Queensland Wide Pregnancy Support Services

Free & Confidential

SUMMARY

A medication abortion, also called a medical abortion, is a safe and effective way to end a pregnancy using prescribed tablets.
In Australia, medication abortion is generally available up to 9 weeks of pregnancy and can often be completed at home with support from a doctor, GP, or clinic.

This page explains how the process works, what to expect, and where you can find support and services in Queensland.

How a medication abortion works

A medication abortion involves two prescribed medications: mifepristone and misoprostol.
These work together to safely end an early pregnancy.

Step 1 – Mifepristone

  • Blocks the hormone progesterone, which is needed to sustain a pregnancy.
  • Changes the lining of the uterus and detaches the pregnancy.
  • Softens and opens the cervix.

Step 2 – Misoprostol

  • Taken 24 to 48 hours later.
  • Causes the uterus to contract and expel the pregnancy tissue.
  • The process is similar to a miscarriage and usually happens within a few hours.

Possible side effects

Cramping, pain, and bleeding are expected — similar to a natural miscarriage.

Other possible side effects include:

  • Nausea or vomiting
  • Diarrhoea
  • Fever or chills
  • Fatigue or dizziness

Rare complications may include:

  • Heavy bleeding (around 1 in 500 cases)
  • Incomplete abortion, which may require a surgical procedure

You should be provided with a 24/7 phone number to contact a nurse if you have concerns or questions.

If you experience heavy bleeding (soaking more than two pads per hour for two hours), severe pain, or feel unwell, contact your provider or call 13HEALTH (13 43 25 84) for advice.

First appointment and pre-testing

Your first appointment will include:

  • Medical history and health assessment
  • Physical exam
  • Ultrasound and blood tests to confirm gestation and rule out complications
  • Discussion of your options and informed consent

If you visit a private clinic, all tests are usually completed during your appointment.
If you visit a GP, you may need to attend pathology and imaging services separately before receiving your prescription.

If you are uncertain about your options or want to discuss your decision, Children by Choice counsellors can provide free, confidential support.

Taking the first medication (mifepristone)

Mifepristone is usually taken at the clinic after your consultation and test results.
If prescribed by a GP, it may be taken at a second appointment after the results have been reviewed.

This medication starts the process by detaching the pregnancy from the uterine wall.

Most people feel no physical symptoms at this stage.

Taking the second medication (misoprostol)

Misoprostol is taken 24 to 48 hours after mifepristone.
The tablets are placed between your cheek and gum to dissolve and absorb.

This stage usually happens at home.

Cramping, bleeding, and passing of clots indicate that the medication is working.

Your doctor may recommend pain relief or schedule a short follow-up consultation within 3–4 days to check your progress.

Follow-up care

A follow-up appointment is essential to confirm the abortion is complete.
This usually occurs between 11 days and 3 weeks after taking the first medication.

Your doctor or GP will check that:

  • All pregnancy tissue has passed
  • The pregnancy hormone (hCG) has returned to baseline
  • No further medical care is needed

If any tissue remains or the pregnancy continues, a surgical abortion may be recommended.

After recovery, your doctor may discuss contraceptive options to help you plan future pregnancies.

Costs and access in Queensland

Medication abortion (MS2Step) is available up to 9 weeks gestation.

Typical costs for the medication:

  • $6.60 with a concession or healthcare card
  • $41.60 with a Medicare card
  • $330–$350 without Medicare

Additional costs for consultations or ultrasounds may apply.
For detailed cost information, visit: How much does an abortion cost?

If you have a Medicare card and cannot afford private care, you may be able to access free or low-cost services through your local Hospital and Health Service (HHS).

To find your local HHS:

  1. Visit the Queensland Health website:
    https://www.qld.gov.au/health/children/pregnancy/termination-of-pregnancy
  2. Scroll to “Accessing care at your local Hospital and Health Service.”
  3. Enter your postcode and select your suburb to find your local abortion care options.

You can also:

  • Call 13HEALTH (13 43 25 84) for public service information.
  • Call Children by Choice (1800 177 725) for free, confidential support and advice.
References

Find your nearest Health Service

Search our network of trusted, pro-choice providers across Queensland.

Whether you’re looking for contraception, abortion care, or general reproductive health services, our map helps you locate:

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Queensland Wide Pregnancy Support Services

Free & Confidential