Doctor, I want to ask, on Thursday, I had a miscarriage, the prospective baby came out, and I experienced a bleeding that was not so great. Blood stays out. Saturday, I checked with the doctor to be sure, whether my womb was clean or not. After checking, it turns out there is still a little more left. I was given the drug NOVASTERON / norethisterone, so the blood did not come out anymore. I want to ask, what is the function of the drug? Is this medicine really able to help blood out as said by the doctor? Thanks doctor.
Hello Veronika, thank you for asking HealthReplies.com.
Let me introduce myself, Dr. Rio will try to answer your question.
Abortion is the release of the conception / conception before the age of 20 weeks or before the fetus is worth living / fetal weight <500g. In certain conditions, abortion can occur spontaneously. Some types of abortion are:
Abortion complete - In this condition the fetus comes out intact with all the components of the pregnancy. Curettage is not usually needed if the uterus is considered clean. Incomplete abortion - In this condition a part of the fetus is left in the uterus, the action of curettage can be considered if bleeding continues to occur due to part of the fetus being left behind. Abortion imminens - There is a risk of miscarriage that is marked by vaginal bleeding, but cervical effacement has not yet occurred. Abortion insipiens - The threat of miscarriage is characterized by vaginal bleeding, and the service has leveled off but the fetus is still inside the uterus. Missed abortion - An unconscious miscarriage that usually occurs in early pregnancy so the fetus is still very young. Usually found in cases of blighted ovum. Abortion habitualis - Miscarriage that occurs more than 3 times in a row. Usually due to an infection in the mother such as Toxoplasma, rubella, cmv, etc. In handling abortion can be done depending on the condition of the uterus. If the uterus is clean "confirmation by ultrasound" then the obstetrician will usually not perform the action of curettage, and only observe bleeding after a miscarriage. If there is continuous bleeding, it can be suspected that there are still parts of the fetus that are left behind, so curettage will usually be done. Giving uterotonic drugs / making the uterus contract also often given.
Respond to questions you give regarding giving nethethisterone. The drug is a class of synthetic progesterone drugs that are usually used to overcome the problem of menstrual disorders, hormonal instability, delay menstruation, or for birth control.
Regarding the use of these drugs to overcome incomplete abortion, I did not find scientific evidence about it. You may be able to consult your obstetrician again about the problem, or you can seek a second opinion from another obstetrician not to seek wrong and right, but to strengthen the therapy given. Every decision made by a doctor must have a strong foundation and not to harm the patient.
For now you don't need to worry too much about that. As long as there is no heavy or continuous bleeding from your vagina, and do a checkup according to your control schedule to the specialist who treats you. Get enough rest and limit your activities for a while and eat enough to drink can increase your immunity.
That's all the answers from me, hopefully always healthy.
Thank you :)