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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment To Terminate Pregnancy

I have recently conceived a baby who is 7 months old now. And he is on solids and breast feed. But I unexpectedly got pregnant again inspite of using birth control condom.It is 5 weeks since my last period and haven't got my period yet. I have taken BHCG test and it has value of 398.20mIU/mL.
And I am not ready for another child. Please suggest me on the ways available for terminating pregnancy. As I am breast feeding which is the best option available to me so that I can continue with breast feeding. And what is the procedure for it and how long will take? Does it require hospitalisation? What is the recovery time? Will it affect me in future If I want to conceive again?
                                                                 
Mon, 27 Jun 2016
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General & Family Physician 's  Response
Hello dear
Understand your concern
You can use gynecologist prescribed mifegest abortion pill under observation as it is not secret in breast milk. (safe in breast feeding mother).Do not try this pill at home as it cause excessive bleeding, abdominal cramp and abnormal development of pregnancy in failure.

Procedure:
Day 1: Mifepristone 600 mg orally after food
Day 2: Misoprostol 800 ug vaginally (should be put high in the vagina by gynecologist). Extra dose requirement can be decide by gynecologist if abortion process will not start.
Day 3: Follow up visit
Day 14: USG to check incomplete process of abortion.
Normally bleeding will start 30-50 minutes after misoprostol pill and whole process will complete in 4-5 days.
It does not require hospitalization, but should be used under supervision of gynecologist. If excessive bleeding (> 2 pads/hour for two consecutive hour) and excessive cramp that is not tolerable, you have to contact gynecologist immediately.
You will recover in 5-8 days.
It will not affect the future pregnancy, but avoid repeated use.
Healthy diet with iron supplements, rest, analgesic will help in faster recovery.
Hope this may help you
Best regards
Dr. Sagar
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Suggest Treatment To Terminate Pregnancy

Hello dear Understand your concern You can use gynecologist prescribed mifegest abortion pill under observation as it is not secret in breast milk. (safe in breast feeding mother).Do not try this pill at home as it cause excessive bleeding, abdominal cramp and abnormal development of pregnancy in failure. Procedure: Day 1: Mifepristone 600 mg orally after food Day 2: Misoprostol 800 ug vaginally (should be put high in the vagina by gynecologist). Extra dose requirement can be decide by gynecologist if abortion process will not start. Day 3: Follow up visit Day 14: USG to check incomplete process of abortion. Normally bleeding will start 30-50 minutes after misoprostol pill and whole process will complete in 4-5 days. It does not require hospitalization, but should be used under supervision of gynecologist. If excessive bleeding ( 2 pads/hour for two consecutive hour) and excessive cramp that is not tolerable, you have to contact gynecologist immediately. You will recover in 5-8 days. It will not affect the future pregnancy, but avoid repeated use. Healthy diet with iron supplements, rest, analgesic will help in faster recovery. Hope this may help you Best regards Dr. Sagar