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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Adverse Effects Of Misoprostol On The Fetus?

When I was 9 weeks pregnant, I underwent a vaginal ultrasound. The OBGYN told me that I had a miscarriage. She advised me to take misoprostol 600 mg to expel the fetal tissue. I took the medication and had heavy bleeding and cramping for two hours. Then light spotting for the next three weeks. I went back the following day after taking the medication and was told that the second ultrasound confirmed that everything had come out. I proceeded as if I had a miscarriage and stopped all pre natal care. I did not get my period over the next nine weeks. I went to my primary care doctor yesterday because my uterus was enlarged. She did a routine pregnancy test and it was positive. She sent me for an ultrasound to see what was going on. To my shock, it showed a 18 week old fetus. I had not miscarried after all. The fetus had a heart beat of 154. It was the right size and moving around. But now I am very concerned that the lack of prenatal care over the past nine weeks and taking the Misoprostol may have harmed the fetus. Is there a significant risk to the fetus from this drug? I would have never taken it if I knew the fetus was viable. I feel so guilty.
Wed, 25 Apr 2018
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OBGYN, Maternal and Fetal Medicine 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

There is no need to worry if today's ulatrsound shows everything OK. Get a detailed ultrasound for 18 weeks for anomaly scan, and quadruple marker. If all these are right, you don't need to worry.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Mandavi Rai
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What Are The Adverse Effects Of Misoprostol On The Fetus?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. There is no need to worry if today s ulatrsound shows everything OK. Get a detailed ultrasound for 18 weeks for anomaly scan, and quadruple marker. If all these are right, you don t need to worry. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mandavi Rai