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Possibility of abortion by pills - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Abortion and Stillbirth
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3631 Questions
Doctor :   Hi
Doctor :   How can I help you?
User :   hello sir
Doctor :   Please proceed with your query.
User :   there is a friend of mine
User :   whose girlfriend is pregnant!!!
User :   since they both are not married they do not want this kid
Doctor :   Ok
User :   what can be done for this
Doctor :   Is the pregnancy confirmed by means of tests?
User :   yes
Doctor :   May I know what test was done to confirm pregnancy?
User :   actually as per my friends he says she has checked it out with that prega test done at home
Doctor :   Ok
User :   and on test it shows 2 lines to confirm the pregnancy
User :   actually the girl had her periods last month in jan
User :   on 7-8 jan
User :   and it was suppose to be on this month 7-8 feb
User :   but when it didnt happened she just checked out to be clear
Doctor :   Ok
Doctor :   Let me explain to you.
User :   k
Doctor :   If they are not planning to continue pregnancy, they can opt for medical termination of pregnancy (abortion).
User :   ok
Doctor :   As per the law of land, the process is governed by set of rules and regulations.
Doctor :   They are as follows
User :   k
Doctor :   1. One can attempt abortion only upto 12 weeks of pregnancy.
User :   k
Doctor :   And accordingly since she is in her 6th week, abortion can be attempted.
User :   yes sir
Doctor :   2. The procedure should be attempted by trained professional alone.
User :   ok but what are the procedures and what are the side effects for the same
Doctor :   This implies that she needs to consult a gynecologist who is trained to perform the procedure.
User :   k
Doctor :   3. Consent of the mother for the procedure is a must.
Doctor :   This implies that the girl should consent to getting the abortion done.
User :   yeah she is consent to get it done
User :   actually they have consult to some gynecologist as well
Doctor :   So according to these few set of rules, if she wants to get the abortion done, she needs to consult a gynecologist.
Doctor :   They shall confirm the pregnancy again,
Doctor :   and if confirmed, will prescribe few medications that needs to be taken for 2-5 days.
User :   i think they got it confirmed as well
Doctor :   Abortion is usually 80 -90% achieved successfully with these pills.
User :   they have been told about some medicines called mifepristone and misprostol
Doctor :   These pills will cause excessive bleeding (which is the desired effect indication abortion)
User :   but are these right pills to take up
Doctor :   so apart from this bleeding no other side effects are expected.
User :   k
Doctor :   May I know who suggested these pills?
Doctor :   Yes, mifepristone and misoprostol are pills used for abortion.
User :   actually i dont know my friend was little scared to get in touch with any doctor about to be known in small place so they went to some metro to get it confirmed
Doctor :   The dose of this pills and the amount of the pill to be taken needed to be followed as per the suggestions of her gynecologist.
User :   ok
Doctor :   Yes, the pills are abortion pills, and to be taken as suggested by the gynecologist.
User :   sir, as i been told by my friend and the medical shop owner there are totally 5 tab
Doctor :   She will have bleeding which is very profuse and severe after a day or two.
Doctor :   When bleeding occurs she needs to visit the gynecologist who will monitor the procedure.
User :   out of which 1 st has to be taken today and the other 2 within 24-72hrs of the first medicine
Doctor :   And once bleeding stops, a ultrasound scan will be done which will confirm successful abortion.
User :   ok
User :   that means after the girls starts bleeding also it is not confirmed that abortion has been done
Doctor :   I am not legally permitted to advise you on the course of abortion pills as I will not be able to monitor her when abortion happens.
User :   k
Doctor :   Abortion done against any of the above criteria is considered as illegal abortion.
Doctor :   And any untoward consequences happening during illegal abortion is punishable by law.
User :   ok
User :   ok
Doctor :   Hence I suggest that she considers consulting a gynecologist.
Doctor :   If she can't visit a gynecologist at her locality,
Doctor :   she may visit a gynecologist outside her locality.
User :   so as per you i should suggest them to consult a doc asap
Doctor :   The whole procedure will be kept confidential as per the rules
Doctor :   Once the pills are started, she can go back home.
User :   yeah i think that could be an good option to get them checked outside locality only
Doctor :   And return to her as she starts bleeding.
