Asked for Female | 23 Years
Should I Be Concerned About Retained Placenta After Medical Abortion?
Patient's Query
I tried to do medical abortion. I took 1 mifepristone by swallowing. After 24 hours- 800mcg misoprostol vaginally. And 3 hours after that 400mcg misoprostol vaginally and more 400mcg misoprostol with 3 hours interval. Took total 5 doses of misoprostol like this including the first dose of 800mcg. After that my gestational sac came out in the morning while i was sitting on toilet. But i did not bleed at all. My pregnancy tissues and placenta did not pass too as i did not bleed before or after passing the sac. The embryo was inside the fluid like white colored sac. I was 12 weeks pregnant. Its now 36 hours and i did not bleed still. Should i wait for my bleeding to start? I took more misoprostol doses after my sac passed to start my bleeding but did not work. Will all the pregnancy tissues will come out naturally? Will my bleeding start naturally after some days?Will my pregnancy tissues and placenta pass if i wait? a doctor told me to use 2tab Co-Amoxiclav 625mg PO bid for 1week, 2tab metronidazole 400mg PO tid for 1week. this medicines are for infection. Also, do i have risks of having retained placenta issues such as hemorrhage? Or i don’t have the risk as i didn’t bleed at all yet? Will the placenta come out when bleeding will happen naturally after waiting ? i am confused and also very worried.
Answered by Dr. Himali Patel
Not all pregnancy tissue may have passed yet. While some women do experience bleeding days after taking medication, others may not bleed significantly. The medications prescribed are to prevent infection, which is important. Retained tissue can lead to complications, but not experiencing bleeding does not necessarily indicate that is occurring. It’s crucial to follow up with your gynecologist to evaluate your situation and ensure proper care.

Gynecologist/Obstetrician
Questions & Answers on "Gynaecology" (4912)
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