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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Cramping Post Caesarean Sections?

I had 800mcg misoprostal PV yesterday, severe cramping and a slight increase in PV loss but no tissue. I have previously had 2 Caesarean sections, does this mean the miso is not working or could it still take time? I have a blighted ovum but am 13 weeks by dates
Wed, 24 Feb 2016
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OBGYN 's  Response
Hi, I have gone through your question, and I think I have understood your concern. I will suggest you the best possible treatment options.

1 ) First of all do not panic.

2 ) The cramping is due to severe muscular contractions of the uterus. It is bound to happen when you take 800 mcg of Misoprostol .

3 ) You can repeat the dose of Misoprostol for one time. Please avoid taking preparations containing paracetamol or voveron type medicines.

4 ) if you do not experience passage of clots , please do USG test . If pregnancy products are not completely expelled out of uterus then you need to undergo surgical evacuation. Also , please have appropriate antibiotics cover.

I hope this answer helps you
Thanks
Dr Purushottam Neurgaonkar
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What Causes Severe Cramping Post Caesarean Sections?

Hi, I have gone through your question, and I think I have understood your concern. I will suggest you the best possible treatment options. 1 ) First of all do not panic. 2 ) The cramping is due to severe muscular contractions of the uterus. It is bound to happen when you take 800 mcg of Misoprostol . 3 ) You can repeat the dose of Misoprostol for one time. Please avoid taking preparations containing paracetamol or voveron type medicines. 4 ) if you do not experience passage of clots , please do USG test . If pregnancy products are not completely expelled out of uterus then you need to undergo surgical evacuation. Also , please have appropriate antibiotics cover. I hope this answer helps you Thanks Dr Purushottam Neurgaonkar