What should I do if the misoprostol has not been expelled after eight hours?

Jun 01, 2023 Source: Cainiu Health
Dr. Lv Aiming
Introduction
Misoprostol tablets, commonly referred to as "Misop," if not expelled within eight hours after taking, can still have the pregnancy terminated through medication or surgical treatment. The specific analysis is as follows: When taken alone, misoprostol tablets are typically used to treat gastrointestinal mucosal damage caused by conditions such as gastric ulcers and duodenal ulcers. However, if there is a need to terminate an intrauterine pregnancy,

Misoprostol tablets, commonly referred to as "Misop," may not always result in the expulsion of pregnancy tissue within eight hours. If this occurs, pregnancy termination can still be achieved through medication management or surgical intervention. The details are as follows:

1. Medication Management

When used alone, misoprostol tablets are typically prescribed for treating gastrointestinal mucosal damage caused by conditions such as gastric or duodenal ulcers. However, when the goal is to terminate an intrauterine pregnancy, misoprostol must be used in combination with mifepristone tablets. This combination increases the frequency of uterine contractions, facilitating the vaginal expulsion of pregnancy tissue. It is essential that these medications are taken only under the supervision of a qualified physician.

2. Surgical Intervention

If no tissue has been expelled eight hours after taking misoprostol, it is recommended to visit a正规 medical facility where procedures such as dilation and curettage (D&C) or vacuum aspiration can be performed to remove embryonic tissue from the uterine cavity, thereby completing the termination of pregnancy.

During treatment, it is advisable to maintain a positive mood, follow a light diet, avoid strenuous physical activity, and abstain from sexual intercourse.


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