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How To Use Mankind Unwanted Kit For Termination Of Unwanted Pregnancy?

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Posted on Mon, 9 Feb 2015
Question: Hi my gf is 7 weeks pregnant, we are planned to marry next year and we are not expecting a baby now. she refuses to come to doctor to abortion so, we decided to use mankind unwanted kit which is having 1 mifepriston 200mg and 4 mifepristol 200mg, she has taken mifepriston 200mg yesterday 12.30pm. It's been 20hrs and we are not seeing any signs of bleeding. How can we do now please suggest.
doctor
Answered by Dr. Sameer Kumar (8 minutes later)
Brief Answer:
bleeding would start after misoprostol

Detailed Answer:
hello,
Thanks for contacting hcm

If se has taken mifepristoe at 1230 hrs , then she should take the next TAB MISOPROSTOL , all 4 tabs together orally after 36 hrs exactly. i. e tonight 0030 hrs.
Bleeding generally doesn't start with mifepristone , but would start after the misoprostol dose only.
Keep the follow up
regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sameer Kumar (21 hours later)
Hello Doc,
Thanks for your advice, as you advised she has taken all 4 MISOPROSTOL together at 00:30 HRS today. with in 20 mins she felt abdominal pain and had bleeding and vomited the food. after that she had heavy bleeding with blood clots with some white particles. Can you please tell us what is this means and is she required to take MISOPROSTOL again as she vomited with in 20 mins of taking tablets ?
doctor
Answered by Dr. Sameer Kumar (4 hours later)
Brief Answer:
she may have to take ...next dosages

Detailed Answer:
hello,
firstly has her bleeding continued or have stopped.?
Has her abdominal cramps continuing or have decreased?
is she still passing clots ?
If yes to all , then she has to continue the remaining dosages for completing the abortion. at least 2 dosages 4 hrs apart should be taken for complete evacuation which can be later confirmed by ultrasound tomorrow.
regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sameer Kumar (8 hours later)
Hi Doctor, Thanks for reply.

*Now her bleeding is reduced and normal as her regular periods.
*Now no abdominal cramps at all.
*Yesterday she got half inch sized white clot after that no clots.
after seeing above results could you please tell us is it required to take MISOPROSTOL again.

And for ultrasound is any doctor prescription required, if not what we can tell to the laboratory guys for verifying remaining particles.
doctor
Answered by Dr. Sameer Kumar (15 minutes later)
Brief Answer:
usg would be confirmatory

Detailed Answer:
If the bleeding has reduced and there is no pain, it is likely that she may have aborted but this can be confirmed only by an ultrasound pelvis.She may stop the misoprostol till the usg report comes in.

You may report to radiologist and ask for a ultrasound pelvis to rule out any products of conception after medical abortion.usually they don't ask for a prescription , but if they do , then you would have to get one.
regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Sameer Kumar

OB and GYN Specialist

Practicing since :2002

Answered : 1782 Questions

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How To Use Mankind Unwanted Kit For Termination Of Unwanted Pregnancy?

Brief Answer: bleeding would start after misoprostol Detailed Answer: hello, Thanks for contacting hcm If se has taken mifepristoe at 1230 hrs , then she should take the next TAB MISOPROSTOL , all 4 tabs together orally after 36 hrs exactly. i. e tonight 0030 hrs. Bleeding generally doesn't start with mifepristone , but would start after the misoprostol dose only. Keep the follow up regards