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How To Confirm The Successful Completion Of Medical Abortion?

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Posted on Fri, 13 Mar 2015
Question: Hi
my last period starts on 25/12/14.i confirm my pregnancy after kit test on 09/02/15.on 10/02/15 take one 200 mg mifepristone tab.and after 48 hours took 04 misoprostol tab of 200mg each orally.After 5 hours of taking misoprostol tab. pain occured at lower abdomen and slight bleeding and clots came out periodically up to 5 hrs,after then bleeding is completely stopped and slight clot is coming during urination.Is pregnancy is terminated completely?
doctor
Answered by Dr. Aarti Abraham (24 minutes later)
Brief Answer:
Confirm by follow up scan after 15 days.

Detailed Answer:
Hello
Thanks for writing to us with your health concern.
I hope you have conducted the abortion under medical guidance.
It is not at all safe to use Misoprostol without a doctors advise or consultation.
In fact you should consult a gynecologist as soon as possible.
Medical abortion is possible in early pregnancy, and I will explain the procedure to you, but it should be done under a doctor's guidance and supervision.
Firstly, the pregnancy should be confirmed by a doctor , preferably with an ultrasound scan.
This has two purposes.
IT dates the pregnancy accurately, because these abortion pills work only within a narrow frame of time.
Secondly, it confirms that the pregnancy is inside the uterus, rarely, there is a condition called ectopic pregnancy ( pregnancy outside the uterus ) which is very dangerous.
AFter confirming the pregnancy, tablets are taken by prescription.
GEnerally 1 tablet of Mifepristone is taken orally, 48 hours later 4 more tablets of Misoprostol are taken orally or inserted vaginally.
Bleeding with cramps starts in a few hours, and lasts heavily for a few days.
Spotting might continue for 15 days or more.
It is compulsory to have a follow up scan after 15 days to establish that the uterus is empty and the abortion is now complete.
Pills are more than 96 % effective in early pregnancy, however rarely there maybe complications such as - heavy bleeding, infection, failure of pills leading to surgical abortion , fainting etc.
Hence it is a must to keep a doctor in the loop throughout.
In your case, you have a very early pregnancy, so it is possible that with slight bleeding and clots, the pregnancy might have been terminated.
you may continue to bleed / spot for a few more days.
Complete termination can be documented only by ultrasound scan done 15 days after taking the pill.
Please have that done.
Take care.
Please feel free to discuss further.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
Answered by
Dr.
Dr. Aarti Abraham

OBGYN

Practicing since :1998

Answered : 6004 Questions

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How To Confirm The Successful Completion Of Medical Abortion?

Brief Answer: Confirm by follow up scan after 15 days. Detailed Answer: Hello Thanks for writing to us with your health concern. I hope you have conducted the abortion under medical guidance. It is not at all safe to use Misoprostol without a doctors advise or consultation. In fact you should consult a gynecologist as soon as possible. Medical abortion is possible in early pregnancy, and I will explain the procedure to you, but it should be done under a doctor's guidance and supervision. Firstly, the pregnancy should be confirmed by a doctor , preferably with an ultrasound scan. This has two purposes. IT dates the pregnancy accurately, because these abortion pills work only within a narrow frame of time. Secondly, it confirms that the pregnancy is inside the uterus, rarely, there is a condition called ectopic pregnancy ( pregnancy outside the uterus ) which is very dangerous. AFter confirming the pregnancy, tablets are taken by prescription. GEnerally 1 tablet of Mifepristone is taken orally, 48 hours later 4 more tablets of Misoprostol are taken orally or inserted vaginally. Bleeding with cramps starts in a few hours, and lasts heavily for a few days. Spotting might continue for 15 days or more. It is compulsory to have a follow up scan after 15 days to establish that the uterus is empty and the abortion is now complete. Pills are more than 96 % effective in early pregnancy, however rarely there maybe complications such as - heavy bleeding, infection, failure of pills leading to surgical abortion , fainting etc. Hence it is a must to keep a doctor in the loop throughout. In your case, you have a very early pregnancy, so it is possible that with slight bleeding and clots, the pregnancy might have been terminated. you may continue to bleed / spot for a few more days. Complete termination can be documented only by ultrasound scan done 15 days after taking the pill. Please have that done. Take care. Please feel free to discuss further.