Ergometrine, also known as ergonovine, is a medication that primarily acts as an ergot
I took the second dose of medication for a medical abortion on December 31, 2015.
The doctor also prescribed an oral medication, ergometrine, to be taken for three days.
The prescription indicated that it is a uterine contraction agent.
After taking the second dose of medication in the afternoon on December 31, I returned home to rest.
Since the pharmacist advised to take the oral medication after meals for three days, I took the prescribed ergometrine after dinner on the same day.
Later, I researched the medication and found that it is used to promote uterine contractions and control bleeding.
I would like to know if taking ergometrine in the evening after just having taken the second dose of medication could lead to an incomplete abortion.
Re Dai Yu, 20~29 year old female. Ask Date: 2016/01/03
Dr. Hou Fangmin reply Pharmacology
Hello:
1.
The pharmacological action of ergometrine: It has a powerful uterine contraction effect, thus it can be used for uterine hemorrhage control after childbirth and abortion.
It is indicated for postpartum bleeding, bleeding after miscarriage, uterine atony during delivery, abnormal bleeding, and the process of uterine involution.
2.
Ergometrine maleate can be used after abortion procedures to aid in uterine contraction and control bleeding.
3.
Generally, this medication is used in conjunction with abortion to assist in uterine recovery.
The physician should have assessed your uterine condition post-abortion before prescribing this medication.
If you have concerns, you can return to the hospital for an ultrasound to check the status of uterine recovery.
Wishing you a speedy recovery and good health.
Reply Date: 2016/01/03
More Info
Ergometrine, also known as ergonovine, is a medication primarily used to promote uterine contractions and manage postpartum hemorrhage. It is often prescribed after a miscarriage or abortion to help the uterus contract and expel any remaining tissue, thereby reducing the risk of complications such as infection or excessive bleeding. However, understanding its effects, especially in the context of a recent miscarriage, is crucial for both safety and efficacy.
When you take ergometrine, it stimulates the smooth muscle of the uterus, leading to contractions. This is beneficial in situations where the uterus needs to expel contents, such as after a miscarriage. However, it is essential to follow the prescribed dosage and timing closely. If your doctor has instructed you to take ergometrine after your second dose of medication for a medical abortion, it is likely because they want to ensure that your uterus contracts effectively to prevent any complications.
Regarding your concern about whether taking ergometrine after your second dose of medication could lead to an incomplete miscarriage, it is important to note that ergometrine is intended to help the uterus contract and expel any remaining tissue. If the medication is taken as prescribed, it should not cause an incomplete miscarriage; rather, it should facilitate the process. However, if there are any concerns about the completeness of the miscarriage, it is crucial to follow up with your healthcare provider. They may recommend an ultrasound or other evaluations to ensure that the uterus is clear of any remaining tissue.
As for the timing of taking ergometrine, it is generally advised to adhere to the schedule provided by your healthcare provider. Taking it after meals, as instructed, can help minimize gastrointestinal side effects, which can include nausea and abdominal pain. If you experience significant discomfort or side effects, it is essential to communicate this with your doctor, as they may need to adjust your treatment plan.
In terms of the risks associated with ergometrine, common side effects include nausea, vomiting, abdominal pain, and dizziness. These symptoms can sometimes be exacerbated by the uterine contractions induced by the medication. If you experience severe pain or any unusual symptoms, it is crucial to seek medical attention promptly.
In summary, ergometrine is a valuable medication for promoting uterine contractions and managing complications after a miscarriage. When taken as prescribed, it should not lead to an incomplete miscarriage; instead, it should help ensure that the uterus expels any remaining tissue effectively. Always consult with your healthcare provider if you have concerns about your treatment or experience any adverse effects. Regular follow-up appointments are essential to monitor your recovery and address any complications that may arise.
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