Scheme A is aimed at patients who are normally fit and well and self-administer their own medicines at home. Wherever possible such patients should be encouraged to self-administer whilst in hospital. Patients should be issued with the information sheet/self-assessment and consent form ( Appendix 1 ) and be asked to read the information and complete the form to indicate their willingness to take part in the self-administration scheme either at pre-admission clinic or on admission to the ward. The completed form should then be filed in the patients Health Care Record (HCR). For patients wishing to self-administer the nurse/midwife should indicate on the top of the drug chart that the patient is self-administering (the words “SELF-ADMIN” are sufficient). Nurses should check that the patient is self-administering and tick each administration box to indicate that the patient has administered the dose to themselves.
In most countries, misoprostol can be purchased in pharmacies as Cytotec or under some other trade name as an anti-ulcer medication. Some pharmacies may ask for a medical prescription for this purpose. Buying so-called “abortion drugs” on the black market or from unknown Internet sources is not recommended. Women can also purchase the combined mifepristone-misoprostol regimen online from Women on Web in the Netherlands ( http:// ) with a donation of 70-90 Euros (exceptions are made in difficult cases). This price may be higher than misoprostol tablets purchased locally, but the drugs are of known quality, and the combined regimen is significantly more effective than misoprostol used alone. Women Help Women ( https:// ) and Safe2Choose ( https:// ) also provide safe access to abortion medication.