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What is the ideal way to use the unwanted kit?

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Posted on Fri, 15 May 2015
Question: Hello Sir,
my wife period is delay by 16 days,her date is 8th 10th of every month but this time period not started yet ,so i bought unwanted-KIT ,and given 1 tablet as per druggist instruction ,please advice correct way to use
doctor
Answered by Dr. Vidya KR (12 minutes later)
Brief Answer:
medical supervision required

Detailed Answer:
Hello
Thanks for writing to us with your health concern.
Let me explain the process of medical abortion with pills to you.

While undergoing a medical abortion, one should constantly be under medical supervision.
Let me explain why this is important.
Firstly, the pregnancy should be confirmed by a doctor , preferably with an ultrasound scan.
So it is not just enough to have a positive home pregnancy test, but it is vital to consult a gynecologist and have a pelvic 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.
All the best
Please feel free to discuss further.

Regards
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Vidya KR (20 minutes later)
Dear Sir,

thanks for your quick response, i have given another 2 tablet after 30 hours of first tablet ,so is it an issue .please advice how and when will give another 2 tablets.

Regards
XXXX

Please find the attached pills details ,there is five tablet inside yesterday around 4 PM i given first tablet and today at around 10 PM i given another two tablet,please advice when should i given remaining two tablet ,
doctor
Answered by Dr. Vidya KR (4 hours later)
Brief Answer:
After 48 hours of first dose

Detailed Answer:
Hi, thanks for follow up query.

As I have already mentioned in previous answer . tablet mifepristone should be taken first and then after 48 hours all 4 tablets if misoprostol should be taken.

As you have give mifepristone yesterday wait for one more day for it to act. tomorrow give remaining drugs and better to consult doctor with it for monitoring,

Hope I answered your query. Feel free to ask further related query,

Regards
Above answer was peer-reviewed by : Dr. Neel Kudchadkar
doctor
Answered by
Dr.
Dr. Vidya KR

General & Family Physician

Practicing since :2011

Answered : 1561 Questions

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What is the ideal way to use the unwanted kit?

Brief Answer: medical supervision required Detailed Answer: Hello Thanks for writing to us with your health concern. Let me explain the process of medical abortion with pills to you. While undergoing a medical abortion, one should constantly be under medical supervision. Let me explain why this is important. Firstly, the pregnancy should be confirmed by a doctor , preferably with an ultrasound scan. So it is not just enough to have a positive home pregnancy test, but it is vital to consult a gynecologist and have a pelvic 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. All the best Please feel free to discuss further. Regards