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Delayed Bleeding After Mifepristone & Misoprostol: What To Do?


Question
QUESTION: My wife is 23. she had her last period on 26th jan. her 1st preg test on 16th march, was -ve. 2nd test on 23rd march was +ve and 26th march also +ve. then, she took 200mcg mifepristone (cipla )on 27th march at 10.30 pm.but still no bleeding. wat to?
she took 400mcg misoprostol on 30th march at 9.30am.
well, her symptoms are: drowsiness, dizziness, nipples are paining on touching, body ache, tiredness, no stomach ache(now), slightly swollen nipples.
its approx 9 weeks. should she try mifepristone again as,previous one could be a fake one.
plz advice.
Rajib

ANSWER: Hello, Rajib,

Pill abortions don't work that late in pregnancy. Pill abortions work by cutting off the supply of progesterone to the baby, but once the baby starts to produce his or her own progesterone, it no longer matters. Most likely, your baby is fine. Those pills are dangerous and can kill your wife. You really shouldn't let her take them. The manufacturer says that a pregnant woman should never take misoprostol. Cipla is very irresponsible. I contacted them about it, but they ignored me. They don't care. They just want your money. Whatever you do, don't have her take either kind of pills. It is too late in pregnancy for them to work anyway. Please also be aware that any kind of abortion is dangerous, and can cause your wife serious harm.

There is probably still a risk that your wife could die suddenly from a massive infection. She should be tested IMMEDIATELY to see if she has Clostridium sordellii in her body. If she took pills in her vagina, this is a possibility. Once the symptoms start, I am unaware of any way to save a woman. Also, if she starts to bleed heavily, she could bleed to death. This is happening in India. Make sure she eats spicy food with red hot peppers in it on a regular basis for a few weeks.

What kind of difficulties are you facing that make abortion seem attractive? You two are married. There's no reason why you shouldn't have children. If you need some kind of help, let me know what part of India you live in, and what your needs are, and I will see what I can do.

Please take care of your wife and protect her, and protect your baby, and don't let them do this kind of harm to your family members. Let me know how all of you are doing.

---------- FOLLOW-UP ----------

QUESTION: hi sir,
thanks for you reply.

well, my wife is having slight bleeding (alike during period), not much as during normal periods. moreover, she tested -ve till 16th march. as per procedure should she take next dose of 400mcg misoprostol.

Sir, i'm going through huge financial losses in past 2 years in business. And my family doesn't know about our marriage(court marriage). Atleast , i need 1 1/2 years to settle my business and family. I know you are very caring towards us, but trust me i dont have options.

If possible guide us.
Rajib

Answer
Hello, Rajib,

Thank you very much for getting back to me.

First, please know that I am a woman. Second, I am going to give you some straight talk. This means I am going to tell you the truth simply and plainly, to the best of my ability.

Your wife should NOT TAKE misoprostol. It can kill her. The manufacturer says a pregnant woman should never take misoprostol. Furthermore, taking misoprostol at this point will not do any good. She is too far along.

I understand how you feel about your financial losses. But here is the choice you are making. You are threatening your wife's life because you have financial problems. Does this make sense to you? And as for your family knowing about your marriage, again, I understand, and I also know there are cultural factors involved, but the fact is, what they know or don't know is not a reason to endanger your wife's life.

You DO have options. You need to protect your wife, and that really should come first.

I am speaking from the perspective of someone whose family business FAILED COMPLETELY several times, and as the member of a family that had no income for months on end. One time, we had no income for nine months. Another time it was eight months. The total amount of time our family had no income, all put together? SIX YEARS. Right now, the only income we have is a pension which is not enough to pay for our expenses. I would NEVER consider harming my husband because our income was inadequate or our business failed. It's not even an OPTION, let alone the only one.

Another thing to keep in mind is that pregnancy lasts for a number of months, and in that length of time, your business could easily turn around and start becoming profitable again. I have seen this repeatedly. How you are doing today has no bearing on how you will do in the future.

I repeat: if your wife takes more misoprostol, IT WILL NOT WORK. She is too far along. And if she develops a serious medical problem, consider how much it would cost to get medical care for her. I hope you don't just plan to let her die if this happens!

I asked you before, and I will ask again. What part of India do you live in? There are some organizations in India that help people in your position. I can tell you where you might be able to get help if you will give me this information.

I realize this is not what you want to hear, but I care enough about your family, and your wife in particular, to tell you the truth regardless. Please keep in touch; let's figure out a better answer for you. Tell me a little about the nature of your business as well, and about any skills you have. If you would prefer to discuss this in private, that would be fine.