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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Should I Do In Case Of Incomplete Abortion?

I took apo-misoprostol 200 mc. I inserted 4 tablets in my vagina first and sallow 6 tablets after, 2 tablets every 2 hrs. I started to see blood and pieces of mass after the 2nd dosage that i inserted in my vagina. That day i lose plenty blood and plenty mass came out, and by night time I had slight bleeding. After 3 days another piece came out and cause me serve pain. A week have pass and I m still bleeding and seeing little pieces of mass. I took a test today and its says I m still pregnant. What should i do?
Fri, 27 Feb 2015
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OBGYN 's  Response
Hi
How many weeks pregnant were you when you took the pills?
From your notes it appears that the abortion process is almost complete. You are likely to have this bleeding (light) for upto two weeks. If you continue to bleed after two weeks or if the bleeding becomes heavy, you must see the doctor as it is suggestive of incomplete abortion. Your doctor will do an ultrasound to see whether abortion is complete or not.
If there is incomplete abortion and pregnancy remnant is small she may just observe or repeat the abortion pill. If there is large pregnancy remnant then she may do surgery (dilatation and curettage) to complete the abortion.

As regards pregnancy test, the test usually remains positive for 3-4 weeks.
In some cases it can remain positive for up to 6 weeks.
I hope i have answered to your satisfaction.
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What Should I Do In Case Of Incomplete Abortion?

Hi How many weeks pregnant were you when you took the pills? From your notes it appears that the abortion process is almost complete. You are likely to have this bleeding (light) for upto two weeks. If you continue to bleed after two weeks or if the bleeding becomes heavy, you must see the doctor as it is suggestive of incomplete abortion. Your doctor will do an ultrasound to see whether abortion is complete or not. If there is incomplete abortion and pregnancy remnant is small she may just observe or repeat the abortion pill. If there is large pregnancy remnant then she may do surgery (dilatation and curettage) to complete the abortion. As regards pregnancy test, the test usually remains positive for 3-4 weeks. In some cases it can remain positive for up to 6 weeks. I hope i have answered to your satisfaction.