Do I need to have a uterine curettage after 40 days of threatened miscarriage?

The most painful thing during pregnancy is miscarriage. The baby dies in the womb before it even meets its parents, which is a huge blow to the person. But now is not the time to be sad. Spontaneous miscarriage has certain harm to the body of pregnant women, and the body needs regular check-up and maintenance. So, is it necessary to have a uterine curettage after 40 days of threatened miscarriage?

Do I need to have a uterine curettage after 40 days of threatened miscarriage?

If it is vaginal bleeding and miscarriage occurs naturally, the possibility of ectopic pregnancy can be eliminated. If it is an ectopic pregnancy, it is not easy to have vaginal bleeding and miscarriage. If the ectopic pregnancy is ruptured, the capillaries will rupture and severe abdominal pain will occur. If the diagnosis can be confirmed by rechecking B-ultrasound and blood HCG values ​​after miscarriage, if it is a complete miscarriage, there is no need for uterine curettage. If there is heavy bleeding, you can take appropriate blood circulation and uterine contraction-assisting drugs.

Treatment after spontaneous abortion

After the diagnosis of abortion, corresponding treatment should be carried out according to its clinical type.

1. Threatened abortion

Rest in bed and avoid sexual intercourse. For patients with luteal insufficiency, luteal copper can be used for treatment. During the treatment period, observe the patient's symptoms and test results, and perform color Doppler ultrasound examinations when necessary to confirm the baby's development status. Before tocolysis treatment, ectopic pregnancy should be ruled out first.

2. Inevitable miscarriage and incomplete miscarriage

Once diagnosed, the test tube embryos and embryonic tissue should be completely expelled as soon as possible. In case of inevitable miscarriage or incomplete miscarriage in early pregnancy, vacuum aspiration should be performed immediately. Carefully examine the aborted tissue and send it for pathological examination. In late-stage miscarriage, uterine contractions need to be promoted. After the fetus and embryo are completely delivered, check whether the fetal membranes are complete. If necessary, curettage can be performed to remove residual pregnancy substances in the uterine cavity.

If there is excessive vaginal bleeding, comprehensive examinations should be performed, and intravenous drips and anti-shock treatments should be given when necessary. Those with longer bleeding time should be given antibiotics to prevent infection.

3. Complete miscarriage

If there is no sign of infection, generally no treatment is required and color Doppler ultrasound examination can be performed to confirm that there is residue in the uterine cavity.

Is it necessary to have a uterine curettage after a spontaneous abortion at 40 days? This depends on the miscarriage situation of the pregnant woman herself, and you cannot blindly follow the trend of curing the palace. After a pregnant woman has an abortion, she can use B-ultrasound to detect the condition of miscarriage. It would be best if there is no problem. At the same time, you should also pay attention to bed rest after the abortion, not to carry out high-intensity physical activities, and prohibited from having sex within one month.