Signs of pregnancy after abortion pills
If you show signs of pregnancy after using abortion pills, you may have a continuing pregnancy. Bleeding does not mean that you have had a successful abortion.
What is a continuing pregnancy?
A continuing pregnancy is a pregnancy that continues to develop even after the use of Mifepristone and Misoprostol abortion pills. In the case of a continuing pregnancy, the abortion has failed and the woman remains pregnant.
How do you know if you have a continuing pregnancy?
You may have a continuing pregnancy if you still have symptoms of pregnancy, such as sore breasts or nausea, after taking abortion pills. Even if you bleed, you can still have a continuing pregnancy because bleeding does not mean that you have had a successful abortion.
What should you do if you show signs of pregnancy after abortion?
You should have an ultrasound within a week or do a pregnancy test 3 weeks later to confirm that the pregnancy has ended. Most pregnancy tests that are done 3 weeks after the abortion are reliable. It is necessary to wait 3 weeks after the abortion because the pregnancy hormones can remain in the body and can make the pregnancy test falsely positive.
If the pregnancy test is still positive after 3 weeks, it is important to get a medical evaluation right away as you may have an ectopic pregnancy, which can be dangerous.
What are the risks of a continuing pregnancy after abortion pills?
Although the risk is very low and only slightly higher than that of a normal pregnancy, Misoprostol can increase the risk of fetal malformations. If possible, we advise women with continuing pregnancies to undergo surgical or medical abortion to terminate the pregnancy.
If you have a continuing pregnancy after abortion pills, you can:
- try to do a medical abortion again or
- have a surgical abortion.
 “Continuation of pregnancy after first-trimester exposure to mifepristone: an observational prospective study.”Bernard N, Elefant E, Carlier P, Tebacher M, Barjhoux C, Bos-Thompson M, Amar E, Descotes J, Vial T. BJOG 2013;120:568–575. http://onlinelibrary.wiley.com/doi/10.1111/1471-0528.12147/full