Is it normal to have no bleeding after an abortion?

Abortion is a very common surgery nowadays, which can quickly terminate an unwanted pregnancy. After the abortion, the doctor will tell you that there will be bleeding for a short period of time. If there is continued bleeding, you need to go to the hospital for examination. However, some people do not bleed after the abortion. This is also abnormal. It is possible that the blood congestion in the uterus has not been discharged. You need to go to the hospital for examination. .

The amount of bleeding in artificial abortion is less than that in medical abortion, and the uterine bleeding time is shorter than that in medical abortion. Generally, the bleeding will stop within 10 days after the operation. However, it also has disadvantages:

There are possible complications of artificial abortion, including incomplete aspiration, missed aspiration, uterine perforation, cervical laceration, postoperative infection, intraoperative and postoperative bleeding, abortion syndrome, cervical and intrauterine adhesions, menstrual disorders, etc.

1. What is artificial abortion?

Before 24 weeks of pregnancy, the use of artificial methods to remove a developed but immature embryo from the uterus to end the pregnancy is called artificial abortion.

Artificial abortion is suitable for those who are not suitable for continuing the pregnancy due to certain serious diseases (such as active pulmonary tuberculosis, serious heart disease, etc.) or pregnancy complications, as well as those who have failed contraception.

Artificial abortion can be divided into early artificial abortion and mid-term induced abortion according to the length of pregnancy. Artificial abortion before 12 weeks of pregnancy is called early artificial abortion; artificial abortion between 12 and 27 weeks of pregnancy is called mid-term induced labor.

2. The most suitable time for abortion

It is most appropriate to have an artificial abortion within 10 weeks of pregnancy. Because the earlier the abortion is performed, the simpler and safer it will be; otherwise, the operation will be more complicated and the recovery time will be longer.

Commonly used early abortion procedures include suction uterine extraction (negative pressure aspiration) and curettage. The former is suitable for pregnant women within 10 weeks, and the latter is suitable for pregnant women between 10 and 14 weeks. Within 10 weeks of pregnancy, the uterus is not too large; the fetus and fetal mass have not yet formed, so there is generally no need to dilate the cervix and the fetal mass tissue can be easily sucked out; the reaction during the operation is mild; there is little bleeding, the operation time is short, and you can go home after resting for 1 to 2 hours after the operation. Recovery is also fast, and the impact on the body is small.

During the 10th to 14th week of pregnancy, as the embryo gradually grows, the fetal cavity has been formed, and the uterus also grows, it is not appropriate to use simple suction uterine abortion at this time, but platinum curettage abortion. The operation is difficult, involves a lot of bleeding, and has a relatively slow recovery, which has a certain impact on the body.

If the pregnancy exceeds 14 weeks, the above two types of artificial abortion cannot be performed, and hospitalization for induced abortion is required, which increases the pain of the pregnant woman and the risk of the operation.

Therefore, pregnant women who need artificial abortion should try to undergo aspiration surgery within 10 weeks of pregnancy to reduce the pain of the abortion.

3. What should we pay attention to when we have abortion?

Taking the following important steps can minimize the harm of abortion to the human body.

Step 1: Don’t joke with your life, choose a regular hospital

Step 2: Choose the appropriate abortion method. Artificial termination of pregnancy is called artificial abortion. It is generally divided into two types: medical abortion and suction abortion.

The outstanding advantage of medical abortion is that it avoids surgical damage to the endometrium, and is especially suitable for first-time pregnant women. Medical abortion is suitable for those whose pregnancy period is less than 49 days. The shorter the pregnancy period, the better the effect. Generally speaking, young women who have not given birth often choose medical abortion. But medical abortion also has its disadvantages:

1. The failure rate is about 10%, and those who fail need to undergo uterine curettage (the longer the pregnancy, the higher the failure rate; the failure rate increases for those who have undergone artificial abortion).

2. The possible side effects of the drug include: ① Gastrointestinal symptoms, such as nausea, vomiting, abdominal pain, diarrhea, etc. ② Headache, fever, numbness of the palms, etc. ③ Lower abdominal pain and anal distension ④ Effects on the cardiovascular system ⑤ Allergic reactions.

3. Under normal circumstances, the amount of bleeding during medical abortion is 3-4 times that of artificial abortion.

4. The uterine bleeding time of complete miscarriage is about half a month (18 days on average), and about 4% of people may experience severe bleeding.

The requirements for gestational time for artificial abortion are more relaxed than those for medical abortion, and it is suitable for termination of pregnancy at 6-12 weeks.

The amount of bleeding in artificial abortion is less than that in medical abortion, and the uterine bleeding time is shorter than that in medical abortion. Generally, the bleeding will stop within 10 days after the operation. However, it also has disadvantages: there is a possibility of complications of artificial abortion surgery, including incomplete aspiration, missed aspiration, uterine perforation, cervical laceration, postoperative infection, intraoperative and postoperative bleeding, abortion syndrome, cervical and intrauterine adhesions, menstrual disorders, etc.

Artificial abortion can be divided into two types: ordinary abortion and painless abortion according to the different anesthesia methods during the operation. The surgical procedure is the same, except that painless abortion uses anesthetics (intravenous analgesia) during the operation, while traditional abortion only uses local anesthesia. The anesthetic effects are different: local anesthesia can only relieve pain, while intravenous anesthetics can achieve a completely painless effect.