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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Took Unwanted Kit To Terminate Pregnancy. Bleeding Not Yet Started. Possible Reason?

dear sir my wife is 27 years old. she wanted to terminate her pregnency and taken mankind unwanted kit as prescribed by gyno as per scheduled below 03 feb 13 (night) Mifepristone 200MG 05 feb 13(morning) Miprostole 200 MG 06 feb 13(morning) Miprostole 200 MG but bleeding has not been started yet i m worried about it. can you please tell me whats the problem as bleeding not started yet.please help me
Wed, 13 Feb 2013
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OBGYN,  's  Response
Hello
Thank you for your query.
Medical abortion should always be carried out under due medical supervision, as otherwise you run the risks of haemorrhage, infection, failure of procedure, incomplete abortion etc.
Normally, after taking Misoprostol dosage, bleeding generally starts within a few hours.
If it has not started till now, it is definitely a problem.
Repeat misoprostol dosage is also given, which is not mentioned in the protocol you described.
Your wife might have failed to respond to the medical abortion pills, or else the pregnancy might not be intra uterine ( I hope this was confirmed before giving the tablets )
In any case, you should immediately consult your gynecologist for further treatment.
In case of failed medical abortion, the answer lies in surgical termination of pregnancy.
Take care.
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Took Unwanted Kit To Terminate Pregnancy. Bleeding Not Yet Started. Possible Reason?

Hello Thank you for your query. Medical abortion should always be carried out under due medical supervision, as otherwise you run the risks of haemorrhage, infection, failure of procedure, incomplete abortion etc. Normally, after taking Misoprostol dosage, bleeding generally starts within a few hours. If it has not started till now, it is definitely a problem. Repeat misoprostol dosage is also given, which is not mentioned in the protocol you described. Your wife might have failed to respond to the medical abortion pills, or else the pregnancy might not be intra uterine ( I hope this was confirmed before giving the tablets ) In any case, you should immediately consult your gynecologist for further treatment. In case of failed medical abortion, the answer lies in surgical termination of pregnancy. Take care.