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Post abortion care - Online Doctor Chats

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

General & Family Physician
Practicing since : 2004
Answered : 1723 Questions
Doctor :   Hi
User :   hi doc
User :   My wife is 5 weeks pregnant and we dont want to have a child
User :   we have met local gynaec and sought consultation
Doctor :   ok
User :   she has recommended usage of abortion pills
Doctor :   ok
User :   i just wanted to know how safe they are
User :   will they completely remove the zygote? or sac as is seen in the sonography report?
Doctor :   Yes success rate is very high as it is only 5 weeks
Doctor :   And the doc will confirm the completion of abortion with repeat Ultrasound and Serum Beta HCG levels
User :   she has advised us to take only after 6 weeks completion as right now the sac does not have a lot of mass
Doctor :   The abortion pills are used any time before 9 weeks
User :   ok..the three tablets that I have to take before, does it lead to bleeding..am suppose to travel on that day
Doctor :   As the pill cause expulsion of uterine content, you can repeat the Ultrasound after 2 to 4 weeks
Doctor :   Yes they cause mild bleeding
User :   ok..next two that will cause complete termination..will lead to heavy bleeding..can i take pain killer for that day? Any precautions I should take?
Doctor :   Yes
Doctor :   Mifepristone can cause excessive bleeding
Doctor :   nausea , vomiting, crams
User :   I have been recommended Mifeprin 3 tablets before
User :   and after a day's gap I have to take Misoprostol
Doctor :   exactly
User :   two tablets and gynac suggested post misoprostol bleeding would start
Doctor :   usually complete bleeding happens after 2 medications
User :   can i take pain killers during excessively bleeding? and what precautions need to be taken?
Doctor :   You may feel nauseated, so should have requested medicines for vomiting
Doctor :   Take Pantop 40 mg daily for 3 days which soothes your stomach so that you will not feel nauseated
Doctor :   Yes you can take Ibuprofen 600 mg three times during the pain or bleeding
Doctor :   Take it after you eat some thing
Doctor :   Do not take on empty stomach
User :   ok doc any side effects in long run? skin? wieght gain? post goin ahead with thus type of abortion?
Doctor :   long run they donot have side effects
User :   also if we plan a child two years later will it lead to any harm?
Doctor :   no skin no weight effects with pills
Doctor :   This medications will not cause any harm
Doctor :   if the abortion is not complete then you get complications
User :   ok but its mostly successful right?
Doctor :   So it is very imp to make sure the abortion is complete.
Doctor :   Yes
User :   how to make sure?
Doctor :   You need to reconsult Gynecologist after 2 weeks
Doctor :   and get the Ultra sound
Doctor :   Make sure the Uterus is empty
User :   ok doc
Doctor :   incomplete abortion will cause infections in uterus
Doctor :   and cause future problems with fertility
Doctor :   To avoid that please consult Gynecologist second time
Doctor :   Didn"t she tell you that ?
User :   ok yes we will do
User :   yes she told us
Doctor :   ok
Doctor :   Thank you for consulting us.
User :   consulting you is taking a second opinion
User :   also pls advise a good contraception..condom did not work for us
Doctor :   Please consult Gynecologist for prescription of contraceptives
User :   ok thanks a ton
User :   ok..thanks doc..signing off now.
Doctor :   It seems you have moved out of the chat window. Please log in back if you have medical queries
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