Precautions after medical abortion and uterine curettage

Nowadays, many women do not care much about their physical health. If they do not want the child after getting pregnant, they will directly choose abortion. People think that surgical abortion will bring greater harm, so they will choose medical abortion. In fact, medical abortion will also cause harm, and if the medical abortion is not clean, uterine cleaning will be required. So what are the precautions after taking medication and curing the uterus?

Is it necessary to have a uterine curettage after medical abortion?

A follow-up examination is required after medical abortion. If there is no residue, there is no need for uterine curettage. If there is any residue, the uterus needs to be cleaned up as soon as possible. Otherwise, the residues remaining in the uterus will affect the contraction and involution of the uterus, causing long-term bleeding, which can easily lead to endometritis or endometrial adhesions, fallopian tube adhesions, pelvic inflammatory disease, etc. In severe cases, it may lead to infertility.

Sometimes the onset of menstruation does not mean that there is no residual stool. It is recommended that patients go to the hospital for a follow-up examination. If there is any residual stool, the uterus should be cleaned in time.

Precautions after medical abortion

1. After the tissue is discharged, you need to stay in the hospital for observation for 1 hour. If the vaginal bleeding is not too much, you can go home and rest.

2. Get adequate rest within 2 weeks after miscarriage, eat nutritious food, and avoid heavy physical labor.

3. Pay attention to the cleanliness of the perineum. Do not take a bath or have sexual intercourse when vaginal bleeding has not stopped.

4. In the first 2 to 3 days after abortion, the amount of vaginal bleeding is generally equivalent to or slightly more than the menstrual amount. If the amount of vaginal bleeding is heavy or persistent, seek medical attention promptly.

5. Patients with no tissue discharge should be observed for 2 weeks after medication. During this period, attention should be paid to whether there is any tissue discharge during urination and defecation, and urine should be collected for pregnancy test every week.

6. Ovulation may resume soon after miscarriage, so contraceptive measures should be taken to avoid pregnancy again.

Diet after miscarriage

The patient's diet should have higher calories, especially providing protein, multiple vitamins and inorganic salts with higher physiological value, and especially supplementing iron and sufficient water. You should eat more nutritious foods that are easy to digest and absorb. You can choose fresh fish, chicken, eggs, liver, animal blood, lean meat, soy products and milk, fresh vegetables and fruits. The staple food should be liquid or semi-liquid food first, such as milk, rice porridge, and noodles; then add rice, steamed buns, and dumplings.

Steaming is the best cooking method, which makes the food fragrant, tender and delicious and easy to digest.

In the first few days after miscarriage, you should drink more soups, porridge, and drink plenty of water. You can also stew chicken soup, pork ribs soup, or three-fresh soup for drinking. Spicy and other irritating foods should be avoided.

In the first week after miscarriage, you can have 1 to 2 extra meals a day; after one week, you can return to three meals a day.

Dietary adjustments should focus on the following points:

1. Within half a month after artificial abortion, 1.5 to 2 grams of protein should be supplied per kilogram of body weight. Therefore, you can eat more chicken, lean pork, eggs, milk, beans, and bean products.

2. As the body is weak and prone to sweating, it is advisable to replenish water in small amounts and multiple times. A large amount of water-soluble vitamins are excreted in sweat, especially vitamin C, vitamin B1, and vitamin B2. Therefore, you should eat more fresh vegetables and fruits. This also helps prevent constipation.

3. On the basis of a normal diet, appropriately limit fat. Within one week after surgery, fat should be controlled at around 80 grams per day. People with menstrual disorders should avoid eating irritating foods, such as chili peppers, wine, vinegar, pepper, ginger, etc. These foods can stimulate congestion of the sexual organs and increase menstrual volume. Also avoid eating cold foods such as crabs, snails, and clams.

Some doctors recommend taking 3-5 doses of Shenghua Tang (6 qian of Angelica sinensis, 1.5 qian of Roasted Licorice Root, 4 qian of Chuanxiong, 1 qian of Peach Kernel, 1 qian of Black Ginger, and 2 qian of Eucommia ulmoides).

Here are a few more recommended recipes:

1. Soy milk rice porridge: 2 bowls of soy milk, 50 grams of rice, and appropriate amount of white sugar. Wash the rice, cook it with soy milk to make porridge, and add sugar after it is cooked. Take on an empty stomach every morning. It has the effect of harmonizing the spleen and stomach, clearing away heat and moistening dryness. Suitable for recuperation of physical weakness after artificial abortion.

2. Egg and date soup: 2 eggs, 10 red dates, and appropriate amount of brown sugar. Put water in a pot and bring it to a boil, then beat in the eggs and cook them. When the water boils again, add red dates and brown sugar and simmer for 20 minutes. It has the effects of tonifying the middle, replenishing qi and nourishing blood. Suitable for conditioning of anemia and deficiency of Qi and blood after illness and childbirth.

3. Ginseng and Astragalus hen: 1 old hen, 50 grams of Codonopsis pilosula, 50 grams of Astragalus membranaceus, 50 grams of Chinese yam, 50 grams of jujube, and appropriate amount of rice wine. Kill a hen, remove its feathers and internal organs, and soak it in rice wine. Place the other four ingredients around the chicken, steam it, and take it in several servings. It has the effect of invigorating qi and nourishing blood. Suitable for conditioning after miscarriage.

4. Carp among fish can promote uterine contraction.