User :   that means only the first medicine is little problematic for which it has to be done in front of the doc only
Doctor :   As mentioned earlier 80 to 90% of times, successful abortion occurs withing 2-3 days after using the medication.
User :   k
User :   sir one more thing would like to ask what u said earlier
Doctor :   If this doesn't happen(which can happen in less than 10%) individuals, D & C a procedure done at the OPD will be done to induce abortion.
User :   no what i meant to say incase if the girl doesnt start bleeding then she comes under 10% right
Doctor :   Yes, the pills its dosage and the mode of administration will be suggested by the doctor.
User :   k
Doctor :   She can come back home after that, start taking the medication and a
Doctor :   as the bleeding starts, she may need to visit the doctor again.
User :   ok, i got ur point doc, give me a min i wanted to ask u something what u wrote up
Doctor :   and if the bleeding doesn't happen,(which based on previous experiences) is very rare,
User :   k
Doctor :   then other modes of abortion such as intravaginal suppositories placement or D&C will be tried to induce abortion.
Doctor :   The most important is that she gets the procedure before 12 weeks.
User :   no incase if this is required then it would be better for them to get married and inform their parents about the same
User :   k
Doctor :   After 12 weeks, though abortion is permissable, but can't be done under normal circumstances as per the rules of this land.
User :   ok doc
Doctor :   Have you followed what I have suggested?
Doctor :   Do you have any other query?
User :   yes i have understood that
Doctor :   Do you have any other query?
User :   doc u said earlier that excessive bleeding is expected to happen, true but will this bleeding be more then what these girls have during their normal period time
Doctor :   Yes,
User :   and their could be some other prob as well after bleeding so much
Doctor :   the bleeding that happens during abortion will be 2 folds or probably more than what happens during normal periods.
Doctor :   Clots and clumps of mass is also expected to be seen in the bleeding.
User :   and why do this happens
Doctor :   This is the indication of abortion.
User :   ok
Doctor :   Once this happen, bleeding will slowly recede,
Doctor :   she can have minor bleeding, like normal periods or spotting for a few days after successful abortion too.
User :   are there chances that after taking the second pill bleeding starts or it may take longer time for the same
Doctor :   Most of this will slowly over a period of few days stop completely.
User :   ok
User :   after getting abortion successfully done for how many days does this bleeding continues
Doctor :   The amount of bleeding and the number of days bleeding occurs varies among different individuals.
Doctor :   There have been reports for people that the had spotting for as long as 10 - 15 days.
User :   k
Doctor :   On average minor bleeding is expected to happen for a week.
User :   ok, i understood, let me repeat it once again and do correct me if i make a mistake
Doctor :   Ok
User :   they have consult a doc first get ultrasound done, then the doc may suggest a medicine to them which has to be taken in front of doc
Doctor :   The medication need not be taken infront of the doctor.
Doctor :   She needs to follow as per the suggestions of the doctor.
User :   yes,then on 1st medicine as prescribed by doc they have to stay at the hospital for a day
Doctor :   And once the bleeding occurs, she needs to report back to the same doctor for completing the abortion.
Doctor :   No, there is no need to stay.
User :   and on doc suggestion she can take another medicine which may results in bleeding then she has to get back to doc to recheck up
User :   ok
User :   doc when she goes back to doc when the bleeding starts
Doctor :   The doctor will confirm pregnancy,
Doctor :   once confirmed by the doctor, they will prescribe the medication, the dose and the course.
User :   what will the doc do other then getting her ultrasound done to confirm the abortion
Doctor :   She can come back home after that and start taking the medication.
User :   ok so after this they have to take up some other medicines as well
Doctor :   Doctor initially will confirm the pregnancy with urine test/blood test/scans.
User :   ok
Doctor :   Abortion pills will be suggested only after pregnancy is confirmed by the doctor.
Doctor :   Once this is done,
Doctor :   she can return home and take the medications as suggested by the doctor.
User :   k
User :   k
User :   got it doc
Doctor :   The pills are usually give for a period of 2-3 days,
User :   k
Doctor :   during which bleeding is expected to happen.
User :   k
Doctor :   Once bleeding occurs, she may need to go back to the doctor.
