COMPLETE GUIDE ON MTP KIT

What is MTP Kit?

MTP kit, also known as RU-486 , is the medication for unwanted pregnancy. This is used for medical abortion. This involves a non-surgical procedure to successfully terminate pregnancy in the respective trimesters. The MTP kit helps women with only up to 11-12 weeks of pregnancy in successful abortion. 

MTP Kit Consists of 1 Mifepristone 200mg and 4 Misoprostol 200mcg.

 

How to take MTP Kit?

The MTP Kit contains 1 tablet of mifepristone 200 mg and 4 tablets of 200 mcg misoprostol. For a successful abortion, the patient must take 1 tablet of Mifepristone orally. After 24 hours, the patient must insert 4 tablets of Misoprostol inside the vagina. 800 mcg of Misoprostol needs to be given vaginally within 24-48 hours after consuming Mifepristone. 

Precautions:

The patient must not consume MTP Kit tablets if:

  1. Allergic to Misoprostol or Mifepristone.
  2.  The patient suffering from Ectopic Pregnancy, where implantation occurs outside of the uterus, also known as the false pregnancy.
  3. The woman is over 35 years of age. 
  4. The patients having IUDs (Intra Uterine Devices).
  5. The patients suffering from bleeding disorders. 

It is recommended that the MTP kit is to be consumed only after gynaecological consultation.

Dosages:

The basic dosage in the MTP kit involves taking 1 Mifepristone tablet orally and after 24 hours, taking 4 tablets of Misoprostol vaginally. However, it is recommended to follow instructions as per the gynaecologists. 

The dosage is best decided by the doctor depending on the individual case as per the age, weight, allergic reactions and health history. 

It is important not to take overdosage, not to miss Misoprostol, and check expiry dates. In case of overdosage and missed dose, the patient must visit the gynaecologist immediately.

 

Efficiency and Time to show Effects

The abortion process occurs in 2 stages, as the MTP Kit involves 2 different drugs. When the patient takes Mifepristone orally, the pregnancy is blocked and stopped. Thus, the patient starts feeling nausea. No other symptoms are shown until the patient takes the Misoprostol tablets. In between 24 hours to 48 hours, the 4 Misoprostol tablets need to be taken vaginally. This second medicine causes abortion and emptying the uterus. Most patients start bleeding and cramping within 1 hour after taking misoprostol. The whole abortion process takes 4-5 hours. 

The MTP Kit is efficient and 90% of cases lead to a successful abortion. It is important to follow the instructions given by the gynaecologist and go for a follow-up to confirm abortion.  

 

Side Effects of MTP Kit

MTP Kit doesn't lead to any major side effects, however bleeding, cramping is the main symptoms of medical abortion. Here are the common side effects after consuming the MTP Kit: 

  1. Bleeding: Bleeding is the main symptom of abortion, and once the patient takes Misoprostol, bleeding starts within 1 hour and lasts for 4 hours. The bleeding is 10 times heavier than the normal menstrual bleeding. 
  2. Fever: One of the general side effects after taking the MTP Kit is the fever. During the abortion and for the next 12 hours, the patient may suffer from 99-100° F. Most of the gynaecologists suggest Ibuprofen for reducing the fever.
  3. Vomiting and Nausea: Women suffering from nausea and vomiting during pregnancy may suffer from the same during the abortion process. Misoprostol intensifies vomiting and nausea. The gynaecologist might suggest Metoclopramide for vomiting.  
  4. Diarrhoea: Misoprostol leads to diarrhoea in some patients, which disappears in a day.
  5. Fatal Abnormalities: It is important to confirm abortion with a follow-up, as sometimes Misoprostol leads to congenital malformation. In case the pregnancy is not terminated properly, a surgical abortion is advised. 

 

Follow Up

Bleeding and cramping are the major symptoms of abortion. However, to confirm the pregnancy termination, the patient must visit the gynaecologist for an ultrasound examination to confirm abortion. 

In 90% cases, after consuming Misoprostol the patient has an abortion, however, it is important to have confirmation and avoid future complications. Partial abortion and incomplete abortion need medical attention.  

 

Advantages of using MTP Kit

  1. Non-Surgical Process.
  2. It does not require any medical assistance. It can be performed at home by following the doctor's advice and instructions.
  3. MTP kit can be purchased online with prescription. 
  4. Less traumatic and inexpensive.
  5. Restores menstrual function in 28-30 days.

 

Additional Information

Possible Complications:

Though MTP Kit works effectively when followed as per gynaecologist’s instruction, however, there are chances of complications.

Incomplete Abortion: When the abortion is incomplete, in such case the foetus and placenta stay in the uterus. For this, additional surgery is required. 

Life-Threatening Bleeding: Continuous and severe bleeding without a decrease in the flow for more than 6 hours, then this might damage the uterus beyond repair. It is important to talk to the gynaecologists about bleeding and blood flow. In such cases, the patient might never be able to conceive or carry a child any further. 

Infectious Inflammation: In the worst case, severe bleeding could lead to infectious inflammation in the vagina. 

It is important to talk about the possible complications of using an abortion pill. MTP Kit is a very powerful drug, for successful termination of pregnancy, however, it is recommended to consult with gynaecologists and take the abortion pills with proper instructions. 

 

FAQs Related to MTP Kit:

1. Can MTP Kit be consumed when breastfeeding?

No, as MTP Kit affects the hormones, it is advised not to consume while the woman is breastfeeding.

2. Does the MTP kit affect the menstrual cycle?

Yes, MTP Kit affects the menstrual cycle. In case of irregular periods, it is advised to consult with the doctor before consuming the MTP Kit.

3. When should one take MTP Kit?

It is advised to take Mifepristone after the meal to avoid gastric problems and Misoprostol should be taken in an empty stomach, post 2 hours after the meal. 

4. Is bleeding normal after taking MTP Kit?

Yes, bleeding is normal. The bleeding will be heavier than the normal menstrual cycle. The bleeding starts within an hour post taking Misoprostol and continuous for 4-5 hours, gradually the flow decreases. 

5. What if one misses the dosage?

It advised visiting the doctor for examination as the abortion may not occur.