Abortion

Introduction to induced abortion Abortion, also known as the termination of early pregnancy, generally refers to the termination of pregnancy by manual or medical means within 3 months of pregnancy. This method is used as a remedy for unintended pregnancy failure, and for those who are not eligible for further pregnancy due to illness, to prevent congenital malformations or hereditary diseases. Abortion can be divided into surgical abortion and medical abortion. Common methods include negative pressure aspiration, artificial abortion, and medical abortion. basic knowledge The proportion of illness: 0.02% Susceptible population: pregnant women Mode of infection: non-infectious Complications: habitual abortion complete abortion

Cause of induced abortion

1, severe acute infectious diseases and infectious diseases: such as lobar pneumonia, many with high fever leading to uterine contractions, or / and embryo death can cause miscarriage.

2, chronic diseases: severe anemia, heart disease, heart failure can cause fetal hypoxia, suffocation and death; chronic nephritis, severe hypertension can cause infarction or early stripping of the placenta and cause miscarriage.

3, malnutrition or drug poisoning: such as vitamin deficiency, especially vitamin E - the lack of tocopherol, mercury, lead, alcohol and morphine and other chronic poisoning, can cause miscarriage.

Artificial abortion prevention

1. Acute infectious diseases must be cured after a period of recovery, and patients with chronic diseases should be treated until the condition is stable and approved by a specialist before they can become pregnant.

2, for couples who have had a history of abortion, should go to the hospital in time to check the cause of miscarriage, no matter which side of the couple has problems, they should be treated in time, and then the child is cured.

3, pregnant women, to avoid exposure to harmful chemicals, such as benzene, mercury, radiation, etc., should be less early in the public places to avoid viral and bacterial infections, if pregnant women are sick, in a timely manner under the guidance of a doctor Take medication, don't use it at your own risk.

4, early pregnancy (12 weeks pregnant) In addition to pay attention to food hygiene and avoid excessive fatigue, but also to avoid excessive tension, to maintain emotional stability, to the fetus, the first 3 months of pregnancy not to the same room, if examined, fetal development abnormalities When the doctor thinks that the curettage should be performed, the patient should not delay, so as to avoid excessive blood loss (even shock, death) or the formation of internal genital inflammation affecting future birth. It should be noted that most of the aborted embryos are generally born with defects. Naturally eliminated, must not be lost due to small, endangering the health of pregnant women.

Abortion complications Complications Habitual abortion complete abortion

1, large blood loss sometimes inevitable abortion or incomplete abortion can cause severe blood loss, and even shock, so should be actively treated, various measures can be carried out simultaneously, intravenous or intramuscular injection of oxytocin or pituitary vasopressin 10U, strive to give patients blood transfusion, in In the absence of a blood bank, the medical staff or their families can be mobilized to donate blood. If blood is not available for a while, dextran can be temporarily instilled intravenously. At the same time, the curettage is given. After the fetal embryo tissue is removed, the bleeding often stops, even if there is In the presence of infection, large pieces of embryonic tissue should also be removed, and then conditions should be actively created for blood transfusion.

2, infection of all types of abortion can be combined with infection, occurred in more than abortion, infection often occurs in abortion surgery with a device that is not strictly disinfected; device damage to the cervix; or uterine cavity infection, surgical abortion or natural After abortion, it can cause infection spread. In addition, after abortion (natural or artificial abortion), it does not pay attention to hygiene. Premature sexual intercourse can cause infection. Infectious pathogens are often mixed with various bacteria, anaerobic and aerobic bacteria. It has been reported that anaerobic bacteria can account for 60-80% of the majority.

Symptoms of induced abortion Common symptoms Vaginal bleeding pelvic sag feeling pelvic pain uterus displacement uterine sag

1, vaginal bleeding: abortion within 3 months of pregnancy, the beginning of the villus and aponeurosis separation, blood sinus opening, that is, began to bleed, when the embryos are all stripped and discharged, the uterus strongly contracted, the sinusoids closed, bleeding stopped, so early abortion The whole process is accompanied by vaginal bleeding. In the late abortion, the placenta has formed. The abortion is similar to that of premature delivery and full-term birth. Generally, there is not much bleeding.

2, abdominal pain: early abortion begins to bleed, there is blood in the uterine cavity, especially blood clots, stimulating uterine contractions, persistent lower abdominal pain, late abortion, first paroxysmal uterine contractions, and then placenta stripping, so there is before vaginal bleeding stomach ache.

Abdominal pain and bleeding are mostly progressive, related to clinical progress and progress.

Abortion check

1. Ask about the medical history. Detailed medical history, menstrual history, marriage and childbirth history, special attention to the history of menopause, early pregnancy response and past abortion history should be asked.

Detailed medical history collection is very important for doctors to evaluate the difficulty of surgery, the focus of surgery, and reduce surgical complications. It should not conceal the medical history to avoid unnecessary surgical complications.

2, physical examination. Blood pressure measurement, cardiopulmonary auscultation, electrocardiogram examination. Do gynecological examination, understand the location and size of the uterus, determine the pregnancy month, exclude genital malformations, and determine the diagnosis of early pregnancy.

3, B-ultrasound. Do B-ultrasound to determine the location, size, exclusion of ectopic pregnancy, cesarean section incision scar pregnancy, hydatidiform mole and other pathological pregnancy, and can improve the accuracy of surgery, reduce damage and prevent residue. If the fetal sac is too small, it is easy to leak, so after a week, review the B-ultrasound and then decide the timing of the operation.

4. Routine testing. Pregnancy test, check blood routine, evaluate vaginal cleanliness, routine leucorrhea smear, secretion culture, eliminate common vaginal infections such as vaginitis, cervicitis, and annexitis. If there is an abnormality, the infection should be treated first and then surgery. Check hepatitis B surface antigen, HIV, RPR, HCV, etc.

Artificial abortion diagnosis

1. Pregnancy within 10 weeks of pregnancy requires no contraindications;

2, due to certain diseases or hereditary diseases should not continue to be pregnant.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.