Suggest treatment to abort the pregnancy
Patient: i missed my period 2 weeks ago, until now there s nothing coming out yet. i can only notice increasing dirty yellow to light brown discharges. 2 days after missing my period i had a negative result of pregnancy test so i decided to take my routine chest x-ray every year, a week after that missed period. then i had a pregancy test again and pelvic ultrasound. the result is negative preg test. pelvic ultrasound result turned out normal with thick endometrium suggesting early pregnancy, or a menstruation coming. but i had the preg test again 10 minutes ago and it turned out positive. i m worried and don t know what to do. after all those chest x-rays and experiencing mild-moderate lower abdominal pains near my pelvis. at first i ignored the pain because i thought it s just premenstrual pain. but after the positive preg test, i so worried already. i m not married and still don t have plans of having a baby. Doctor: Hallow Dear,I do empathize your concern about the safety of the baby. Your pregnancy test has revealed that you are pregnant. X-ray irradiation to the baby at 6 weeks pregnancy is not a good incidence. Tab. Mifepristone followed after 24-48 hours by Tab. Misoprostol will help you terminate the pregnancy. However, please be aware of following points:1. These are not 'over the counter' medicines. They have to be obtained by Obstetrician's prescription and taken under observation. They should be taken in prescribed dose lest the risk of incomplete abortion or failure.2. These medicines do cause developmental abnormalities in the baby. Hence, if at all they fail, you should not revert the decision to continuation of pregnancy, but get the pregnancy terminated by surgical evacuation.3. Please get the completeness of the abortion confirmed by ultrasonography. 4. A follow up visit to the Obstetrician 7 days after the last tablet is advisable. I hope this helps you. Dr. Nishikant Shrotri