What do I do now?

The next useful step is not a full decision about parenting, adoption, or abortion. It is three facts that change what any later decision even is: whether you are pregnant, whether the pregnancy is in the uterus, and how far along. Then you can talk.

You’re not alone. A nurse can talk with you in chat, or write back on the form. Free and private. You decide. Find a pregnancy center near you if you want a test or scan at their location.

Talk with a nurse — free, private.

You will not be pressured here.

Confirm you are pregnant

A home test is a start. It is not a location and it is not a date. If you want a medical-grade test without guessing from a box, a listed pregnancy center can often do that at their building. That service belongs to the center. Find a center near you has names, addresses, and phones from this starter pass. Call the center before you drive. Hours are not in this file. That number is theirs, not a nurse line.

You do not have to sort the rest of your life in the same hour you confirm a pregnancy. You do need the confirmation to be real.

Confirm it is in the uterus

A positive test cannot tell you where the pregnancy is. An ectopic pregnancy — a pregnancy outside the uterus, or in the cornu of the uterus — can still make a home test turn positive. The approved abortion-pill regimen is not treatment for an ectopic pregnancy. Expected pain and bleeding can look like a ruptured ectopic. A ruptured ectopic can be fatal.

An ultrasound is how you know the pregnancy is in the uterus. A listed center may scan at their location. If something in your body already feels wrong — pain on one side, pain in the tip of the shoulder, fainting, or bleeding that will not stop — that is not a chat-window question. Go to an emergency room, or call 911.

How far along am I? is the fuller page on dates and location. Sharp pain on one side, or bleeding that won’t stop leads with 911.

Confirm how far along

Dates change what any later decision even is. A last period is a guess. An ultrasound is how you know. A limited ultrasound at a pregnancy center is information. It is not full obstetric care. It will not replace an ER if you are crashing.

FDA labeling for the mifepristone regimen assumes the same Rh prevention used for surgical abortion. ACOG’s 2020 bulletin recommended testing and RhIg; ACOG issued a 2024 update for pregnancies under 12 weeks that suggests forgoing routine testing and RhIg while still allowing individual shared decision-making. If blood type is unknown or Rh-negative, and more children may be wanted, ask a clinician. Do not assume Rh should be skipped.

A clinician does blood type — not a chat window.

Then talk

Once those three facts are in hand, parenting, adoption, and abortion can be walked with the limits attached. Considering abortion? is that page. Alabama’s legal limit belongs in that conversation, not as a headline here.

Alabama does not allow elective abortion. That includes the abortion pill. Packs still show up in the mail. They are two drugs, not one. They cannot tell you if the pregnancy is in the uterus. Incomplete abortion, heavy bleeding, leftover pills, and no in-state clinic backup are part of what can go wrong. FDA rules for pharmacies do not make the pills lawful here.

If the remaining question is the pill itself — what the two drugs do, what bleeding can look like, what to tell an ER — read Considering the abortion pill?. The fuller pill site is abortionpillsAL.com.

If you have taken only the first pill, mifepristone, and you want this pregnancy to continue, that conversation lives on Changed your mind after the first pill?. Talk with a nurse here first. If you already took misoprostol, that is not an APR page. If you are crashing, 911.

If you already had an abortion and the after is still happening, start at After an abortion.

If someone is sitting with you, they can read For someone sitting with her. That is the only page written to them.

Serious and sometimes fatal infections and bleeding occur very rarely after the abortion-pill medicines. No causal relationship between those medicines and those events has been established. Soak two thick pads an hour for two consecutive hours: that is an ER. If you are crashing before the second hour, do not wait. Fever of 100.4°F or higher lasting more than 4 hours belongs there too. Tell the ER you took the abortion pill — mifepristone, misoprostol, or both, if you know.

FDA labeling says follow-up about 7 to 14 days after mifepristone is very important if that regimen was used. If listed contacts cannot be reached, go to an ER.

A nurse can use an interpreter. This site is written in English first.

> Emergency. One-sided pelvic pain, pain at the tip of your shoulder, spotting with dizziness, fainting, soaking two thick pads an hour for two hours, or a fever that will not break: call 911. If you may harm yourself, call or text 988. That is not the nurse chat.

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Independent pregnancy centers named on this site are not a chain and not each other’s branches.

Chat is not medical care. An emergency room is.

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