Inclusion Criteria:  Seeking medical abortion services at one of the enrolling clinics Have an intrauterine pregnancy 71-77 days of gestation or 78-84 days Meet standard eligibility criteria for medical abortion Be able to return to clinic for in-person follow up Speak/read/write English or Spanish Have access to a mobile phone with texting capability Be in general good health Be willing and able to sign consent forms Agree to comply with the study procedures and follow up.  Exclusion Criteria:  Not eligible to consent on their own to being in a study (Age criteria may vary by site according to state law.) With known allergies or other contraindications to mifepristone or misoprostol Desiring to start depot medroxyprogesterone acetate (DMPA) as contraception method immediately because of potential interaction with mifepristone. Those who wish to wait until abortion completion to start DMPA will be eligible for enrollment.