discuss the risk of a sexually transmitted disease if necessary.

 

Complaints 

Complaints are handled in accordance with the Healthcare Quality, Complaints and Disputes Act (Wkkgz). Preferably, discuss a complaint with the employee concerned first. You can also submit a complaint to the independent complaints officer Phia de Groot. (phiadegroot@gmail.com).

As required by Wkkgz, Women on Waves offers the possibility to file a complaint wit an independent organisation de Geschillencommissie. You can file a complaint through the website of "de geschillencommissie".

 

 

 

 

 

 

 

 

 

 

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