Why shouldn’t you be alone when you do an abortion with pills, and what if no one is available to be with you?

You are strongly advised to use the medicines in the presence of someone who you trust. However, it is not necessarily unsafe either if you choose to do the medical abortion alone. Just make sure you are near a phone or some way of contacting medical professionals. You should consider telling someone (a neighbor, a family member, or someone who is nearby) that you are not feeling well, and you are going to rest. You can ask them to check on you later in the day after you use the Misoprostol. This way someone will know if you are experiencing complications and can help you, but they do not have to know that you have done a medical abortion. You can say that you think you have had a miscarriage.

More information:

Research has shown that success rate and safety outcomes of the home use of abortion pills are similar to those for in-person abortion care. The World Health Organization (WHO) affirms that self-management of medical abortion is safe, feasible and acceptable. According to the WHO Guidelines on Self-Care Interventions, self-management of medical abortion is non-invasive and cost-effective, and it also improves autonomy of  individuals.

If you experience abnormally severe side effects (prolonged or extreme pain, bleeding, cramping, fever, nausea, vomiting, diarrhea), it is good to have someone with you who can get medical help for you.