When it comes to artificial abortion, everyone will think of the cold operating table, and fear will arise spontaneously. For this reason, many women today would rather choose medical abortion, which is relatively less painful, when they need to terminate their pregnancy. Although medical abortion is indeed a good choice, it is no less harmful to the body of pregnant women than artificial abortion, and sometimes the abortion is not complete with medication alone. At this time, if the embryo cannot be thoroughly cleaned, it may cause intrauterine infection, lead to fallopian tube occlusion, and cause infertility.

Director Tian of Shanghai Marriott Hospital said: Medical abortion, as the name suggests, is to expel the embryo through the action of drugs. Since medical abortion does not require surgery, it causes less damage to the uterus. However, if bleeding occurs for a long time after medical abortion, this may be because the embryo is not completely removed by medical abortion. At this time, you should go to a regular hospital as soon as possible and take measures to eliminate them all. Because if the embryo remains in the uterus for a long time, it will cause intrauterine infection, damage the endometrium, and then cause fallopian tube occlusion, eventually leading to infertility. Generally speaking, after medical abortion in a regular hospital, the doctor will check carefully, so the phenomenon of continuous bleeding after medical abortion is rare among pregnant women who have medical abortion in a regular hospital. However, in clinical practice, we have encountered many cases where medical abortion was performed in small clinics, but the embryos could not be discharged cleanly, and they had to go to the hospital for help.

In addition, if bleeding continues for more than 20 days after medical abortion, there is another possibility that the woman's pregnancy did not occur in the uterus at all, but occurred in places other than the uterus such as the abdominal cavity or fallopian tube. In this kind of pregnancy, medical abortion should not have been performed.

The most dangerous thing is the embryo implanted in the fallopian tube. Because medical abortion has no effect on this kind of ectopic pregnancy, patients will also bleed after receiving medical abortion, so they will think that they have "aborted" the embryo. But in fact, the misplaced embryo still remains in the fallopian tube, like a time bomb, endangering the life of the pregnant woman.

Whether it is artificial abortion or medical abortion, pregnant women should choose a regular hospital. Some women think that abortion does not require “operating under the knife” and is very “pediatric”. In fact, this is not the case. To some extent, medical abortion imposes more restrictions on pregnant women than artificial abortion.

Medical abortion must meet three major indications. The first is that the pregnant woman must not be older than 40 years old. This is because the drugs used in medical abortion will adjust the endocrine secretions of the female ovaries, and the ovaries of women over 40 years old are in decline. At this stage, if you are further affected by drugs at this time, you are likely to have menstrual disorders or even early menopause. The second is that the gestational age of the pregnant woman must be within 49 days; and the third major indication is to determine whether the embryo implantation position is in the uterus. The latter two major indications can only be clearly judged with the assistance of B-ultrasound, so some irregular small clinics only use the phenomenon of menopause and positive urine tests to judge that pregnant women are pregnant, and then easily give them Medical abortion is very dangerous.

Regarding age, women over 40 cannot undergo medical abortion, nor can women under 18. Menstrual irregularities may occur under the influence of drugs. In addition, if some women have had multiple dilation and curettage abortions before, and the uterine wall is thinned or damaged, once the dosage of medical abortion drugs is not properly controlled, it may cause uterine rupture.

In obstetrics and gynecology departments of regular hospitals, the medical abortion process is very rigorous. First of all, it is necessary to clarify the number of days of pregnancy and the position of the embryo. Then the pregnant woman will undergo some related examinations. The doctor will ask the pregnant woman to take some drugs that soften the cervix and kill the embryo. These drugs can be taken home by the pregnant woman and taken by herself for 2 days. sky. On the third day, the pregnant woman must return to the hospital, and the doctor will ask her to take another drug--a uterotonic agent. Pregnant women should stay in the hospital after taking the medicine. A few hours later, the pregnant woman will begin to experience uterine contractions, accompanied by labor pains.

Generally speaking, pregnant women can go home the same day after taking the medicine for the second time. The doctor will check the pregnant woman’s uterus to see whether the embryo has been completely discharged. In addition, doctors will also use some uterotonic drugs to help pregnant women completely expel the embryo, and will also combine some anti-infective drugs to prevent intrauterine infection. If the pregnant woman still continues to bleed 20 days after medical abortion, it may be an incomplete abortion or an ectopic pregnancy, and she should go to the hospital for examination as soon as possible.

Pregnant women should pay attention to rest after receiving medical abortion. It is best to rest at home for the first 2 to 3 days. The work and activities they engage in within 2 weeks should not be too tiring. After medical abortion, proper nutrition should be supplemented, hygiene should be paid attention to, sanitary pads should be changed frequently, drink more water, and urinate more. In addition, sexual intercourse should be prohibited within one month after medical abortion.

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