Hi there, Please my girlfriend had a medical abortion using pills prescribed by a medical doctor yesterday. She started bleeding and having cramps 2hrs after taking the pills. At about 3hrs later, she went back to see the doctor as the bleed was much; the doctor used some means to stop the bleeding after like 1hr later. Today, the ultrasound scan results says she's still pregnant. My question are how realiable is an ultrasound scan 1 day after a medical abortion and what else can we do now. Thanks.
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Pregnancy abortion
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2 UpVoted this answer
Follow up Answer:
I am glad that the second ultrasound confirmed everything okay. Now, what I don't understand is why you are considering surgical abortion of a 9 week fetus when you guys plan to get married in a few years. Even in the best hands instrumental evacuation of the womb is quite risky.
Bleeding can be a problem, especially if there is placenta acreta (tightly adherent to the womb). The womb itself has been softened by progesterone at this point, and is very vulnerable to rupture with surgical instruments. Infection in a bloody womb can easily become systemic, and even lead to disseminated intravascular coagulopathy, which lethal.
Wound infection poses the risk of endometrial (inner womb surface) scarring and fallopian tube obstruction. The latter two will in turn pose infertility problem when you get married and feel ready for babies. You may need counseling before you make up your mind on where to go from here.
I am glad that the second ultrasound confirmed everything okay. Now, what I don't understand is why you are considering surgical abortion of a 9 week fetus when you guys plan to get married in a few years. Even in the best hands instrumental evacuation of the womb is quite risky.
Bleeding can be a problem, especially if there is placenta acreta (tightly adherent to the womb). The womb itself has been softened by progesterone at this point, and is very vulnerable to rupture with surgical instruments. Infection in a bloody womb can easily become systemic, and even lead to disseminated intravascular coagulopathy, which lethal.
Wound infection poses the risk of endometrial (inner womb surface) scarring and fallopian tube obstruction. The latter two will in turn pose infertility problem when you get married and feel ready for babies. You may need counseling before you make up your mind on where to go from here.
1 UpVoted this answer
It would appear that this is not an early pregnancy. Hence the Coyotes did not work. But the important thing is that your doctor has controlled the bleeding. If the ultrasound says the pregnancy is still there then you have to let your doctor decide what next to to do. If the fetal heart sound can be heard, then the pregnancy might still be viable. Other wise you guys have to wait until your girl friend's womb spontaneously ejects the non-violent fetus. When this happens, she must be seen by your doctor to control the bleeding. I wish her a safe outcome.
1 UpVoted this answer
I would discuss the ultrasound results with your doctor. They may mean that she still has not passed everything as of yet. Cytotec alone will cause an abortion about 90% of the time. If it does not work, you can try again in 3 days.
1 UpVoted this answer
If there was heart activity on the ultrasound, the probability is that the pills did not work and if she still wants to abort, she may need a surgical abortion. If there was no heart activity, it may be that she just has not passed the tissue yet, or that the pregnancy is very early, or both.. She needs to be followed longitudinally to be sure of exactly what is happening. You did not mention how far along she was, and that would make a difference as to what showed up on USG as well.
Thanks a lot; your response as been very helpful. She (my girlfriend) used another hospital today to run another ultrasound test, and the reports says that all is fine with the foetus (9 weeks old); the position and orientation of the foetus in the womb is normal, and no envisaged complications in her doing a surgical abortion. As it stands now, please still advice on the risk of complications and future conception by my girlfriend if she undergoes surgical abortion, as we plan to get married in some few years to come. Thanks a lot again for your assistance so far, and anticipated kind response.
My girlfriend is 9weeks into pregnancy. She wanted to have a D & C initially (before going on abortion pills), but after ultrasound result scan by a doctor; the doctor said it would not be 100% safe to carry out the surgical abortion based on the results of the scan (as it may affect future conception). What is confusing is that the doctors maintains that the foetus is in the womb but the orientation of it is the sole reason why he cannot perform D & G. Please, I'm worried, as I spoke to another doctor which insisted that the orientation of the foetus in the womb should not affect the possibility of carrying out a D & G successfully considering an experienced doctor. Thanks for your anticipated kind advice as to the risk involved in doing D & G in this case.