Brief Answer:
Do medical abortion under guidance of gynecologist.

Detailed Answer:
Hello Dear,

Thanks for writing to us. Followings are my comments:

1) Medical abortion can be done by abortion pills successfully up to 9 weeks in 95% cases. However, it should be done UNDER supervision of local gynecologist (need proper direction and complete prescription) and it will help in emergency situation.

There will be some adverse effect like excessive bleeding, abdominal cramp, vomiting, fainting etc which CAN'T be controlled at home WITHOUT doctor's supervision.

2) Followings are the general guideline for medical abortion:

a) Do one Trans Vaginal ultrasound (TVS scan) to confirm gestational age and nature of pregnancy (uterine or tubal) before taking the abortion pill. Tubal pregnancy is more dangerous and it needs different treatment.

b) Ideally, 1 Mifepristone tab is taken in the morning, which is followed 24 to 48 hrs later by four Misoprostol tabs (2 orally and other 2 vaginally). These are prescription only medicines.

Immediately after taking those pills, you will get vaginal bleeding and strong abdominal cramp till fleshy mass or clots are expelled out.

c) You may get bleeding or small clots for 1-2 weeks to resolve the abortion completely. Next, follow up examination is required after 1 week to check for retained bits or placental tissue. One pelvic ultrasound (post abortion) is quite helpful for confirmation.

d) In failed medical abortion (5% cases), surgical procedure (D & C) is required to evacuate uterine cavity completely. In such case, gynecologist can help you.

Hope, I have answered your query. Wish your good health and take care.

For future query, you can directly approach me through

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=63326

Regards,

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