Bleeding suddenly occurred after abortion

Abortion is a very common means of dealing with unwanted pregnancy. Nowadays, many people will resort to abortion to improve the situation if they do not take protective measures in their lives. However, abortion will cause many symptoms. The most common one is sudden bleeding after abortion, which can be very serious. Therefore, you need to observe for a period of time. If your symptoms continue to worsen, you need to seek treatment.

Directions

Mifepristone: Generally, the first dose is given in the outpatient clinic, and the rest can be taken home by the patient; Prostaglandins: Patients are required to come to the hospital for medication and stay in the hospital for observation, take it on an empty stomach on the morning of the third day, or insert it vaginally and stay in the hospital for observation for 6 hours.

Observation after medication

1) Pay attention to the duration and amount of vaginal bleeding after taking mifepristone. If the amount of bleeding is heavy or tissue is discharged, you should go to the hospital for treatment in time; 2) After using prostaglandins, you should stay in the hospital for observation, blood pressure, pulse, diarrhea, abdominal pain, bleeding, and whether the fetal sac is discharged and any side effects of the medication. If some side effects are more obvious, timely symptomatic treatment can be given. 3) After the fetal sac is expelled, a medical staff will carefully check the discharge (evacuate the uterus at any time if there is a lot of bleeding), and the patient will be discharged after 1 hour of observation. Before leaving the hospital, the patient's blood pressure and pulse will be measured, recorded, and the follow-up date and precautions will be given (2 weeks and 6 weeks after abortion 4)

2) Patients whose fetal sac has not been expelled will be discharged from the hospital within 6 hours and will be scheduled for ultrasound examination and follow-up within 1 week. If the abortion fails, vacuum aspiration will be performed for artificial abortion; 5) On the 15th day of medication: All subjects are required to return for a follow-up visit 2 weeks after taking the medication. If the bleeding is more than the menstrual volume, you should go to the original hospital for examination. For patients diagnosed with incomplete abortion through B-ultrasound and HCG examination, uterine curettage should be performed as appropriate and the patient should be sent for pathological examination.

Postoperative precautions

1) Follow up on schedule; 2) No sexual intercourse or bathing for one month; 3) Appropriate activities; 4) Take a 2-week vacation; 5) Contraceptive guidance: After medical abortion, you can take short-acting oral contraceptives at the same time, or have an intrauterine device inserted after 2 menstruations.

Follow-up

Follow-up of medical abortion is the most important, because after the gestational sac is expelled, the decidua will still be gradually expelled, so regular follow-up is crucial. 1) One week after medication: If the fetal sac is not expelled on the day of medical abortion, a follow-up examination should be conducted one week later. If it is confirmed that the pregnancy is continuing or the embryo has stopped growing, a vacuum aspiration procedure should be performed. 2) 2 weeks after medication: If there is not much bleeding after the fetal sac is expelled, you can continue to observe the situation. B-ultrasound examination or HCG measurement should be performed. If necessary, the uterus should be cleaned and the scraped material should be sent for pathology. 3) After 6 weeks of medication, evaluate the abortion effect and understand the menstrual recovery status. If vaginal bleeding persists, uterine curettage may be necessary.