If medical abortion is not thorough, there may be residue, which is very harmful to women. This residue is also called lochia. If lochia is not discharged in time, it will often lead to some sequelae, which is particularly harmful to women's reproductive health. When there is residue, you should go to the hospital for examination in time. If uterine curettage is required, you should carry out treatment in time to avoid greater harm to your health. If there is residual after medical abortion, can the uterus be cleaned without cleaning? Once incomplete abortion, delayed abortion, and hydatidiform mole are diagnosed, if there are no special contraindications (including heart, lung and other visceral diseases, blood diseases, infections, etc.), uterine curettage can be performed. If artificial termination of pregnancy is desired, it should be performed within 12 weeks of pregnancy. Technical steps: 1. Lithotomy position. 2. Rinse and disinfect the vulva and vagina routinely. 3. Use cervical forceps to fix the upper lip of the cervix during uterine exploration. Send the probe along the direction of the uterine body to the fundus of the uterus to understand the size of the uterus. 4. Dilate the cervix. Use a cervical dilator to dilate the cervical canal until the intrauterine suction device can pass through it. 5. During uterine curettage, insert the uterine suction device into the uterine cavity without negative pressure. Then maintain negative pressure and perform repeated scraping and suction, being gentle throughout the entire process. If the suction tip is blocked by tissue during suction, the tissue should be quickly removed before continuing suction. If there are no conditions for suction uterus, curettage and dilatation can be performed. When suctioning the uterus, pay special attention to the uterine corners and fundus on both sides. If you feel there is still tissue, scrape it with a curette. If you feel that the uterine wall has become rough and observe bloody foam in the suction bottle, and the uterus is significantly shrunk during examination, it means that the uterus has been emptied and the operation can be ended. The best time for medical abortion 1. The importance of clarifying the time of medical abortion "Medical abortion only requires taking the medicine, the specific time is not important", this is a misunderstanding of many people about medical abortion. In fact, in order to achieve the best effect of medical abortion and improve the success rate of medical abortion, the best time for medical abortion must be considered. If you miss the golden time, it will not only affect the effect, but in severe cases you may need a second abortion. 2. Medical abortion can be performed within 49 days of pregnancy for early intrauterine pregnancy. If the pregnancy is within 49 days and the diameter of the gestational sac is less than 2.3 cm, it is most suitable to terminate the pregnancy with medical abortion. If the pregnancy is more than 3 months and the fetus is fully developed, induced labor is the only option. In addition, it should be noted that the time of pregnancy is not calculated from the time of sexual intercourse, and needs to be determined after consulting a doctor. |
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