What should I do if there is still a small amount of residue after the abortion?

If there is a small amount of residue after medical abortion, this situation is generally called incomplete abortion, which is relatively harmful to women's health. It can easily lead to physical deterioration, infection, and some sequelae. It can even cause habitual miscarriage and infertility in the future. Therefore, when a small amount of residue appears, you must go to the hospital for examination in time and receive good treatment in time.

If there is a little residue after medical abortion, do I need uterine curettage? Once incomplete abortion, delayed abortion, and hydatidiform mole are diagnosed, uterine curettage can be performed if there are no special contraindications (including visceral diseases such as heart and lung, blood diseases, infections, etc.). 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.

Complications of curettage: 1. Cervical laceration is common in infertile women and usually occurs on both sides of the cervix. For such patients, the operation should be gentle. Small lacerations can be blocked with iodine gauze to stop bleeding. For larger lacerations, sutures should be performed under direct vision to stop bleeding. If vaginal hemostasis is ineffective, a laparotomy is required to find the bleeding blood vessels and ligate the bleeding. Occasionally, a hysterectomy is required. 2. Uterine perforation Pregnancy and tumors (such as hydatidiform mole) can make the uterine wall fragile, which can easily cause uterine perforation during curettage. For uterine perforation with less bleeding, conservative treatments such as anti-inflammatory and hemostatic treatments can be used. If the perforation is large and complicated by heavy bleeding, laparotomy is required to stop the bleeding, repair the perforation wound, or perform a hysterectomy. 3. Adequate preoperative preparation, strict aseptic operation, and preventive antibiotic treatment after surgery can reduce the occurrence of infection. 4. Uterine cavity adhesions may occur if the scraping is excessive during uterine cleaning, with consequences such as infertility, miscarriage, amenorrhea, dysmenorrhea, etc. Adhesions can be separated under hysteroscopy.

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