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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It Safe To Go Ahead With Pregnancy After Taking Cytotec Pills And Bleeding?

My girlfriend found out she was pregnant and on our 5th week the US showed nothing other than a sac. Her levels were not doubling so the Doc prepared us for a D/C, prescribed cytotect and sent us home. She took Motrin for a few days and the day of the D/C she took 2 cytotec pills vaginally. She bled and when we came in for the D/C he advised us the blood levels are now increasing as they should. Should we be worried about any side effects toward the baby if we go along with the pregnancy. Please help!
Mon, 2 May 2016
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OBGYN 's  Response
Hello,
I have gone through your query and understood the concern. Unfortunately, the pregnancy cannot be continued as medications used to induce the abortion can cause fetal malformations. You will have to proceed with the evacuation. It so happens in some pregnancies that the hCG levels initially are lower and take time to pick up and so is the evidence of a fetal pole and cardiac activity. A repeat test after a week is always advisable in doubtful cases before deciding on the next plan of action. Since your doctor has already prepared her for an evacuation through medication, the procedure has to be done as the medication used is harmful to the fetus. Hope this helps.
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OBGYN Dr. Nishikant Shrotri's  Response
Hallow Dear,

At 5 weeks of gestation, even though the gestational sac is seen by ultrasonography, embryo may not be clearly visible.

Whatever the case, she has taken Cytotc tablets. These tablets contain Misoprostol which causes developmental abnormalities in the baby. Hence, if this medicine fails to terminate the pregnancy, it should be terminated by some surgical method like MVA aspiration.

Moreover, follow up study o her hCG levels is showing rising levels meaning thereby that the baby is growing.

Please do not continue this pregnancy for the risk of abnormalities in the baby. Let the doctor perform evacuation of the uterine cavity to terminate the pregnancy by whichever method he/she feels suitable and safe for the gestational period. Mostly, if she is under 10 weeks of gestation, her pregnancy can be terminated by MVA aspiration which is a very simple procedure.

I hope you got the message.

Dr. Nishikant Shrotri
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Is It Safe To Go Ahead With Pregnancy After Taking Cytotec Pills And Bleeding?

Hello, I have gone through your query and understood the concern. Unfortunately, the pregnancy cannot be continued as medications used to induce the abortion can cause fetal malformations. You will have to proceed with the evacuation. It so happens in some pregnancies that the hCG levels initially are lower and take time to pick up and so is the evidence of a fetal pole and cardiac activity. A repeat test after a week is always advisable in doubtful cases before deciding on the next plan of action. Since your doctor has already prepared her for an evacuation through medication, the procedure has to be done as the medication used is harmful to the fetus. Hope this helps.