On the question of abortion

The so-called "abortion" generally means that the fetus cannot survive in the mother before 12 weeks and leaves the mother. If, for some reason, fetal and placental tissues are removed from the mother by medical means, it is called induced abortion.

At present, the common ways of induced abortion are as follows:

1, negative pressure suction: the uterine contents are taken out by suction.

2, curettage: with different metal bars, gradually expand the entrance of the uterus, curettage of the fetus and endometrial tissue in the uterus.

3, uterine expansion: the way is similar to curettage, used in the second trimester of pregnancy, crushing the fetus out.

4. Oral drug abortion: It has gradually become popular in recent years. Mifepristone combined with misoprostol is used to terminate early pregnancy within 49 days after menopause, so as to make it spontaneous abortion.

Sequelae are heard from time to time

Complications or dangerous situations may occur in any operation. Although induced abortion is only a so-called minor operation, it is not a simple operation. Rough or incorrect operation often leads to serious sequelae:

1, uterine perforation: the greater the number of weeks of pregnancy, the higher the risk; The more abortions, the greater the chance of perforation. Others, such as uterus with abnormal position and shape or uterus that has been operated before (such as caesarean section or myomectomy), are more likely to be perforated.

2. Adhesion of cervix or endometrium: If the curettage is too rough, it will lead to damage and inflammation of cervix or endometrium, which may lead to postoperative adhesion of cervix or endometrium and abnormal menstruation, such as no menstruation or too little menstrual flow. If it is serious, it will be infertile in the future.

3, incomplete abortion: if the operation is not complete, a small amount of fetal tissue remains in the uterus, which may affect the uterine contraction and cause continuous bleeding or adhesion and infection. It is best to do another operation carefully to remove the residual tissue. Abnormal position or shape of uterus is generally more likely to cause this sequela.

4. Bacterial infection: If the disinfection of instruments is not complete, or the operator himself does not pay attention to the aseptic process, it may cause intrauterine infection, and even continue to spread upward and invade the fallopian tube and pelvic cavity. In severe cases, it will lead to ectopic pregnancy or infertility in the future.

5, cervical injury: In the process of expanding the cervix, if you are not careful, or the expansion speed is too fast, it may cause cervical injury, and it is easier to have a miscarriage in the future, especially for women who are pregnant for the first time or have never given birth.

6. Anesthesia may cause aspiration pneumonia or respiratory arrest.

7. Oral drug abortion, although without the above sequelae, can avoid the side effects of physical and mental injury of some women, but still need to pay attention to the possibility of massive bleeding and incomplete abortion.

Preoperative knowledge

Understand the possible sequelae of induced abortion, and also know how to reduce and avoid these problems and promote early recovery.

1, it is necessary to make sure that it is an intrauterine pregnancy, know the size and position of the embryo, and rule out the possibility of ectopic pregnancy.

2. Keep an empty stomach 6 hours before the operation.

3, allergic to narcotic drugs, or have heart disease, liver disease, abnormal blood pressure, should first inform the doctor.

postoperative care

In terms of postoperative care, although it is not necessary to care like confinement, we should also pay attention to the following matters:

1, take more rest: generally, it is best to rest for more than two or three days, avoid strenuous exercise or sexual intercourse within two weeks after abortion, and try not to stay up late to shorten the recovery period.

2. If the postoperative fever persists (above 38 degrees Celsius), you should return to the clinic as soon as possible.

3, a week after abortion should avoid sitz bath, give priority to with a shower, and prohibit washing vagina, keep vulva dry.

4. Dietary aftercare: Pay attention to a balanced diet, especially foods rich in protein and iron, such as eggs, lean meat, spinach and pork liver. Secondly, be careful not to take nourishing wine immediately, such as sesame oil chicken wine, ginseng and angelica medicinal wine, etc., and eat it after one week, because it may affect uterine contraction and increase bleeding.

5. If you have sex two weeks after operation, you should take contraceptive measures to avoid getting pregnant again.

6. If the number of weeks of pregnancy exceeds 12 weeks, it is best to extend the rest time, and psychological recovery cannot be ignored.

