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Does Taking Single Does Of Mifeprin Adequate For Abortion?

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Posted on Thu, 26 Mar 2015
Question: My wife is pregnant , last period was 21/01/2015. Doctor advice to take 1 Mifeprin tablet and 2 Zitotec 200 ( 2 tablet together orally) and 2 Zitotec 200 vaginally.Please advice whether 1 Mifeprin is adequate to get clear ?
doctor
Answered by Dr. Aarti Abraham (5 minutes later)
Brief Answer:
Yes it is adequate.

Detailed Answer:
Hello
Thanks for writing to us with your health concern.
Let me explain the process of medical abortion with pills to you.

While undergoing a medical abortion, one should constantly be under medical supervision.
Let me explain why this is important.
Firstly, the pregnancy should be confirmed by a doctor , preferably with an ultrasound scan.
So it is not just enough to have a positive home pregnancy test, but it is vital to consult a gynecologist and have a pelvic ultrasound scan.
This has two purposes.
It dates the pregnancy accurately, because these abortion pills work only within a narrow frame of time.
Secondly, it confirms that the pregnancy is inside the uterus, rarely, there is a condition called ectopic pregnancy ( pregnancy outside the uterus ) which is very dangerous.

After confirming the pregnancy, tablets are taken by prescription.

Generally 1 tablet of Mifepristone is taken orally, 48 hours later 4 more tablets of Misoprostol are taken orally or inserted vaginally.

Bleeding with cramps starts in a few hours, and lasts heavily for a few days.

Spotting might continue for 15 days or more.

It is compulsory to have a follow up scan after 15 days to establish that the uterus is empty and the abortion is now complete.

Pills are more than 96 % effective in early pregnancy, however rarely there maybe complications such as - heavy bleeding, infection, failure of pills leading to surgical abortion , fainting etc.

Hence it is a must to keep a doctor in the loop throughout.

Misoprostol tablets can be taken orally or vaginally both.

Generally the combination of 1 mifeprin and 4 misoprostol is successful in more than 96 % of cases.

All the best
Please feel free to discuss further.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham (10 minutes later)
How can we understand that the abortion process has been successfully completed i.e, uterus is empty and abortion is complete.
doctor
Answered by Dr. Aarti Abraham (8 minutes later)
Brief Answer:
As below

Detailed Answer:
Please read the line in the above answer -
It is compulsory to have a follow up scan after 15 days to establish that the uterus is empty and the abortion is now complete.
I have copy pasted it.
You need to have a follow up visit with a gynecologist and an ultrasound scan to confirm this.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Aarti Abraham

OBGYN

Practicing since :1998

Answered : 6004 Questions

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Does Taking Single Does Of Mifeprin Adequate For Abortion?

Brief Answer: Yes it is adequate. Detailed Answer: Hello Thanks for writing to us with your health concern. Let me explain the process of medical abortion with pills to you. While undergoing a medical abortion, one should constantly be under medical supervision. Let me explain why this is important. Firstly, the pregnancy should be confirmed by a doctor , preferably with an ultrasound scan. So it is not just enough to have a positive home pregnancy test, but it is vital to consult a gynecologist and have a pelvic ultrasound scan. This has two purposes. It dates the pregnancy accurately, because these abortion pills work only within a narrow frame of time. Secondly, it confirms that the pregnancy is inside the uterus, rarely, there is a condition called ectopic pregnancy ( pregnancy outside the uterus ) which is very dangerous. After confirming the pregnancy, tablets are taken by prescription. Generally 1 tablet of Mifepristone is taken orally, 48 hours later 4 more tablets of Misoprostol are taken orally or inserted vaginally. Bleeding with cramps starts in a few hours, and lasts heavily for a few days. Spotting might continue for 15 days or more. It is compulsory to have a follow up scan after 15 days to establish that the uterus is empty and the abortion is now complete. Pills are more than 96 % effective in early pregnancy, however rarely there maybe complications such as - heavy bleeding, infection, failure of pills leading to surgical abortion , fainting etc. Hence it is a must to keep a doctor in the loop throughout. Misoprostol tablets can be taken orally or vaginally both. Generally the combination of 1 mifeprin and 4 misoprostol is successful in more than 96 % of cases. All the best Please feel free to discuss further.