What will happen if the first Mifepristone 200 mg tablet is taken after food at 9:30 PM, and the next day at the same time, only two Misoprostol 200 mcg tablets are taken after food?
Taking the first Mifepristone 200 mg tablet after food at 9:30 PM, followed by two Misoprostol 200 mcg tablets 24 hours later, follows the correct timing but uses an insufficient Misoprostol dose. As per World Health Organisation (WHO) and Ministry of Health and Family Welfare (India) guidelines, a complete medical abortion requires 800 mcg of Misoprostol (four tablets of 200 mcg each) taken 24–48 hours after Mifepristone. Taking only two tablets (400 mcg) may result in an incomplete abortion, leading to continued bleeding, abdominal cramps, or retained pregnancy tissue that could require further medication or a surgical procedure. It is strongly advised to consult a gynaecologist and undergo an ultrasound to confirm whether the abortion is complete and to receive appropriate medical guidance.