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What Is The Reason For Absence Of Bleeding After Taking Unwanted Kit?
Hello doctor My wife missed period and on 30th nov we checked and found she is pregnant. She took unwanted kit. 1 mifepristone on 30 th and remaining misoprotol1 on 1st dec and 2 nd on 2 dec. but she is getting only 3 or 4 drops of blooding. Still 2 are remaining. Any suggestion pls . Thanks
Thu, 28 Jan 2016
Hallow Dear,
Tab. Mifeprisone 200 mg followed after 24-48 hours by Tab. Misoprostol 800 mcgms. is a dose for termination of pregnancy up to 9 weeks of pregnancy.
From your history, it appears that she has taken these tablets within few days of missed period. So these tablets should terminate the pregnancy. However, it seems that she has consumed only half the dose of Misoprostol. Please make her take the remaining two tablets of Misoprostol lest the risk of failure. Usually, the pregnancy is terminated within 24 hours of the last tablet taken; however, it may take few days also. The completion of abortion can be confirmed by ultrasonography. I always advise so.
Very rarely, these tablets fail to terminate the pregnancy. In such events, according to WHO guidelines, the dose may be repeated. However, still if it fails, then the pregnancy has to be terminated by surgical evacuation of the uterus. At such early stage of pregnancy, it can be evacuated by MVA syringe.
These medicines which she has taken are potential teratogenic medicines; i.e. they can cause developmental abnormalities in the baby. Hence, if they fail to terminate the pregnancy, the decision should not be reverted to continuation of pregnancy. The pregnancy should then be terminated by surgical methods.
I hope this helps you.
Dr. Nishikant
Tab. Mifeprisone 200 mg followed after 24-48 hours by Tab. Misoprostol 800 mcgms. is a dose for termination of pregnancy up to 9 weeks of pregnancy.
From your history, it appears that she has taken these tablets within few days of missed period. So these tablets should terminate the pregnancy. However, it seems that she has consumed only half the dose of Misoprostol. Please make her take the remaining two tablets of Misoprostol lest the risk of failure. Usually, the pregnancy is terminated within 24 hours of the last tablet taken; however, it may take few days also. The completion of abortion can be confirmed by ultrasonography. I always advise so.
Very rarely, these tablets fail to terminate the pregnancy. In such events, according to WHO guidelines, the dose may be repeated. However, still if it fails, then the pregnancy has to be terminated by surgical evacuation of the uterus. At such early stage of pregnancy, it can be evacuated by MVA syringe.
These medicines which she has taken are potential teratogenic medicines; i.e. they can cause developmental abnormalities in the baby. Hence, if they fail to terminate the pregnancy, the decision should not be reverted to continuation of pregnancy. The pregnancy should then be terminated by surgical methods.
I hope this helps you.
Dr. Nishikant
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