• Severe bleeding – Both medical and surgical abortions usually cause bleeding that is different from a normal menstrual period. Severe bleeding can mean:
o Passing clots that are bigger than a golf ball, lasting 2 or more hours.
o Soaking more than 2 large pads in an hour, for 2 hours in a row.
o Bleeding heavily for 12 hours in a row.
• Signs of infection in your whole body, such as headache, muscle aches, dizziness, or a general feeling of illness
• Severe infection is possible without fever.
• Severe pain in the abdomen that is not relieved by pain medicine, rest,or heat
• Hot – a fever of 100.4°F (38°C) or higher that lasts longer than 4 hours
• Vomiting lasting more than 4 to 6 hours
• Sudden abdominal swelling or rapid heart rate
• Vaginal discharge that has increased in amount or smells bad
• Pain, swelling, or redness in the genital area
• An ectopic pregnancy caused from a fertilized egg growing in the fallopian tube
o An abortion was performed surgically or chemically, but the embryo was not aborted (a “failed abortion”).
o While EC (Emergency Contraceptive or MAP, the Morning after Pill) are “causal,” there is documentation of ectopic or tubal pregnancies associated with the use of EC or MAP.
o Instead, the embryo continued to grow inside the fallopian tube.
o The pain that occurs is described as post-operative discomfort.
o Cramping occurs after the abortion.
o Eventually the baby will grow too big for the tube and the tube will burst.
o A ruptured tube is a medical emergency.
o Note: Conditions other than a failed abortion can lead to an ectopic pregnancy.
The following symptoms are not a medical emergency, but do need medical diagnosis and treatment:
- Bleeding (not spotting), for longer than 2 weeks
- New, unexplained symptoms that may be caused by medicines used in your treatment
- No menstrual period within 6 weeks after the procedure
- Signs and symptoms of depression
- Hormonal changes after a pregnancy can cause depression that requires treatment.
The link directly above (nih.gov/pubmed) describes Emergency Contraception use followed by an ectopic, or tubal pregnancy.
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