The second trimester of pregnancy begins at 13 weeks of pregnancy. Now it is 16 weeks, and the fetus has become very stable in the mother's body. And at this time, the pregnant woman's pregnancy reaction has basically disappeared, the pregnant woman's body generally has no discomfort, appetite increases, weight increases, and the baby grows relatively fast. Therefore, if the baby develops well, it is best not to do an induced abortion, which will cause great harm to the pregnant mother. The fetus at this time is about 16 cm long from head to buttocks and weighs about 110 grams. It takes 2 to 4 hours to perform an induced abortion on a woman who is 16 weeks pregnant. Because the fetus has already grown and developed to a certain extent at the 16th week of pregnancy, blindly performing an induced abortion will damage the uterus, and the risk is also relatively high for women who want to have a baby. Therefore, if a woman wants to undergo an induced abortion at 16 weeks of pregnancy, she should first go to a reliable local tertiary hospital for consultation. According to the doctor's advice and the growth and development of the fetus, she should choose a method that suits her and undergo an induced abortion, so as to ensure her physical and mental health. Don't blindly choose induced abortion, otherwise it will cause great damage to the uterus and will take a long time to recover. Real experience of induced abortion at 16 weeks of pregnancy The ideal method of promoting cervical perfection is similar to the natural perfection process, will not cause excessive contraction of the uterus, will not affect the uterine blood volume, and will not seriously affect the safety of the fetus and the mother. There are many ways to promote cervical perfection, but so far there is no nearly perfect and very reasonable way. At present, the common methods are divided into two categories: non-pathological and pathological: 1. Non-pathological method: manual membrane stripping (basically not necessary). Artificial rupture of membranes (the actual effect is not very good when used alone). Water bladder or Foley catheter (not usually used). Moisture-absorbing enlarger or Lamicel stick (use sparingly). Nipple irritation (uncommon). Acupuncture therapy (basically not necessary). Pathological treatment: Oxytocin, a lower concentration, is given intravenously. Prostacyclin PGE2 (basic use). PGE2 is administered intracervically (rarely used). PGE2 intravaginal controlled-release tablets - Probesen (common). Miso (not essential). Misoprodol is placed intravaginally. Card pregnancy suppository (basically not necessary). Mife (no need for terminal abortion). Common problems after induction of labor The success of induced abortion is related to many factors. Cervical ripening is a key factor in determining the success of an induction of labor. If the cervix is not ripe, induction of labor is usually not successful. Most women with a perfect cervix can give birth naturally. Cervical Scoring In 1964, Bishop developed a scoring system to determine whether a pregnant woman is suitable for elective abortion. The currently recognized common method for estimating cervical maturity is the Bishop score. He believes that a score ≥ 7 indicates that the cervix is perfect. The higher the score, the more perfect the cervix is, and the easier it is to succeed in induced abortion. If the score is below 6, the cervix should be perfected. Ways to promote cervical perfection The cervix is mainly composed of epithelial cells, smooth muscle, connective tissue, glandular ducts and culture matrix. The maturity of the cervix is not necessarily proportional to the number of weeks of pregnancy, but is only related to the molecular biological changes in cervical tissue. After pregnancy, the cervical tissue changes, which become more obvious as the pregnancy progresses and reach a peak during delivery. Its typical manifestations are: the fiber cells are significantly reduced and in a loose network shape. Vascular dilation and hematoma; white blood cells accumulate and adhere to the wall, and many white blood cells and fiber cells appear in the interstitial space. Cervical perfection may be the result of the action of a variety of hormones, such as estrogen, estrogens, relaxin and prostacyclin. |
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