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Pregnant. Took Mifeprex. No Cramp Or Bleeding. Is The Baby Alive?

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Posted on Mon, 27 May 2013
Question: Hi, i took 1pill of mifeprex yesterday 4pm. I am/was 4 weeks pregnant. Did not have cramps, bleeding, nothing. Only dizziness. Is the baby still alive, even tho the med is supposed to stop progesterone production?
doctor
Answered by Dr. Kulsoom Qureshi (35 minutes later)
Hello XXXXXX,
Thanks for consulting us.
I think you are attempting medical termination of pregnancy and you are right that this medicine is anti-progesterone.
You are currently only 4 weeks pregnant & at this stage it is not always possible to see fetal heart beat on ultrasound, which is a surest sign of a living pregnancy.
You can go for a trans-vaginal ultrasound to see the status of your pregnancy. If this is inconclusive you may go for serial beta hCG measurements ( blood test) to make sure that the pregnancy is ongoing or has stopped progressing. With the given history I can only say that it is still inside you & you need to take some other medicine to abort it.
It is advisable that medical termination of pregnancy should be under medical supervision & your doctor will guide you which medicine to take & in which amount. Doctor will also guide you if any complication arise.
Hope this answers your query. Please write back if you have any point to discuss.
I will be glad to respond.
Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kulsoom Qureshi (15 minutes later)
What if i changed my mind? What are the risks of birth defects?
doctor
Answered by Dr. Kulsoom Qureshi (15 minutes later)
Welcome back.
There is an increased risk of birth defects if pregnancy continues despite taking this medicine. So, this may not be a wise decision if you change your mind.
Your pregnancy is very early & usually at this stage an outside insult either damages the pregnancy completely or it stays unaffected but theoretical risk is no doubt there. So, better to be safe than sorry.
Best of luck.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Kulsoom Qureshi

OBGYN

Practicing since :1997

Answered : 1042 Questions

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Pregnant. Took Mifeprex. No Cramp Or Bleeding. Is The Baby Alive?

Hello XXXXXX,
Thanks for consulting us.
I think you are attempting medical termination of pregnancy and you are right that this medicine is anti-progesterone.
You are currently only 4 weeks pregnant & at this stage it is not always possible to see fetal heart beat on ultrasound, which is a surest sign of a living pregnancy.
You can go for a trans-vaginal ultrasound to see the status of your pregnancy. If this is inconclusive you may go for serial beta hCG measurements ( blood test) to make sure that the pregnancy is ongoing or has stopped progressing. With the given history I can only say that it is still inside you & you need to take some other medicine to abort it.
It is advisable that medical termination of pregnancy should be under medical supervision & your doctor will guide you which medicine to take & in which amount. Doctor will also guide you if any complication arise.
Hope this answers your query. Please write back if you have any point to discuss.
I will be glad to respond.
Take care.