Is it fine to use Mifepristone for abortion after C-section?
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
My wife missed her periods and we doubt she is pregnant. Our first kid is just 1 year old now and it was a Cesarean. We are not in a position to have a second child now. Her LMP was 22nd of last month. I read that Mifepristone can induce abortion.
1. Is it a safe drug?
2. Do we have to consult doctor for taking this drug?
3. What are all the possible side effects?
4. Is that drug 100 percent reliable?
5. Is there any other options?
6. Whether this drug is available without doctor's prescription?
Thank you.
Hello,
Welcome to icliniq.com.
First, please confirm the pregnancy with a serum beta-hCG test (human chorionic gonadotropin) as urine pregnancy test is not reliable till eight days post missed periods. If the hCG levels are more than 5 ng/dL then she is pregnant. In that case as she has been a post C-section case, medical abortion is not to be undertaken with either Mifepristone or Misoprostol simply. Because, the C-section scar would still be weak by one year and there are often chances of uterus rupture. The best option in that case would be an ultrasound guided dilation and curettage procedure for surgical abortion. Please meet your gynecologist and get the needful.
Patient's Query
Hi doctor,
Thank you for the answer.
Is there any other option for medical abortion other than surgical one? Is medical abortion absolutely contraindicated? Also, if we need to do ultrasound guided dilation and curettage, is it an OPD procedure? Within how many days we need to get it done? Please guide.
Hello,
Welcome back to icliniq.com.
If medical abortion is to be considered then the uterine scar thickness should be more than 2.5 mm on ultrasound, which is unlikely in just one year. So, it is better not to take a risk and opt for surgical procedure. Dilation and curettage is a day care procedure and lasts only 15 minutes under ultrasound guidance. It can be done for pregnancy till 63 days. You may visit a gynecologist and it can be done safely.
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Obstetrics and Gynecology
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