Bleeding Patterns After Abortion Pill with Mifepristone and Misoprostol

Bleeding pattern after taking Mifepristone and Misoprostol pill

To prospectively control patterns and predictors of bleeding after early abortion with mifepristone and misoprostol pill or manual suction curettage (MVA).

Methods: Women fewer than 63 days from the last catamenial period and desiring termination of pregnancy remained obtainable medical abortion with 200 mg oral mifepristone and 800 micrograms oral misoprostol or MVA under local anaesthesia. Women completed a bleeding record during the six weeks after abortion. Telephone calls were wont to encourage diary completion and determine contraception use.

Results: 212 women remained enrolled, 80% of whom completed diaries. Mean days of bleeding was higher within the medical (14 days) than MVA (9 days) group, but days of spotting (about 10) was similar in both groups. Increasing fetal age predicted more bleeding or spotting days after medical, but not MVA, abortion. Prolonged bleeding wasn’t rare and was more common within the medical than the surgical abortion group. Combined pill (COC) users and non-COC users had similar bleeding patterns after medical or surgical abortion.

Conclusion: Bleeding after early medical abortion persists longer than after MVA and continues longer than previously appreciated no matter method. pill use doesn’t decrease bleeding after early medical or surgical abortion.

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