What should you pay attention to after abortion?

Miscarriage is a very common phenomenon. Some women have natural miscarriages, while others have self-destructive miscarriages. No matter what kind of miscarriage it is, everyone should pay attention to the precautions after miscarriage. Some women accidentally have miscarriages during pregnancy, which will be very painful. If they do not pay attention to body care in the later period, they will be immersed in deep self-blame, which is very bad for the body and not conducive to future pregnancy.

Female friends should pay attention to the maintenance of their bodies after miscarriage. Keeping the body healthy is the most important thing. Especially for some women who have artificial abortions, they do not pay attention to some maintenance work and feel that nothing is wrong. However, their bodies are slowly being harmed. Everyone should understand some precautions after miscarriage.

Precautions after artificial abortion

Examination of miscarriage

1. Collect medical history: Clinical history includes menstrual history, whether menstruation was regular in the past, whether there is amenorrhea recently, the date of the last menstrual period, and sexual interaction, that is, whether there is a possibility of conception recently. Whether there are early pregnancy reactions after menopause, when they occur, and their extent and process should be described clearly. If there is lower back pain or abdominal pain, the severity should be described, including the amount of vaginal bleeding, whether there is any tissue discharge, the duration of bleeding, whether the vaginal discharge has any odor, and what its state and color are. If there is or is an early pregnancy reaction after menopause, a small amount of vaginal bleeding, sometimes accompanied by backache and lumbago, and no tissue-like discharge, it is mainly considered to be threatened abortion. After pregnancy, there is heavy vaginal bleeding, aggravated lower abdominal pain, no tissue-like discharge, or no vaginal bleeding and abdominal pain, but the embryo has died in the uterus. The main consideration is inevitable miscarriage. During the 8th to 12th week of pregnancy, the embryo or fetus has been expelled, but part or all of the placenta remains in the uterus. Vaginal bleeding does not stop and in severe cases may cause hemorrhagic shock. Incomplete abortion is the main consideration. After a miscarriage, if there is little or no vaginal bleeding, abdominal pain is reduced or disappears, and the embryo or fetus and placenta are completely expelled, it is mainly considered to be a complete miscarriage.

If there is a history of threatened abortion and/or a small amount of irregular vaginal bleeding, and the embryo or fetus has been dead in the uterus for more than 2 months and has not been expelled, it is mainly considered to be a missed abortion. If spontaneous abortion occurs three or more times in a row, each occurring in the same month of pregnancy and presenting with the same symptoms as miscarriage, habitual abortion is the main concern. In addition to the symptoms of miscarriage: fever, abdominal pain, vaginal discharge that is purulent and bloody and smells bad, the main consideration is infectious miscarriage.

2. Physical examination: Pregnant women who may have miscarriage should undergo emergency examination in time to observe whether they have severe anemia and measure their blood pressure, pulse, and body temperature in order to decide whether rescue measures or infection control are needed before carefully inquiring about the medical history. uiPregnancy complicated by other diseases, such as heart disease, heart failure, liver disease, kidney disease, anemia, aplastic anemia, endocrine disease, cerebrovascular accident, etc., requires correct diagnosis and timely treatment. Among them, combined diabetes, hyperthyroidism, hypothyroidism, etc. are closely related to recurrent miscarriage.

3. Examination for concurrent diabetes: When diabetes is complicated by pregnancy, the fetus often suffers from congenital malformations before the 7th week of embryonic development. Therefore, early diagnosis and treatment are very important and can reduce the mortality rate of mothers and infants. First, inquire about the medical history in detail. Pregnant women with mild or latent diabetes often lack obvious symptoms of polydipsia, polyphagia and polyuria. Pay attention to inquiring about: 1> Whether there is a history of diabetes and family history. 2> Whether there has been a history of multiple miscarriages or stillbirths. 3>Whether there has been a history of fetal abnormalities or macrosomia. 4> Whether there is a history of recurrent vulvar itching and urinary tract infection. The hospital examination showed positive urine sugar and blood sugar level exceeding 5.8 mmol/L. Fasting blood sugar level is higher than 3.9 mmol/L. Glucose tolerance test: Take 100 grams of glucose orally, and draw blood for blood sugar measurement at fasting, 1, 2, and 3 hours respectively, with the blood sugar level being 5.8 mmol/L, 10.6 mmol/L, 9.2 mmol/L, and 8.0 mmol/L. When 2 out of the 4 items are equal to or exceed this standard, the patient is diagnosed with diabetes.

Symptoms of miscarriage

1. Vaginal bleeding: Vaginal bleeding during pregnancy is abnormal and you should be vigilant. According to statistics, about half of pregnant women with vaginal bleeding in the early stages of pregnancy can continue to be pregnant successfully, about 30% of pregnant women will have spontaneous abortion, 5% will have ectopic pregnancy, and a very small number of pregnant women will have hydatidiform mole, disease and other factors;

2. Abdominal cramps: Usually mild abdominal pain can be treated by bed rest, but if it is severe or accompanied by vaginal bleeding, you should seek medical attention as soon as possible;

3. Uterine contractions: In the middle and late stages of pregnancy, if you feel that the frequency of uterine contractions is getting more and more frequent, even reaching a regular contraction every ten or twenty minutes, or if you feel pain during contractions, you should pay special attention.

4. Backache and abdominal prolapse: If a pregnant woman feels backache, a heavy feeling in the abdomen, and other abnormal symptoms, she should seek medical attention if the condition persists.

5. Early rupture of membranes: When a pregnant woman experiences symptoms of premature birth such as rupture of the amniotic membrane, leakage of amniotic fluid, dilation of the cervix, continuous contraction of the uterus and bleeding, she should seek medical attention as soon as possible.

There are many causes of miscarriage, such as excessive exposure to radiation, viral infection, taking certain medications, contact with certain harmful substances, etc., which cause abnormal development of fertilized eggs or embryos and are common causes of early miscarriage. Among spontaneous abortions within 8 weeks of gestation, abnormal embryonic development accounts for about 60%. For threatened miscarriage with obvious causes, do not blindly try to preserve the fetus. If there is no obvious cause, and the miscarriage is only caused by excessive fatigue, physical labor, abdominal trauma, abdominal surgery, etc., as long as the embryo is healthy (judged by a specialist), the fetus can be preserved. Pregnant mothers should learn to use the fetal talker, perform basic fetal heart monitoring at home, draw standard monitoring curves, and always pay attention to the baby's fetal heart condition.

However, if you find that vaginal bleeding lasts for a long time and the blood is dark red or brown, it often indicates fetal maldevelopment. Gynecological examination may reveal that the uterus is significantly smaller than the month of pregnancy. B-ultrasound indicates that the embryo is not developed, is an empty sac or is dead. At this time, you should do a curettage in time to avoid intrauterine infection and affect future fertility.

In addition, if the dead pregnancy product stays in the uterus for too long, it may cause serious coagulation disorders, increased vaginal bleeding and other problems. What is even more frightening is that some patients with ectopic pregnancy mistakenly regard the vaginal bleeding caused by the above situation as threatened abortion and blindly try to preserve the fetus, which leads to greater risks.

Nowadays, many women have symptoms of threatened miscarriage. Some of them really want to have a child, so they will try to preserve the fetus. However, sometimes blindly preserving the fetus is ineffective and they have to have an abortion. After an abortion, female friends should adjust their mood in time and not let the shadow of miscarriage always hang over you. You must know that the most important thing is to regulate your body to facilitate future pregnancy.