The main outcome measure is effectiveness after the first dose of misoprostol measured by the number of abortions completed at the first follow-up visit. The investigators will also compare the rate of surgery, the time taken to abort (based on history), side effects, pain and satisfaction. Previous studies have had about 86% of women prefer a medical abortion, 39.2% had nausea, 24.8% had vomiting, 25.9% had fever, 27.2% had headache, 41.8% had chills, and 39.8% had fatigue. The investigators do not expect the side effects to be substantially different. Previously the mean pain scores were 6.3 on an 11-point pain scale.