User :   ok one more thing
User :   in a pack there are 5 tab which has to be takem as 1 then 2 on alternate day as breakfast & dinner
User :   incase on 2nd dose of medicine she starts bleeding the is there a need of taking other medicine of dinner
Doctor :   The medications are given to induce bleeding and to cause abortion
Doctor :   which will only be possible after 2-3 days.
User :   ok
Doctor :   So bleeding is not expected to happen with just a single dose of medication.
Doctor :   The course of medication need to be taken as suggested by the doctor.
Doctor :   As the bleeding gets heavy,
User :   and incase if it starts then to report to the doc asap
Doctor :   she will need to consult the doctor.
User :   k
Doctor :   Doctor may stop the other medications depending the later circumstances.
User :   ok
Doctor :   If doctor confirms that she is aborting, then may stop the rest of the medication in the course.
User :   k
Doctor :   This is decided only after the second consult with her gynecologist.
Doctor :   Have you followed what I have suggested?
User :   so there fore, in any case they have to consult the doc and it cannot be done without the doc
User :   yes doc i understood
User :   thanks for the support and ur consultancy
Doctor :   Do you have any other query?
Doctor :   Are you there?
User :   humm, oh yes one more thins sor
User :   sir
User :   as my sometime used to complains that her period is not regulars on time
User :   but yes we are confirmed that she is not pregnant as we already have a kid of 11 months
User :   is there a prob on this not having periods regular
Doctor :   Ok
User :   u there doc
Doctor :   How irregular are her periods?
Doctor :   Is she breast feeding the child?
User :   humm....yes she is
Doctor :   Were the period regular before delivery?
User :   no
User :   thats why we were not able to understand that is she pregnant or she have missed her periods again
Doctor :   I need few more details to understand the problem.
Doctor :   You mentioned that her periods were not regular before delivery too - can you confirm this?
Doctor :   Or her irregular periods happening only after delivery?
User :   kkyes i confirm this
User :   no her irregular periods were before delivery as well
Doctor :   Can you explain how irregular her period are?
Doctor :   i mean were the period happening once in few months?
User :   hummm, she always used to miss her period for 7-8 day either up or down
User :   humm i guess once in 2-3 months
Doctor :   Do you mean that such irregularities are seen once in 2-3 months?
User :   yes
Doctor :   Ok
Doctor :   Does she have any other medical illness such as diabetes/thyroid problems?
Doctor :   May I know her current weight and height?
Doctor :   Are you there?
Doctor :   Are you there?
User :   sorry yes
User :   no she dont have any other kind of prob
User :   her height is 5ft 3 inch and her weight is 52 kgh
Doctor :   Ok
Doctor :   Let me explain to you.
User :   k
Doctor :   Menstrual cycle is maintained by cyclical changes in the hormones.
User :   k
Doctor :   Such cyclical changes are affected by various factors.
Doctor :   The factors include body stress, psychological factor such as anxiety, body weight, nutrition, infections, endocrine abnormalities, ovarian, uterus and other organic factors.
User :   k
Doctor :   In the present times, it is difficult to maintain all these factors under normal.
User :   ok
Doctor :   thus invariably menstrual period irregularities in the form of delayed or early periods occur.
Doctor :   Gynecologist do not consider such minor alterations where in there is once in while delay or early periods significant to entail evaluation.
Doctor :   More over as your partner is breast feeding, breast feeding can have an impact on menstrual cycles too.
User :   ok
Doctor :   So you need not worry much.
User :   ok sir
User :   thanks for your consult and help
Doctor :   As long as periods are happening every month,
Doctor :   no problems with fertility is concerned
User :   k noted sir
Doctor :   and as far as the flow of blood is undernormal,
User :   ok
Doctor :   I do not feel there is much reasons to worry.
User :   ok no actually i was concerned about my friend and her girl friend. and at the end wanted to ask you about my wifes prob also as she necver complains me about this but then also wanted to consult about this
User :   thanks doc
Doctor :   Proper stress management, regular destressing measures in the form of relaxation techniques, healthy diet, good rest are few life style modifications that can be tried.
Doctor :   So you need now worry with this problem
Doctor :   Have you followed?
Doctor :   Do you have any other query?
User :   no not any more sir
User :   thanks for your support and consultancy
Doctor :   Thanks for consulting me. Bye for now.
User :   bye
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