Doctors Lounge - Gynecology Answers
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Forum Name: Gynecology
Question: Missed Abortion
|ajaz - Sun Dec 21, 2008 4:29 am||
I have two kids with ceaserian, and i was advised by the doctor in india that there will be complication and might risky for mother if we go for the third child. Since then we are taking the precautions. But unfortunately last month my wife has missed her periods (her LMP : 31ST October, 2008). We went to the hospital (10/dec/08) and after conducting the blood test 25 mIU/ml and conifrmed positive. On 11/dec/08 i have taken 3x200 mg misoprostel orally and 2x200 mg vaginally and the periods started in two hours and heavt bleeding there for two days followed by ligh bleed until 16th December, 2008. 17th December, 2008 ULTRASOUND (TVS) performaed and the report shows : Uterus showing gestational sac : 8 mm collapsed , Fetal pole : Not seen after +- 4D missed abortion. Doctor prescribed on 17th December, 2008: Duracan 150 mg 1 Cap, Methergin 125 mg 3 tabs per day for 5 days, Biocef 500 mg 2 Cap per day for 5 days, Ferrovit 2 tab per day for one month.
Taken Duracan on 17th Night, rest of prescription started on 18th Dec, 2008. Until today no menses and no pain/complication and everything seems normal. But my request is to review the case and let me know whether 8 mm gestation sac will it go by above medication or should i go for D & C. Please answer me as soon as possible. Best regards, Ajaz
|Debbie Miller, RN - Tue Dec 23, 2008 12:54 pm||
I assume your wife had other complications besides the cesarean which have put her at risk for pregnancy because, while there is a slightly higher risk with each subsequent cesarean, that alone would not make pregnancy out of the question.
The attending doctor would need to determine if a D & C is indicated based on ultrasound findings. It is important that all contents of the uterus be evacuated but they should be able to confirm this and they may just choose to wait a little while to see if her body handles it without intervention.
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