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Friday, July 22, 2011

Patient’s consent and agreement before giving abortion pills is must or…

Patient can file complaint against Doctor.

Recently there was one medico legal case where a newly married woman filed a police case against a Doctor for giving pills with out consent. She rather made a charge as she was not aware that Doctor was giving her tablets for termination of her pregnancy.

Case was filed against her Husband along with Doctor that both of them used an abortion pills to terminate her pregnancy which she was keen to continue.

In such cases only papers showing the proper consent of patient and record of case paper can only save the Doctor.

Thursday, July 7, 2011

Why Abortion Pill fails?

Abortion pills shows variable results if used early, used in inadequate dosages or used with out proper clinical examination.

No proper Clinical Examination -

Sometimes it happens that a Doctor gives abortion pills after taking history. Doctor calculates the days of gestations on account of last menstrual period told by patient. Doctor usually does not perform bimanual examination of uterus.

If the size of Uterus is of more than 10 or 12 weeks then there are chances that patient bleeds vaginally for three four days and then bleeding gets stopped. And in such cases pregnancy may get continued.

Early dosages -

Conscious patients visit Doctors when she misses the period. Many times such patient’s demands abortion pills even if she has missed a date by two or three days. And many times Doctor does give the abortion pills without even confirmation of pregnancy by urine examination. Here also chances of failure are more as pregnancy may be in the tubes only.

Inadequate Dosages -

Some over smart patient take first dose and if minimal per vaginal bleed after 24 hours, she does not turn to Doctor for second dose. In such cases there are likely chances of either continuation of pregnancy or missed abortion or incomplete abortion.