Questions related to abortion history?
Hello Doctor, I previously took RU486 for a medical abortion, and I have undergone two ultrasound examinations afterward.
The doctors said that my endometrium looks normal and there are no issues.
When I become pregnant in the future and go for prenatal check-ups, do I need to inform the doctor about my abortion history, or can I choose not to mention it?
An An, 20~29 year old female. Ask Date: 2019/05/19
Dr. Huang Jianzhong reply Obstetrics and Gynecology
After previously taking RU486 for a medical abortion, I have undergone two ultrasound examinations, and both doctors stated that the endometrium appears normal and there are no issues.
When I become pregnant in the future and attend prenatal check-ups, do I need to inform the doctor about my abortion history, or can I choose not to mention it? Answer: You can choose not to mention it.
Reply Date: 2019/05/19
More Info
When it comes to disclosing your abortion history during pregnancy checkups, it is generally advisable to be open and honest with your healthcare provider. While you may feel that your previous abortion, especially if it was medically managed with RU486 and followed up with normal ultrasound results, does not impact your current pregnancy, there are several reasons why sharing this information can be beneficial.
Firstly, your abortion history can provide your healthcare provider with important context regarding your reproductive health. Even if your previous abortion was uncomplicated and your uterus appears normal, there may be underlying factors that could influence your current pregnancy. For instance, understanding your past reproductive history can help your doctor monitor for any potential complications, such as issues related to your menstrual cycle, hormonal balance, or any residual effects from the abortion.
Secondly, disclosing your abortion history can aid in the overall assessment of your health. Your healthcare provider may want to ensure that your body is fully prepared for the current pregnancy, which includes understanding any previous medical interventions you have undergone. This information can guide them in recommending appropriate prenatal care, screenings, and tests that may be necessary based on your unique medical history.
Moreover, if you experience any complications during your pregnancy, such as bleeding or cramping, having a complete medical history allows your healthcare provider to make more informed decisions about your care. They can better differentiate between normal pregnancy symptoms and potential complications that may arise from your previous abortion.
Additionally, being transparent about your abortion history can foster a trusting relationship between you and your healthcare provider. Open communication is key in any patient-provider relationship, and it can lead to better care and support throughout your pregnancy. If you have any concerns or anxieties about your past abortion, discussing these with your doctor can also provide you with reassurance and guidance.
Lastly, it is important to remember that healthcare providers are trained to handle sensitive topics with professionalism and confidentiality. They are there to support you and ensure the health and safety of both you and your baby. Therefore, sharing your abortion history is not only a matter of medical necessity but also a step towards receiving comprehensive and personalized care.
In conclusion, while you may feel that your abortion history is not relevant to your current pregnancy, it is generally in your best interest to disclose this information during your pregnancy checkups. Doing so can help your healthcare provider offer you the best possible care, monitor your health more effectively, and address any concerns you may have. Always remember that your health and the health of your baby are paramount, and open communication with your healthcare provider is a crucial part of that process.
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