Generally speaking, it is best to wait 1 year before getting pregnant after induced abortion. If there are special circumstances, it is best to wait at least half a year before getting pregnant. Because all kinds of induced abortion need suction or curettage to clean the embryonic tissue in the uterine cavity. During the operation, the endometrium will be damaged to varying degrees, and there needs to be a recovery process after the operation, such as premature pregnancy again. At this time, the endometrium has not fully recovered, so it is difficult to maintain the implantation and development of fertilized eggs, which is easy to cause abortion. In addition, after induced abortion, women are weak and it will take some time to return to normal. If you get pregnant too early, it will often lead to fetal dysplasia or spontaneous abortion due to lack of physical strength and malnutrition.

Induced abortion is a necessary remedy after contraceptive failure. Generally speaking, the occasional abortion once or twice has no adverse effect on women's health, but apart from possible physical sequelae, psychological pimples are often the lingering shadow of many women. In short, induced abortion should not be done more, otherwise it will have a negative impact on health. In case of induced abortion, remember to find a qualified and experienced obstetrician to avoid lifelong regret caused by improper handling.

Induced abortion is the termination of pregnancy by sucking out the pregnancy in the official cavity through negative pressure suction. Multiple abortions have a great negative impact on pregnancy and childbirth. From the point of view of human physiology and anatomy, there is only a separation between the uterine cavity and vagina where the fetus is born, and the cervix is closed at ordinary times, which can effectively prevent bacterial invasion and ensure an ideal growth environment for the fetus during pregnancy. In induced abortion, the closed cervix must be expanded with metal instruments, and the negative pressure suction tube can enter the official cavity to suck out the young embryo implanted in the endometrium. It can be seen that even if there is nothing wrong with the operation itself, it may cause cervical opening relaxation and endometrial damage. Repeated induced abortion or careless operation are more likely to damage the cervix, break the muscles and fibers of the cervix, form scars, and often lead to incurable habitual abortion. Repeated induced abortion will open the door for bacterial invasion because of excessive expansion, which can cause endometritis or salpingitis, and in severe cases, pelvic inflammatory disease and infertility. Even if pregnant eggs are implanted, repeated aspiration and curettage will damage the endometrium, affect placenta implantation, cause placental blood circulation disorder, cause fetal hypoxia and growth retardation, and increase the mortality of premature infants and newborns.

Secondly, repeated abortion is easy to damage the endometrium, because scraping is the easiest way to damage the basal tissue of the endometrium, so there are many cases of uterine perforation. After the normal tissue between the endometrium and the basal layer of the functional layer is destroyed, the endometrium can easily grow into the basal layer or myoma of uterus, forming adenomyosis or adenomyoma, leading to menorrhagia, infertility, abdominal pain and other symptoms.

-The best time for induced abortion.

It is most suitable to have an induced abortion within 0/0 weeks of pregnancy/kloc. Because the earlier the induced abortion operation, the simpler and safer it is; On the contrary, the operation is complicated and the postoperative recovery time is long.

The first 10- 14 weeks of pregnancy, because the embryo grows up gradually, the placenta has formed and the uterus has grown up. At this time, it is not appropriate to use simple uterine aspiration for induced abortion, but platinum curettage is needed. The operation is difficult, with much bleeding and slow recovery, which has a certain impact on the body.

If the pregnancy exceeds 14 weeks, neither of the above two induced abortion operations can be performed, but the induced labor operation needs to be performed in the hospital, which further increases the pain of pregnant women and the risk of operation.

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Generally speaking, it is best to wait 1 year before getting pregnant after induced abortion. If there are special circumstances, it is best to wait at least half a year before getting pregnant. Because all kinds of induced abortion need suction or curettage to clean the embryonic tissue in the uterine cavity. During the operation, the endometrium will be damaged to varying degrees, and there needs to be a recovery process after the operation, such as premature pregnancy again. At this time, the endometrium has not fully recovered, so it is difficult to maintain the implantation and development of fertilized eggs, which is easy to cause abortion. In addition, after induced abortion, women are weak and it will take some time to return to normal. If you get pregnant too early, it will often lead to fetal dysplasia or spontaneous abortion due to lack of physical strength and malnutrition.

Induced abortion is a necessary remedy after contraceptive failure. Generally speaking, the occasional abortion once or twice has no adverse effect on women's health, but apart from possible physical sequelae, psychological pimples are often the lingering shadow of many women. In short, induced abortion should not be done more, otherwise it will have a negative impact on health. In case of induced abortion, remember to find a qualified and experienced obstetrician to avoid lifelong regret caused by improper handling.