Is it normal to expel white substances before finishing the medication for medication-induced abortion?

Patient's question:

Gender: Female
Age: 35
Menstruation stopped for 7 days. The hospital diagnosed early pregnancy and prescribed mifepristone orally. On the second night, there was bleeding with blood clots and a white, elliptical, translucent soft sac-like substance. On the third morning, after taking misoprostol orally, there were two episodes of mild abdominal pain, but no discharge occurred, and the bleeding did not change. Is it a successful miscarriage?

Doctor's answer:

Menstruation was 7 days overdue, diagnosed with early pregnancy, underwent medication-induced abortion. On the second night of taking mifepristone, I noticed an elliptical, translucent, cystic mass expelled.
Regarding your situation, especially since the gestational sac has been expelled, the elliptical, translucent mass is what you observed. However, the blood clots in your uterus haven’t been fully cleared yet. You’ll need to take some blood-activating herbs to help expel the remaining decidua tissue from your body. During this period, avoid taking baths, overexertion, and exposure to cold. A follow-up ultrasound is recommended one week after the procedure to check if everything has been cleared. Abstain from sexual activity for the first month.