Bleeding on the second day of medical abortion

Medical abortion is also a relatively convenient method of terminating pregnancy, but it can cause great harm to the human body. Generally, medical abortion takes at least three to five days. The subjects of medical abortion should also be young women under 35 years old, and they should not have other diseases, otherwise their lives will be in danger. After taking the medicine, it is best to observe in the hospital. If the vaginal bleeding is not too much, you can go home to recuperate. Remember to eat more nutritious food and keep the vagina clean.

It refers to achieving artificial abortion in the early stages of pregnancy without surgery, but through injections or medication. The use of drugs to terminate pregnancy is the latest development in the past 20 years. Currently, the commonly used drugs are the combined use of mifepristone (Ru486) and prostaglandins. The former causes degeneration and necrosis of the uterine decidua and softening of the cervix, while the latter causes uterine contraction and promotes the expulsion of the embryo. Medical abortion is simple, effective, non-traumatic, and avoids the complications that may be caused by operations into the uterine cavity. Currently used to terminate pregnancies up to 8 weeks.

1. Advantages and disadvantages of medical abortion

Advantages: It avoids the pain and certain complications of surgical abortion, and achieves the purpose of stopping pregnancy if pregnant and inducing menstruation if not pregnant.

Disadvantages: Some women experience prolonged vaginal bleeding after miscarriage, and a few may have incomplete miscarriage and still require surgical curettage.

2. Who can have medical abortion?

Healthy women who are 5 to 7 weeks pregnant and are not suitable for surgical abortion, such as:

1. For those who have had a caesarean section within one year, an abortion within six months, or have had multiple abortions and are now pregnant, since the uterus has not fully recovered, surgical abortion is prone to risks such as damage and bleeding.

2. For women who take steroid contraceptives for a long time or are breastfeeding, it is best not to have a surgical abortion because their uterine wall is thin, soft and fragile and easily damaged.

3. For women with uterine malformation or extreme tilted uterus, surgery may be difficult.

4. Women who are extremely afraid of surgery or have experienced symptoms such as dizziness, palpitations, cold sweats, and pale complexion during surgery.

3. Anti-early pregnancy methods of medicine

Medical abortion must be used under the supervision of a doctor and hospitalization for observation is required if necessary. There are many methods for medical abortion. The following are two of the most commonly used and effective methods.

1. Use Mifepristone + Carprostatic Suppository or other prostaglandins for medical abortion.

Take Xiyin orally once or dividedly for 3 consecutive days, and insert 1 capsule of Kayun suppository into vagina on the 4th day (or take prostate medicine orally)

After 6 hours of observation, the complete abortion rate is about 90%.

2. No. 23 visiting relatives medicine (R2323) + Carpregnant suppository to prevent early pregnancy.

After taking No. 23 visiting medicine orally for 3 consecutive days, one capsule of Carpregnant suppository was placed vaginally on the 4th day and observed for 6 hours. The complete abortion rate was about 90%.

Note:

● The patient must be pregnant within 45 days of menopause and must be under 34 years old;

● Be in good physical condition and have no contraindications. Contraindications include: past or current severe systemic diseases, liver or kidney dysfunction, allergic constitution, heart disease, hypertension, anemia, asthma, glaucoma, pruritus during pregnancy, suspected ectopic pregnancy, long-term large-volume medication, smoking more than 10 cigarettes a day, alcoholism, etc.

● Before taking the medicine, do an ultrasound to confirm that it is an intrauterine pregnancy;

● Rest for at least 3 to 5 days after abortion;

● Strictly follow the doctor's advice and follow up on time;

● Cannot take medication continuously;

● The hospital you choose to go to must have emergency conditions (emergency curettage, infusion and blood transfusion);

● It cannot be taken as a common contraceptive drug.

1. Precautions after medical abortion

1. You need to stay in the hospital for observation for 1 hour after the tissue is discharged. 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. Avoid bathing and 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, and attention should be paid to whether tissue is discharged during defecation and urination. Weekly urine pregnancy tests.

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