When I was 9 weeks pregnant, I underwent a vaginal ultrasound.  The OBGYN told me that I had a miscarriage.  She advised me to take misoprostol 600 mg to expel the fetal tissue.  I took the medication and had heavy bleeding and cramping for two hours.  Then light spotting for the next three weeks.  I went back the following day after taking the medication and was told that the second ultrasound confirmed that everything had come out.  I proceeded as if I had a miscarriage and stopped all pre natal care.  I did not get my period over the next nine weeks.  I went to my primary care doctor yesterday because my uterus was enlarged.  She did a routine pregnancy test and it was positive.  She sent me for an ultrasound to see what was going on.  To my shock, it showed a 18 week old fetus.  I had not miscarried after all.  The fetus had a heart beat of 154.  It was the right size and moving around.  But now I am very concerned that the lack of prenatal care over the past nine weeks and taking the Misoprostol may have harmed the fetus.  Is there a significant risk to the fetus from this drug?  I would have never taken it if I knew the fetus was viable.  I feel so guilty.
Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.There is no need to worry if today's ulatrsound shows everything OK. Get a detailed ultrasound for 18 weeks for anomaly scan, and quadruple marker. If all these are right, you don't need to worry.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Mandavi Rai