Excessive bleeding after medical abortion

If you feel excessive bleeding after having a medical abortion, you cannot ignore it. If you do not deal with it in time, it will endanger your life. Therefore, you should do a good check-up before having a medical abortion. This will help avoid these adverse reactions. If they occur, you need to go to the emergency room in time to stop the bleeding and avoid any heavy bleeding.

1. Before medical abortion

(1) Perform an ultrasound examination before medical abortion to rule out ectopic pregnancy and understand the size and location of the embryonic sac to help determine whether medical abortion is appropriate.

(2) Medical abortion must be for women who conceived within 49 days of amenorrhea and are under 40 years old

(3) The patient is in good physical condition and has no contraindications. Contraindications include: past or current severe systemic diseases, liver or kidney dysfunction, allergic constitution, heart disease, hypertension, anemia, asthma, glaucoma, skin itching during pregnancy, etc.

(4) Go to a hospital with emergency treatment, curettage, and blood transfusion facilities for medical abortion, and observe carefully to prevent any accidents;

(5) Strictly following the doctor's instructions and returning for follow-up visits on time are important precautions before medical abortion.

2. After medical abortion

( 1) Hygiene and contraception after medical abortion should be taken more seriously.

(2) During medical abortion, retrograde infection is prone to occur due to new trauma to the uterus and vaginal bleeding. Therefore, attention should be paid to local hygiene. Showers should be taken instead of baths in a tub to prevent sewage from entering the vagina and causing infection. No sexual intercourse for one month.

(3) Rest for 1 to 2 weeks after medical abortion and gradually increase activity. Do not engage in heavy physical labor or work in cold water within one month after an abortion to avoid reduced resistance and inducing other diseases.

(4) Observe the bleeding situation. If vaginal bleeding lasts for more than one week after abortion, or is even accompanied by lower abdominal pain, fever, turbid and foul-smelling leucorrhea, etc., you should go to the hospital for diagnosis and treatment in time.

The doctor will explain in detail how to take the medication, the efficacy of the medication and possible side effects, and the patient can only use the medication after he or she understands and signs.

3. Monitoring during abortion: During the hospitalization observation period, in addition to paying attention to blood pressure, pulse, and side effects of drugs, all urine and feces must be retained in a clean bedpan, and a dedicated person will check and record the presence of a gestational sac and its discharge time, the size of the gestational sac, and the amount of bleeding. If there is active bleeding before or after the expulsion of the fetal sac, uterotonics can be given or curettage can be performed immediately to stop the bleeding.

4. If the fetal sac has not been expelled and bleeding is not excessive after 6 hours of observation, you can go home and follow up on the date specified by the doctor. If tissue is passed at home, it should be brought to the doctor for examination. If vaginal bleeding is more than normal menstrual flow, go to the hospital for treatment in time.