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Severe bleeding after Abortion - 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 : 3620 Questions
User :   Hi
User :   hello
Doctor :   Hi
User :   hello doc
Doctor :   Please proceed with your query
User :   my wife was pregnant
User :   and we dont want the kid as of now
User :   so we wanted to abort the kid
User :   hello
User :   so we have consulted a doc and he has suggested us a tablets for abortion
User :   after having these tab
Doctor :   when was she pregant?
User :   she got pregnant last month
Doctor :   ok
User :   as she was expecting her periods 7-8 feb
User :   when we got it checked we came to know she is pregnant
Doctor :   so it alsmost 6 weeks
User :   yes
Doctor :   When did she take the pills?
User :   on 23rd feb
Doctor :   ok
Doctor :   day before yestedday
User :   yes
User :   doc we have got only 15min to know the thing since website is not chargin the account by debit card
Doctor :   She needs Ultrasound of the lower abdomen to see whether the contents of the uterus are empty after 2 weeks
User :   can we plz get the revert soon
Doctor :   And do the Serum Beta hcg titiers now
Doctor :   and after 2 weeks
User :   means what ???
Doctor :   if these titers are gettong zero then the abotion is complete
Doctor :   Do you follow it
User :   no we didnt understand it
Doctor :   Ok
Doctor :   to be simple
User :   actually she has taken tab on 23rd and from then its bleeding very much
Doctor :   She needs Ultrasound of the uterus after 2 weeks
Doctor :   and one serum test called beta HCG titers which must be zero after 2 weeks
Doctor :   Do u follow this?
User :   may i know y is that so
Doctor :   I understand she might have aborted
Doctor :   but to make sure the uterus is empty we have to do it
User :   okay
User :   tell me one thing doc
Doctor :   if the uerus is not emty , if there is some tissue present, it will cause severe infection and also cause
Doctor :   the remaining tissiue will cause scar tissue and interfere with future pregnancies
User :   since she is bleeding badly and she has lot of pain as well can we give her some medicine to relax as she is not eating anything and continues vomiting is seen
Doctor :   she is blleding down, she is in pain, she is vomiting
User :   yes
Doctor :   I think you better consult Gynecologist
Doctor :   you need pills for vomiting
Doctor :   Bleeding will stop
User :   is there a prob doc
User :   yes as she has stopped eating due to vomiting
Doctor :   if she is changing 4-5 pads that is ok
Doctor :   but if she is changing more than 5 that is severe bleeding\
Doctor :   And bleeding takes ways blood from body
User :   yes she is chaning pads in every 5-10 min
Doctor :   She will get low BPO
User :   is there a prob doc
Doctor :   if she is notdrinking on the top of bleeding she will go into shock
Doctor :   yes
Doctor :   there is roblem
Doctor :   That is what I am explaing
User :   ok
User :   what should i give her doc to take care
Doctor :   At this time I will recommend you take her to the hospital or Gynecologist
User :   on asap doc
Doctor :   it is life.
Doctor :   bleeding and vomiting
Doctor :   doctor has to see
User :   yes doc will take her to doc asap
Doctor :   and assess the severity of the situation
User :   is it ok if she travels by road to a distance of 250 to 300 kms
Doctor :   ok
Doctor :   because u r so far I think u should not wait waste time
Doctor :   she needs IV fluids
Doctor :   I think u have some local doctors
Doctor :   they will start IV fluids
User :   n what is these fluids
Doctor :   intravenous fluids
Doctor :   Gluocse normal saline
Doctor :   Have you followed it?
User :   yes doc
Doctor :   Thank you for consulting me
Doctor :   Take care
Doctor :   Bye
Doctor :   if she is blleding heavily fluids are must
Doctor :   immediatly get this arranged and admitted t hospital
Doctor :   Bye
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