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How To Terminate Pregnancy?

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Posted on Fri, 17 Jun 2016
Question: Hi ,

I have been living with my girlfriend for past 2 years . A week before we found that she is pregnant . We wen to see a near by doctor who told us to get Beta HCG done and then she will give my gf the pills . Her Beta HCG levels tested last friday were 4000 , and it has been 6 weeks since we had sex .

My gf is in medical profession herself and she has to do a lot of work standing , plus she has polio induced paralysis in one of her legs , due to which her day to day activities are quite strenuous .

I want to know which abortion procedure will be safe right now , considering that she might not be able to take much leave from work , also i dont want her to suffer too much pain and all .

And can you suggest me the best MTP centres in XXXXXXX .
doctor
Answered by Dr. Deepti Verma (10 minutes later)
Brief Answer:
Medical abortion will be best

Detailed Answer:
Hi dear,
I have gone through your question and understand your concerns.
Medical abortion using medicines mifepristone and misoprostol tablets will be best , however an ultrasound should be done prior to taking these drugs as the gestational age should be less than7 weeks for taking these drugs.
It can be taken under the supervision of an OBGYN specialist.
There are many gynecologist in XXXXXXX including those in Gangaram Hospital, Indraprastha Apollo and XXXXXXX XXXXXXX
Hope you found the answer helpful.
Regards
Dr Deepti Verma
OBGYN
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Deepti Verma (4 minutes later)
Thanks for the quick reply Mam .

But we have asked a few people and searched through net and all we see is horror stories related to medical abortion . On the contrary , surgical abortion though costly , is been referred as less painful and more safe .

Can you please suggest if we shd opt for surgical abortion ?
doctor
Answered by Dr. Deepti Verma (4 minutes later)
Brief Answer:
Can go for surgical abortion

Detailed Answer:
Hi dear,
The medical abortion, if taken under supervision and at proper gestational age, is safe, with a minor failure rate of 2%.
However, you can surgical abortion directly also.
It can be done till 12 weeks gestational age, and has almost nil failure rate.
Regards
Dr Deepti Verma
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Deepti Verma (3 minutes later)
Thanks a lot Mam ,

One last question , when can we go for surgical abortion , is there a lower limit in number of weeks like Medical abportion or can we get that done right now ?
doctor
Answered by Dr. Deepti Verma (2 hours later)
Brief Answer:
Between 6 weeks and 12 weeks

Detailed Answer:
Hi dear, surgical abortion should be done between 6 weeks and 12 weeks of gestation.
Regards
Dr Deepti Verma
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Deepti Verma (3 days later)
Hello Mam ,

I consulted a gynae in XXXXXXX Healtcare , and we have opted for a medical abortion . My gf was given Mifepristone last day at the hospital , and she will be administered with Mifepristol vaginally tommorow , ie, on Sunday .

Now my gf forgot to tell her doctor about the "Candida infection" she has for last 1 month . Can you please let us know if this wont cause any harm to her , or if the pills shd be taken orally in such case , or not taken at all .
doctor
Answered by Dr. Deepti Verma (1 hour later)
Brief Answer:
Mode to be decided after proper examination

Detailed Answer:
Hi dear,
The misoprostol tablets can be taken orally or vaginally.
Your doctor will examine and will decide the appropriate mode.
Regards
Dr Deepti Verma
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Deepti Verma (28 hours later)
hi Mam

sorry to bother you again . my gf took misopristol vaginally at around 10.30 am today under supervision of our gynae. she didnt have any cramps till now but she passed two big clots( one was a white tissue) at 11.30 am (i.e 1 hr after taking medicine). She is bleeding but not very heavily and had back pain too which is gone now . We are worried that the medicine didnt work . The gestational age is exactly 6 weeks in her case . please let us know if it is normal ?
doctor
Answered by Dr. Deepti Verma (2 hours later)
Brief Answer:
Its normal

Detailed Answer:
Hi dear,
Passing white fleshy mass, abdominal cramps and bleeding are suggestive of the fact that the abortion process has started.
There is nothing to worry.
Regards
Dr Deepti Verma
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Deepti Verma (18 hours later)
Hello Mam ,

It has been 24 hours since she took misoprostol , and apart from 2 clots which looked like gestational sac (which passed only after 45 mins of taking misoprostol) , nothing significant has happened . There has been no cramping at all .

She was bleeding last day which has now reduced to simple period like bleeding only .

What shd we do further ?

The problem is that our doc has given us appointment for thursday as she is out of town and we dont know what to do .

I have referred to guidelines available on various medical sites and everywhere it says that it takes 2 - 4 hours for clots to pass which is accompanied with heavy bleeding , and then after 24 hrs some normal bleeding continues for a few weeks . They also mention about taking antibiotics the day after taking pill .

Please guide Mam .

doctor
Answered by Dr. Deepti Verma (5 hours later)
Brief Answer:
Do not worry

Detailed Answer:
Hi dear, since she has passed the fleshy mass and is bleeding afterwards, the process of abortion is likely completed.
Antibiotics are not mandatory after medical abortion, and should be given only if any fever or persistent pain in lower abdomen is there.
I suggest you not to worry and get a repeat ultrasound after one week to see if the abortion has completely occured.
Hope you found the answer helpful.
Regards
Dr Deepti Verma
OBGYN
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
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Dr. Deepti Verma

OBGYN, Maternal and Fetal Medicine

Practicing since :2009

Answered : 5064 Questions

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How To Terminate Pregnancy?

Brief Answer: Medical abortion will be best Detailed Answer: Hi dear, I have gone through your question and understand your concerns. Medical abortion using medicines mifepristone and misoprostol tablets will be best , however an ultrasound should be done prior to taking these drugs as the gestational age should be less than7 weeks for taking these drugs. It can be taken under the supervision of an OBGYN specialist. There are many gynecologist in XXXXXXX including those in Gangaram Hospital, Indraprastha Apollo and XXXXXXX XXXXXXX Hope you found the answer helpful. Regards Dr Deepti Verma OBGYN