What should I do if the baby hasn't fallen out after 7 hours of medical abortion?

Medical abortion is a common procedure for terminating pregnancy for women with an unexpected pregnancy. This surgery is mainly suitable for women in early pregnancy. However, no matter what method of abortion is used, it will have a certain impact on the female body. For example, after medical abortion, it is easy to have the consequence of failed abortion, and a uterine curettage operation is needed at this time. The following is a detailed introduction to the relevant knowledge of uterine curettage surgery.

1. Surgical Procedure

The curettage operation is to use some long-handled curettes to insert into the uterus to scrape out these residues. A B-ultrasound is required before the curettage operation. Uterine curettage was quite painful before. However, with the development of science and technology, there is now a painless uterine curettage, which uses intravenous anesthesia in the operating room. Uterine curettage surgery needs to be performed in a regular and professional hospital. Because painless uterine curettage surgery requires a lot of experience, and using too much force may scrape the uterus, so please be sure to go to a regular hospital for the procedure.

2. Complications

1. Postoperative infection (most common).

2. Bleeding after surgery.

3. Uterine perforation caused by improper operation.

4. Abortion syndrome, including nausea, vomiting, dizziness, chest tightness, shortness of breath, pale complexion, profuse sweating, cold limbs, low blood pressure, irregular heartbeat, etc. In severe cases, a series of symptoms such as coma, convulsions, and shock may also occur.

5. Infertility.

6. Fat embolism rarely occurs.

3. Hazards

1. Infection: Adequate preparation before uterine curettage, strict aseptic operation, and preventive antibiotic treatment after surgery can reduce the occurrence of infection. Improper operation and reuse of instruments can easily lead to infection in women during secondary uterine curettage.

2. Cervical tear: common in infertile women, usually occurs on both sides of the cervix. For such patients, the operation should be gentle. Small lacerations can be blocked with iodine gauze to stop bleeding; larger lacerations should be sutured under direct vision to stop bleeding.

3. Uterine perforation: Pregnancy and tumors (such as hydatidiform mole) can make the uterine wall fragile, which can easily cause uterine perforation during curettage. For uterine perforation with less bleeding, conservative treatments such as anti-inflammatory and hemostatic treatments can be used; if the perforation is large and complicated by heavy bleeding, laparotomy is required to stop bleeding, repair the perforation wound, or perform a hysterectomy.

4. Uterine cavity adhesion: If excessive scraping is done during uterine cleaning, uterine cavity adhesion will occur, with consequences such as infertility, miscarriage, amenorrhea, dysmenorrhea, etc. Adhesions can be separated under hysteroscopy.