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Information on Abortion procedures - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Abortion and Stillbirth
Answered by

General & Family Physician
Practicing since : 2009
Answered : 594 Questions
Doctor :   Hi,
User :   Hello Doctor
Doctor :   Please proceed
User :   My girlfriend missed her period
Doctor :   ok,
User :   a week after she did urine test and was pisitive
Doctor :   ok,
User :   she took 600mg of misoprotol some days later
User :   She bleeded for about 24 hours
User :   she did a test after a week and some days and it still shows positive
User :   What do you advise?
Doctor :   May i know when was the medicine taken and when tested ?
User :   Last 2 weeks thursday
Doctor :   I am sorry , did not get it
User :   2 weeks ago
Doctor :   Can you mention the dates if possible
User :   2 weeks ago
User :   Wednesday
User :   22nd of december
Doctor :   I meant to ask , the time gap between the missed period and the abortion and the repeat test
User :   She missed period on the 166th of December, her periods are never stable
User :   16th
User :   took drugs on the 22nd of december
Doctor :   ok,
Doctor :   the repeat test ?
User :   did test a week after
User :   meaning did test last week thursday
Doctor :   ok,
Doctor :   here it is , if the pregnancy is of 4 to 8 weeks as in the case you mention the HCG can be positive for 2 to 3 weeks and hence the test get5s positive
User :   Do you advise going for a d&c tomorrow, after she must have a done a urine test in the morning?
User :   Okay?
Doctor :   i advice you to get a Scan and then based on the reports need for DNC could be detrmned
Doctor :   get a scan soon
User :   A scan should be done tomorrow?
Doctor :   and confirm whether the abortion is complete or incomplete
Doctor :   but i can assure that the pregnancy is terminated ,
User :   so i should go to the hospital and request an ultrasound
Doctor :   yes, get the scan tomorrow
Doctor :   yes, Ultrasound
User :   Okay, taking the 600 mg of Misoprostol, regardless it means the preganancy has been terminated?
Doctor :   no ,not the taking of the medicine but the bleeding she had confirms that
User :   The bleeding confirms termination rt?
Doctor :   yes,
User :   So if it is incomplete after the scan the kind of dc won't really be all that surgical
User :   just teh removal of whatever is left
User :   in the...
Doctor :   whether the abortion is complete or incomplete the scan will be the better one to show
User :   Okay
User :   What will i request to scan for?
Doctor :   yes, D and C is a minor OT procedure , needing rest for one or two days
Doctor :   Ask for post MTP USG scan
User :   great
User :   thanks!
Doctor :   you are welcome
Doctor :   Thanks for consulting me , kindly provide your feedback
User :   Thanks, will do
Doctor :   Bye for now
Doctor :   Take care
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