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Suggest Remedy For Continued Bleeding After Taking Pause 500 Tablets

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Posted on Sat, 7 Feb 2015
Question: My wife is pregnant according to LMP her 8 weeks completed but in usg it showed 5 week 5 days. On the same day of USG , our GYN. Doctor gave her 2 injections named Proluton depot 500 and FertiGyn HP 5000. After around 2hrs, she felt bleeding and we called Gyn. and she gave tablet PAUSE 500 to stop same and prescribed to take it after every 6 hrs till 6 tablets.
She has already taken 4 tablets but still bleeding is there , sometime less sometime more. Please Advise.
doctor
Answered by Dr. Dr. Rakhi Tayal (46 minutes later)
Brief Answer:
Miscarriage can happen.

Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
As per the USG, the size of the baby does not correspond to the period of gestation. The chances of abortion are present. Was there any heart beat present at the time of ultrasound scan? Please attach the detailed report for proper analysis.
Right now your wife is getting the right treatment to stop the bleeding and to prevent the placenta from detachment. Take absolute rest and avoid any strenuous activities. In case the bleeding continues then get a repeat ultrasound scan done to detect any fetal cardiac activity.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Rakhi Tayal (23 minutes later)
Hi,

No there was no heartbeat at time of Ultrasound.
Reports attached for further analysis.

Thanks.
doctor
Answered by Dr. Dr. Rakhi Tayal (1 hour later)
Brief Answer:
Missed abortion likely.

Detailed Answer:
Hello.
Thanks for writing again.
Absence of heart beat is suggestive of missed abortion. If the bleeding is continuing even after the treatment then it is difficult to retain the baby inside. You can get her serum HCG levels evaluated. In case the levels are decreasing then it confirms the missed abortion.
Do consult your gynecologist for the test and repeat ultrasound scan.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Rakhi Tayal (11 minutes later)
Hi ,

Thanks for your reply.
But as per the USG .. baby is still of 5 weeks and 5 days .. and I believe heart beat comes by 6th-7th week. So how we can take this as Missed abortion?

Also, I have a query , on how weeks are count. please consider below example :

Last Period First Date : 11th Nov.
Date of Conception (Likely) : 7th Dec.
Test by Pregnancy Kit : 20th Dec. (Test Positive)

So, ideally, by 8th XXXXXXX it would be 5 Week and 5 days only from date of conception .. but as per our Gyn. it is 8th week .. can you please explain us on this .. it will be very helpful.
doctor
Answered by Dr. Dr. Rakhi Tayal (1 hour later)
Brief Answer:
Calculated from date of last periods.

Detailed Answer:
The heart beat appears by 6-7 weeks. But since the sac and fetus size is not growing it is likely that there is a developmental defect and there is no heart beat in the baby.
The date is calculated from the day her last periods started - 11th Nov and not from the probable date of conception. Your wife is 8 weeks pregnant by dates.
Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Rakhi Tayal

OBGYN

Practicing since :2001

Answered : 14041 Questions

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Suggest Remedy For Continued Bleeding After Taking Pause 500 Tablets

Brief Answer: Miscarriage can happen. Detailed Answer: Hello, Thanks for trusting us with your health concern. As per the USG, the size of the baby does not correspond to the period of gestation. The chances of abortion are present. Was there any heart beat present at the time of ultrasound scan? Please attach the detailed report for proper analysis. Right now your wife is getting the right treatment to stop the bleeding and to prevent the placenta from detachment. Take absolute rest and avoid any strenuous activities. In case the bleeding continues then get a repeat ultrasound scan done to detect any fetal cardiac activity. Please feel free to discuss further. I will be glad to answer the follow up queries that you have. Wishing you good health. Regards. Dr. Rakhi Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal