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Pregnant. Taken mtp pills, mifepristone, misoprostol, prolonged vaginal bleeding. Continue misoprostol?

i have one month pragnency and i took mtp pills one tablete of mifepristone , and 2 tablate of misoprostol and bleeding is going on from 3 days. do i need take another 2 tablete of misoprostol. and how many days bleeding is going on , and also tell me how to know all thing is write ( like abortone, no any infection , no problem is future pregnency etc..... pls give answer asap.
Asked On : Thu, 21 Feb 2013
Answers:  2 Views:  116
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General & Family Physician 's  Response
Dec 2012
Hello Yogesh,

Thanks for posting,
Normally this medical abortion should be done with the consent and supervision of a doctor or health care practitioner as complications can arise such as incomplete abortion that will require further uterine revision or D&C by the doctor. Medical abortion does not have 100% success rate and in your situation your initial dosage of misoprostol is even small. A total of 3-4 doses are required to effectively do away with the pregnancy. Also medical abortion is indicated only for pregnancies below 8 weeks gestation (so I can not even tell how long pregnancy was before even advising to take 2 more tablets). You will be required to complete the remaining dosage of misoprostol of 2 tablets even though, I will advise that you meet up with a doctor first so that he can do a proper evaluation before proceeding. How long the bleeding will last depends on how age of pregnancy and how complete the process has already gone. If still not complete, then further D&C will be recommended to definitely stop the bleeding.
Your chances of conceiving in the future are still high. If no infection was present initially on start of process, then there is no need to worry about one. But a little risk of future miscarriage could be possible so you will need close follow-up by a gynobs next time you conceive (and if you desire having the baby).

hope this helps and wish all the best
Answered: Thu, 21 Feb 2013
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General & Family Physician Dr. Achuo Ascensius's  Response
Hello, thanks for using Health Care Magic.
Abortion pills are effective up to about 8 weeks of gestation to induce a complete abortion. However, the most dreaded complication is an incomplete abortion in which case the woman might bleed heavy and will require intensive care without which death.
Generally, if the misoprostol is taken vaginally, four hours later there should be contractions and commencement of bleeding which should gradually decrease in abundance coming to a stop after a few hours. Persistence of bleeding after a day or more is a sign of an incomplete abortion that might require a uterine evacuation with an aspirator if the bleeding is much otherwise in cases where its just spotting, expectant management could first be tried.
In your case, the pesistent bleeding indicate that the abortion was not complete and you need to see a doctor for evaluation and appropriate action in order to stop you from bleeding to death.
Answered: Thu, 21 Feb 2013
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