HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

When Can The Next Dose Be Taken After A Missed Abortion?

hy..last perid date 17july my test be com postive on 23 Aug tha i used Misoprostol 200mcg 2 tablet every 3hrs 3dose and but nothing. than i use vigainly 4 tab after 12hrs 2 time a litel bleding com Aporix not complet one paid.now i am worid that what i do as i use next dose? or my baby wel b safe?
Fri, 22 Apr 2016
Report Abuse
OBGYN 's  Response
Hallow Dear,

You have taken appropriate doses of Tab. Misoprostol according to the Misoprostol only regime recommended by WHO. Usually after such regime, abortion is initiated within 24 hours of the last dose of Misoprostol. If you have not aborted with this regime; and even after the vaginal doses after 12 hours, the medicine have failed in your case.

You have following options available to complete the termination of pregnancy:

1. Take Tab. Mifepristone followed after 24-48 hours by Tab. Misoprostol. These medicines should be taken by the advice and prescription of a Gynaecologist only. If this also fails or otherwise:

2. Opt for surgical method like MVA aspiration or suction evacuation depending up on the period of gestation.

Since you have already consumed sufficient number of Tab. Misoprostol, you should go for termination of pregnancy as these medicines are known to cause developmental abnormalities in the baby.

Before you opt for any method, I would request you to get ultrasonography done. If there are products of conception in the uterine cavity, opt for either of the methods suggested above. However, if the uterine cavity is empty in spite of the positive pregnancy test, there is a high possibility of pregnancy implanted somewhere outside the uterine cavity (ectopic pregnancy). Medical termination methods can terminate only intrauterine pregnancy.

Ectopic pregnancy is a serious condition and leads to bleeding emergency when ruptured. It then requires surgical intervention with many units of blood transfusion.

Therefore, please report to a Gynaecologist ASAP and do not take any action of your own.

I hope you get the message.

Dr. Nishikant Shrotri
I find this answer helpful

1 Doctor agrees with this answer

Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Recent questions on Prostaglandin


Loading Online Doctors....
When Can The Next Dose Be Taken After A Missed Abortion?

Hallow Dear, You have taken appropriate doses of Tab. Misoprostol according to the Misoprostol only regime recommended by WHO. Usually after such regime, abortion is initiated within 24 hours of the last dose of Misoprostol. If you have not aborted with this regime; and even after the vaginal doses after 12 hours, the medicine have failed in your case. You have following options available to complete the termination of pregnancy: 1. Take Tab. Mifepristone followed after 24-48 hours by Tab. Misoprostol. These medicines should be taken by the advice and prescription of a Gynaecologist only. If this also fails or otherwise: 2. Opt for surgical method like MVA aspiration or suction evacuation depending up on the period of gestation. Since you have already consumed sufficient number of Tab. Misoprostol, you should go for termination of pregnancy as these medicines are known to cause developmental abnormalities in the baby. Before you opt for any method, I would request you to get ultrasonography done. If there are products of conception in the uterine cavity, opt for either of the methods suggested above. However, if the uterine cavity is empty in spite of the positive pregnancy test, there is a high possibility of pregnancy implanted somewhere outside the uterine cavity (ectopic pregnancy). Medical termination methods can terminate only intrauterine pregnancy. Ectopic pregnancy is a serious condition and leads to bleeding emergency when ruptured. It then requires surgical intervention with many units of blood transfusion. Therefore, please report to a Gynaecologist ASAP and do not take any action of your own. I hope you get the message. Dr. Nishikant Shrotri