If the pregnancy is unexpected, most people will choose to have a painless abortion. Because this not only solves the troublesome problems you encounter, but also causes little harm to yourself. However, there will be bleeding in the lower body after the abortion, which will last for about 10 days. Remember, you cannot have sex within one month after the abortion. During this period, be careful not to stay up late and do not eat irritating foods. Painless abortion refers to a surgical abortion that terminates a pregnancy within 10 weeks of gestation using artificial methods and intravenous anesthesia. It is also a remedial measure for women after contraceptive failure. It should never be used as a means of birth control just because it is less painful. Contraindications In the following situations, artificial abortion is temporarily not advisable. 1. Acidosis caused by severe vomiting during pregnancy has not been corrected. 2. Those whose body temperature is above 37.5℃ twice within 4 hours before surgery. 3. Patients who are in the acute attack stage of various acute infectious diseases or chronic infectious diseases, or have serious systemic diseases (such as heart failure, obvious hypertension, tuberculosis with high fever, and severe anemia) and cannot undergo surgery. 4. Acute inflammation of the reproductive organs, such as vaginitis, pelvic inflammatory disease, etc. advantage Painless artificial abortion has the advantages of rapid analgesia, good effect, high efficiency, safety, reliability and few side effects. It solves the patient's physical pain and psychological fear and has become an effective, safe and acceptable surgical method for artificial termination of pregnancy. Types of surgery 1. Ordinary painless abortion Safe and painless, quick recovery, no sequelae, termination of pregnancy before 7 weeks. It is suitable for early pregnancy, young women who have not given birth, or women who have strong early pregnancy reactions and need to terminate the pregnancy urgently. 2. Superconducting visual painless abortion It is performed in a clean operating room with the help of advanced B-ultrasound. Precise positioning, no discomfort, and reduced postoperative infection. 3. Micro-tube visual painless abortion The so-called "microtube visual painless abortion" uses a soft microtube. Under the guidance of a high-tech laparoscope, the doctor uses the "clairvoyance" in the pinhole to intuitively and easily direct the microtube to the gestational sac, and suck out the gestational sac in the body without dilating the cervix. The entire operation takes only three minutes. No hospitalization is required. 4. Hysteroscopic embryo retrieval This type of technology combines the three advantages of painless technology, microtube technology and hysteroscopic visual operation. During the operation under the hysteroscopic visual system, the doctor can accurately and clearly see the position of the gestational sac, and use a disposable microtube for accurate suction, avoiding damage to other normal tissues. 5. Double-chamber decompression painless abortion Double-lumen decompression painless abortion combines the dual advantages of visual painless abortion and double-lumen decompression suction tube. The double-lumen decompression suction tube is designed according to the principles of biofluid mechanics. An auxiliary tube is added to the original structure of the traditional suction tube. The main tube is used to attract embryonic tissue, and the auxiliary tube uses the pressure difference between the uterine cavity and the atmosphere to discharge fluid to the outside, thereby achieving the purpose of reducing the uterine cavity pressure during suction and eliminating the backflow of uterine blood. examine 1. Ultrasound examination Generally, B-ultrasound examination can determine the size of the gestational sac to avoid incomplete miscarriage. At the same time, B-ultrasound examination can also rule out the risk of ectopic pregnancy. 2. Early pregnancy test After discovering that you have stopped menstruating, the first thing you should consider is whether you are pregnant. You can use an early pregnancy test. If two red bars appear, it means that the woman is pregnant. To ensure the accuracy of the test, it is recommended to go to a regular hospital to do urine HCG or blood HCG. 3. Routine examination of leucorrhea This examination is mainly to understand whether there are Trichomonas or fungi in the patient's vagina. If these pathogens are present, they should be treated in time to prevent ascending infection. 4. Pelvic examination Abortion surgery should be performed to avoid acute pelvic inflammatory disease. Therefore, a pelvic examination must be performed before the operation to understand whether the patient has pelvic inflammatory disease. If pelvic inflammatory disease is found, timely treatment should be given to avoid postoperative complications and sequelae. Preoperative precautions Precautions before painless abortion: Before the operation, the doctor must inquire about the medical history in detail. Those who have a history of heart, lung, liver, or kidney diseases must inform the doctor, who will determine whether they are suitable for painless abortion; before the operation, the doctor will confirm intrauterine pregnancy through HCG and B-ultrasound; sexual intercourse should be avoided before the operation, and vaginal inflammation and colds should be actively treated; eating and drinking are prohibited for 4 hours before the operation to avoid suffocation caused by food reflux. Before the operation, it is necessary to prepare resuscitation equipment such as anesthesia machines and endotracheal intubation, as well as anti-allergic, pressor and anticholine drugs. The patient should make a preoperative appointment, understand the indications, and refrain from drinking and eating. Secondly, oxygen should be given routinely during the operation, and BP, HR, and SpO2 should be monitored. Finally, it is important to control the speed of drug administration and observe closely. Postoperative precautions The patient should be observed for 2 hours after the painless abortion, paying attention to vaginal bleeding and abdominal pain. After the operation, the mother is advised to rest for 2 weeks, prevent colds and chills, eat more nutritious food, and restore the body to normal as soon as possible. For a period of time after painless abortion, the trauma on the endometrium has not yet recovered, the cervical opening has relaxed, the mucus plug in the cervix that originally prevented bacteria from entering the uterine cavity has been removed, and a new mucus plug has not yet formed. If you do not pay attention to the hygiene of the vulva at this time, bacteria in the vagina can easily enter the uterine cavity and cause infection. Therefore, after an artificial abortion, the vulva should be kept clean and hygienic, washed with warm water 1 to 2 times a day, and menstrual pads and straw paper should be changed frequently. Do not take a sitz bath within 2 weeks or before vaginal bleeding has stopped, and avoid sexual intercourse within 1 month to prevent genital organ infection. If you have fever, abdominal pain, or vaginal discharge with an unusual odor, it may be caused by infection, so seek medical attention immediately. After painless abortion, there may be a small amount of bleeding on the wound on the uterine wall. In this case, as the uterus contracts and the wound heals, vaginal bleeding will gradually stop within 3 to 5 days and will not exceed 10 to 15 days at most. If the amount of vaginal bleeding exceeds the amount of menstrual blood and lasts too long, you need to seek medical treatment promptly. |
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