Artificial abortion is the use of surgical methods to terminate unplanned or pathological pregnancy. Including negative pressure suction, and forceps scraping.
Negative pressure aspiration uses a suction tube to enter the uterine cavity and suck out the embryonic tissue in the uterus through strong suction. Suitable for pregnancy up to 10 weeks. If the gestational age is too large, the damage to the uterus will be greater.
Forceps curettage uses a pair of toothed forceps to pinch out large pieces of embryonic tissue in the uterus bit by bit. It is suitable for 10-14 weeks of pregnancy.
Some advertisements now use words such as "painless", "visible", "superconducting", "microtubules" when promoting artificial abortion, and even promote safety, reliability, no damage, and quick recovery.
The Fourth Doctor would like to remind everyone here: At present, negative pressure suction or forceps curettage is commonly used in artificial abortion. There is no advanced method that can achieve non-injury .
It is painless and only intravenous anesthesia is used during the operation, allowing you to complete the operation in your sleep .
What are the dangers of artificial abortion?
From a medical point of view, artificial termination of pregnancy at any stage of pregnancy always violates physiological laws and will affect women's health.
Especially multiple, closely spaced artificial abortions are very harmful to the body, and are even an important cause of secondary infertility in women.
1, Endometriosis
Due to the strong negative pressure attraction caused during abortion, it is easy for the endometrium to spread into the abdominal cavity through the fallopian tube, forming endometriosis , causing dysmenorrhea, infertility etc.
2, Uterine perforation
The most dangerous complication of artificial abortion is uterine perforation.
Because the surgical instruments for artificial abortion are made of metal, a metal uterine dilation rod needs to be used to dilate the cervix little by little before the operation begins. After the cervix is expanded, a suction tube needs to be connected to the aspirator, and the negative pressure of the machine is used to expand the cervix. The gestational sac and decidual tissue in the cavity are sucked out of the uterine cavity.
If the position of the uterus is not good, the operation will be difficult; scarred uterus has weak spots that can easily lead to perforation; multiple abortions can cause serious damage to the uterus, and a relatively healthy uterus is relatively weak and more likely to cause perforation.
Uterine perforation may lead to massive bleeding, hemorrhagic shock , and severe cases may be life-threatening.
3. Re-pregnancy placenta is not in the correct position
Artificial abortion damages the uterus, making it difficult for the fertilized egg to implant and grow in the normal position of the uterus during the second pregnancy, resulting in placenta previa or placenta implantation .
These two situations can easily cause labor and postpartum hemorrhage , endangering the life of the mother.
Placenta previa can retain the uterus during cesarean section , but if placenta accreta occurs, the only way to save the mother's life is to remove the uterus.
4. Hidden damage leads to premature ovarian failure.
During pregnancy, the levels of estrogen and progesterone in women's bodies increase. Artificial abortion is an artificial interruption of pregnancy, which will cause a sharp decrease in estrogen and progesterone in the body.
Repeated artificial abortions in a short period of time are very harmful to the ovaries, which may lead to irregular menstruation , ovarian function gradually decreases, and cause premature ovarian failure.
5, causing a variety of gynecological diseases
After artificial abortion, endometritis, adnexitis, pelvic inflammatory disease, hemometra, intrauterine adhesions, etc. may be caused due to infection by pathogenic bacteria.
6. Causes psychological trauma
Many women will express themselves after abortion: "feeling very sad and mournful" and some will feel "deep guilt". This situation is called "post-abortion symptoms" by the medical community.
The subsidence of this symptom varies from person to person. Some women will slowly let it go after a few months, while some women can't let it go for a long time. Even after many years, they will suddenly burst into tears when the matter is mentioned.
What should I pay attention to after artificial abortion?
1, Pay attention to rest, avoid strenuous exercise and heavy physical labor, and avoid catching colds and colds.
2, Keep the vulva clean and dry, change underwear and sanitary napkins in time, and prohibit sexual intercourse and bathing within one month.
3, Eat high-protein, easy-to-digest foods, supplement vitamins and dietary fiber, and try not to eat raw, cold, spicy foods.
4, Artificial abortion surgery may damage the basal layer of the endometrium, leading to endometrial regeneration, fibrous connective tissue hyperplasia in the uterine cavity, uterine cavity adhesions and thin endometrium, and then infertility.
For those with more than 2 miscarriages, those with a history of incomplete miscarriage, placental adhesions, intrauterine adhesions, and uterine surgery, estrogen alone, estrogen and progesterone therapy, or compound short-acting oral contraceptives may be the first choice after surgery. Treat for 1-3 cycles.
How long will the bleeding last after an artificial abortion?
After artificial abortion, vaginal bleeding usually stops gradually in 3-7 days, and no more than 15 days at most.
If the amount of vaginal bleeding after artificial abortion exceeds the menstrual amount or the bleeding time is too long, it is abnormal and may be caused by incomplete abortion or combined infection. You must go to the hospital in time to determine the cause of bleeding and provide treatment.
Therefore, 10 days after abortion, you need to go to the hospital for a review.
How long does it take to get menstruation after artificial abortion?
Generally, menstruation resumes 4-6 weeks after artificial abortion, and the ovaries can resume ovulation 2-3 weeks after surgery. During this period, sexual life is avoided.
How long does it take to get pregnant again after an artificial abortion?
Normal menstruation generally returns, that is, pregnancy can be considered again 3-6 months after the abortion.
How to effectively prevent pregnancy?
Highly effective contraceptive methods include intrauterine devices, subcutaneous implants , long-acting contraceptive injections, and male and female sterilization; as well as consistent and correct use of short-acting compound oral contraceptives; correct and consistent use of condoms for contraception as well. Effective contraceptive methods.
Please note that emergency contraceptive pills cannot be used as regular contraceptive pills. Repeated use within the same menstrual cycle will disrupt the menstrual cycle. Since the hormone content is relatively large, the side effects are also relatively large. Long-term use will cause serious consequences.
Remember not to believe in ovulation period contraception and external semen ejaculation contraception. The failure rate of this type of contraception is very high.
Finally, the Fourth People's Hospital of Changde warmly reminds all female friends that if you do not have a childbirth plan, do not take chances. After all, your body is your own, and you are the one who will suffer from the surgery. Please also take good contraceptive measures, and do not take any chances because of A miscarriage puts you on the long road to infertility.
(Editor Rainbow. Picture source network, infringement and deletion)
Hunan Medical Chat special author: Changde Fourth People's Hospital Obstetrics and Gynecology Ward 2 Cui Juan
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