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How To Confirm A Successful Abortion?

Posted on Fri, 1 Jul 2016

Question: Hello

I am 37 yrs old and took mifegest kit starting sunday , one orally and 4 pills vaginally day before yesterday I was confirmed 7 weeks and 5 days pregnant . I had severe pains and bleeding , in which I think I expelled the sac and a lot of clots . The bleeding has come down . But I still feel a nauseous and have slight cramps . does this mean the abortion is not complete . Do I have to wait for the scan after the bleeding stops or Do I need to follow this up with another dose .

Thanks

Answered by Dr. Deepti Verma (8 minutes later)

Brief Answer:
Abortion has likely occured

Detailed Answer:
Hi dear,
I have gone through your question and understand your concerns.
Expelling fleshy mass, clots followed by decreased flow of bleeding is suggestive of the fact that the abortion process has occurred.
Nausea and slight cramps are common till the entire abortion is complete.
You should get a ultrasound done after15 days to confirm the completion of abortion.
Hope you found the answer helpful.
Regards
Dr Deepti Verma
OBGYN

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Deepti Verma (16 days later)

I have take the mifegest kit on 10 the of May . I am still bleeding . There was heavy bleeding for the first after which it reduced the next week and towards the end of last week was only spotting . From the past two days the bleeding has again increased not very heavy but definitely not spotting .

Answered by Dr. Deepti Verma (3 hours later)

Brief Answer:
Get an ultrasound done

Detailed Answer:
Hi dear, in this case, you should get an ultrasound done to detect any retained products of conception which are present in uterine cavity, causing this bleeding.
Regards
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. Deepti Verma (2 days later)

Hello ma'am

Will they do an ultra sound done even when I am bleeding . Actually from the past 4 days it has been period type bleeding .

Do you suggest I wait for 2 more days or do I get it done ? Is it a TvS scan I have to get done?

Please also do let me know if I would have to repeat a course of tablets or an aspiration will be absolutely necessary

Thank you

Answered by Dr. Deepti Verma (13 hours later)

Brief Answer:
To detect any retained products of conception

Detailed Answer:
Hi dear, I will suggest you to get a transabdominal ultrasound to detect any retained products of conception, even if bleeding.
Aspiration may be required if the retained products of conception.
Regards
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar