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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should The Intake Of Misoprostol Medicine Be Repeated If Taken Once?

hii doc.. my query is regarding the mtp kit.me and my wife had an unwanted pregnancy of 6 weeks owing to which my wife was suggested to take mtp kit.she took the mifepristone on the night of 15th march (10pm) followed by 2 tablets of misoprostol orally on the night of 17th (10pm). within a span of half an hour after taking misoprostol she started bleeding followed by abdominal pain and cramps.now its 3 in the afternoon of 18th n her pain and cramps have reduced pretty much.does she require to take the other 2 misoprostol as well or is it fine to leave them since the bleedin has already occured. thanks and regards in advance.!!
Tue, 22 Apr 2014
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OBGYN,  's  Response
hi, welcome to healthcare. As per protocol,it is recommended to take the complete dosage. A little bleeding may not signify complete abortion, in my clinic it is customary to do an ultrasound scan 8-10 days after taking the 1st dose i.e. Mifepristone in order to ensure a complete abortion. Sometimes,rarely,few p-o-c namely products of conception remain in the uterus,resulting in incomplete abortion. Such cases need to be curetted in a minor surgical procedure called D&E.
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Should The Intake Of Misoprostol Medicine Be Repeated If Taken Once?

hi, welcome to healthcare. As per protocol,it is recommended to take the complete dosage. A little bleeding may not signify complete abortion, in my clinic it is customary to do an ultrasound scan 8-10 days after taking the 1st dose i.e. Mifepristone in order to ensure a complete abortion. Sometimes,rarely,few p-o-c namely products of conception remain in the uterus,resulting in incomplete abortion. Such cases need to be curetted in a minor surgical procedure called D&E.