Can I end my pregnancy at 6 weeks if I am Rh negative?

Question

Hello doctor,

I am six weeks pregnant and do not want to continue my pregnancy. I am Rh negative (O negative). I had an abortion five years back at four months because of growth issues in the baby. The abortion started with medicine, but ended up surgical, as some parts were left inside. I had a second pregnancy, which was a c-section two years ago.

I consulted many doctors, and they seem to be going with surgical, but I read online that we can go with medical abortion for six weeks. In my case, the doctor is saying that after a c-section, we do not suggest medical abortion as there are chances for uterine rupture. They say that the scar might rupture. But a friend of mine who is a doctor said we could have a medical abortion. I am not sure about what to do.

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

Thank you for your query.

I understand your concern. Medical-induced abortion is done by hormonal pills that cause inflammatory factors to increase. But a medical miscarriage does not need to go well, as there is a dosage limit. If, after receiving the proper dosage, you are unable to expel, you can have

Infection.
Severe abdominal pains.
Bleeding excessively for a long time.
The tissues could remain stuck to the previous cesarean scar;

The previous cesarean patient is better to avoid multiple doses as it is dangerous; it is likely possible that after the failure of medical intervention, the patient will need surgical intervention or blood transfusion, admission to a high dependency unit, infection, etc.

Surgical intervention is better even for normal patients after having undergone medical intervention. In healthy growing pregnancy, if trying to be removed forcefully, could bleed, so it is better to have medical treatment before starting to make things favorable But again, for patients with a previous cesarean, it is complicated as the uterus is fragile and having scar could react on medicine as well could have more chances of bleeding and perforation.

I hope this has helped you. Thank you.