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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Termination Of Pregnancy

Iam 28 yrs house wife, Rincy. I have 2 children. 3yrs daughter & 10months aged son,

Now iam in Dubai with my husband. My period disordered. Last period was oct 24 & this was the first period after my second delivery. I did not check the preg: test. If iam pregnant it wll be very hard to us. Now we don’t have plan for third kid.So what kind of medicine I can take…pleae advice me

RINCY DAVID

DUBAI

Tue, 21 Jun 2016
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OBGYN 's  Response
Dear Rincy,

I empathize your situation when an unwanted pregnancy has occurred with the younger child just 10 months young.

Since your periods are irregular, you have to confirm the status of your pregnancy. Pregnancy test on overnight first morning urine sample about a week after the missed period will inform you whether you are pregnant or not. These tests may give false negative results if performed earlier. Alternatively you may opt for Beta hCG test on your blood which give reliable results even few days before missed period.

If you are pregnant, you may opt for medical termination of pregnancy. WHO has recommended two regimes for termination of pregnancy up to 9 weeks of gestation.

1. Tab. Mifepristone to be followed by Tab. Misoprostol within 24 - 48 hours.

2. Misoprostol only: Tab. Misoprostol 3-12 hourly upto 3 doses.

Usually the abortion takes place within 24 hours but not later than 72 hours after the last dose of Misoprostol. If it does not, the regime may be repeated or alternative regime may be tried or surgical method like MVA aspiration may be chosen. These medicines cause developmental abnormalities in the baby; hence in case of their failure, the pregnancy should not be continued but should be terminated by surgical procedure.

These medicines are prescription medicines. They should be taken only with a Gynaecologist's advice and prescription.

If you are not pregnant as revealed by pregnancy test, you may take Tab. Deviry for 5 days; 4-7 days after which you will get withdrawal bleeding.

I hope this helps you.

Dr. Nishikant Shrotri
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Suggest Treatment For Termination Of Pregnancy

Dear Rincy, I empathize your situation when an unwanted pregnancy has occurred with the younger child just 10 months young. Since your periods are irregular, you have to confirm the status of your pregnancy. Pregnancy test on overnight first morning urine sample about a week after the missed period will inform you whether you are pregnant or not. These tests may give false negative results if performed earlier. Alternatively you may opt for Beta hCG test on your blood which give reliable results even few days before missed period. If you are pregnant, you may opt for medical termination of pregnancy. WHO has recommended two regimes for termination of pregnancy up to 9 weeks of gestation. 1. Tab. Mifepristone to be followed by Tab. Misoprostol within 24 - 48 hours. 2. Misoprostol only: Tab. Misoprostol 3-12 hourly upto 3 doses. Usually the abortion takes place within 24 hours but not later than 72 hours after the last dose of Misoprostol. If it does not, the regime may be repeated or alternative regime may be tried or surgical method like MVA aspiration may be chosen. These medicines cause developmental abnormalities in the baby; hence in case of their failure, the pregnancy should not be continued but should be terminated by surgical procedure. These medicines are prescription medicines. They should be taken only with a Gynaecologist s advice and prescription. If you are not pregnant as revealed by pregnancy test, you may take Tab. Deviry for 5 days; 4-7 days after which you will get withdrawal bleeding. I hope this helps you. Dr. Nishikant Shrotri