How to determine if there is residual blood after abortion

Abortion is a relatively common method of miscarriage, and it is also a method of miscarriage that many women choose after an unexpected pregnancy or an abnormal pregnancy. Of course, abortion is not 100% successful. If the abortion is not completely drained, there will also be some typical symptoms. Next, I will introduce to you how to judge whether the abortion is clean!

1. What are the typical symptoms of unclean abortion?

1. If the embryo remains in the uterus for a long time, it will cause intrauterine infection, damage the endometrium, and then cause fallopian tube occlusion, and eventually lead to infertility. In addition, if some women have undergone multiple curettage abortions before, the uterine wall has become thinner or damaged. If the dosage of the abortion drug is not properly controlled, it may cause uterine rupture.

2. In fact, the typical symptom of an unclean abortion is continuous bleeding after the abortion, which lasts for more than 2 weeks. Or you have abdominal pain for more than one week. If the abortion is not clean, the harm is relatively serious. If the diagnosis is clear, it should be treated early. Therefore, if the bleeding lasts more than 10 days after an abortion, you should go to the hospital for a follow-up examination to see whether it has been completely drained.

3. If the abortion is not clean, there will usually be heavy vaginal bleeding and worsening abdominal pain within one month. If these symptoms occur, you should go to the hospital for examination and treatment in time. It is recommended to go to the hospital for a B-ultrasound examination about one month after the abortion to check the recovery of the uterus and whether the abortion was complete. If the abortion is not clean, the uterus must be cleaned as soon as possible, otherwise it will increase the chance of adverse conditions such as uterine infection, especially if the inflammation is severe, it will cause infertility in the future.

2. Reasons for unclean abortion

The "unclean" feeling after abortion is a symptom caused by the presence of residual products of pregnancy and bleeding in the uterine cavity after the operation. It is an incomplete abortion caused by incomplete uterine suction. The domestic reported incidence rate is 1.48‰. Generally, after suction uterus extraction, the amount of bleeding is small and lasts for 3 to 5 days. If vaginal bleeding occurs for a long time after vacuum aspiration, lasting more than 10 days, B-ultrasound should be performed to determine whether there is any residue in the uterine cavity to confirm incomplete abortion. According to our hospital's research on incomplete abortions, the high-risk group most likely to suffer from incomplete abortions is those who have had multiple abortions, especially repeated abortions recently, or those whose embryonic sac was too small or too large during the abortion.

3. What to do if the flow is not clean

The traditional treatment for residual abortion after surgery is to perform another curettage. However, due to the organization of the tissue, which is closely attached to the uterine wall, this creates certain difficulties for the operation. Clinically, multiple curettages are often performed. Repeated surgery also makes patients fear surgery, which brings pain to patients. At the same time, it increases the possibility of a series of postoperative complications such as trauma to the endometrium, adhesion of the endometrium or cervix, and impact on menstruation and even fertility. Although the development of hysteroscopic technology has provided a new method for the diagnosis and treatment of residual disease, it also carries a corresponding risk of serious complications. After an artificial abortion, there is residual fluid in the uterine cavity and vaginal bleeding for a long time, which makes the patient nervous. Prolonged bleeding can also induce endometritis. If the uterine cavity is operated directly again, complications such as uterine perforation, uterine cavity infection, and adhesion are more likely to occur. in addition. Recent postpartum period, breastfeeding period, recent pregnancy after cesarean section, recent or multiple abortion history, extremely tilted uterus, reproductive tract malformation, history of uterine perforation, etc. are all risk factors for repeat curettage.