Can I have an abortion after more than 60 days?

Can I have an abortion after more than 60 days? If the B-ultrasound examination is below nine states after more than 60 days, you can have an abortion, but the embryo is relatively large, and uterine contractions are prone to occur, and water is easily produced during the operation, and it is easy to inhale. If it is around 8 to 9 weeks, you can have a medical abortion plus uterine surgery. This method causes the least damage to the uterus. It is recommended to go to the hospital for relevant examinations and treatments.

1. Vacuum aspiration

Suitable for use in the uterus within 10 weeks of pregnancy. The method mainly uses negative pressure electric aspiration to suck out the early pregnancy products, namely the embryonic sac and decidual tissue, which is called artificial abortion negative pressure aspiration or simply negative pressure aspiration. This method was first invented in my country. The operation is relatively safe and simple, and is therefore a commonly used means of terminating early pregnancy in clinical practice.

(1) Indications: ① Those who wish to terminate their pregnancy within 10 weeks of pregnancy and have no contraindications; ② Those who are not suitable to continue their pregnancy due to certain diseases or genetic diseases.

(2) Contraindications: ① Acute phase of various diseases: acute myocardial infarction, acute cerebral infarction, acute hepatitis, acute blood system diseases, acute kidney diseases, acute surgical diseases, etc. 1. Patients with untreated genital inflammation, such as vaginitis, acute suppurative cervicitis or subacute cervicitis, acute or chronic pelvic inflammatory disease, sexually transmitted diseases, etc.; 2. Patients who are unable to assume lithotomy position due to illness or trauma; 3. Patients who are in poor general condition and cannot tolerate surgery; 4. Patients whose body temperature is above 37.5℃ twice before surgery should postpone surgery.

2. Anesthesia and analgesia technology to implement negative pressure aspiration

That is often called painless artificial abortion:

(1) Indications: ① Patients who voluntarily request anesthesia and analgesia for termination of pregnancy within 10 weeks of pregnancy; ② Patients who are not suitable for continuing pregnancy due to certain diseases (including genetic diseases) and voluntarily request anesthesia and analgesia for termination of pregnancy; ③ Patients who have no contraindications to vacuum aspiration, anesthetics, or general anesthesia; ④ Patients who meet the American Society of Anesthesiologists (ASA) preoperative assessment criteria level I-II.

(2) Contraindications: ① Patients in the acute stage of various diseases; ② Patients with genital inflammation who have been treated; ③ Patients with poor general health who cannot tolerate surgery and anesthesia; ④ Patients with contraindications to anesthesia (allergic constitution, allergic asthma, anesthetics and multiple drug allergies); ⑤ Patients who did not fast or drink before surgery; ⑥ Patients whose gestational age is greater than 10 weeks or for whom surgery is estimated to be difficult.

3. Curettage

Anyone who is between 10 and 13 weeks pregnant and wishes to terminate the pregnancy, or who is not suitable for pregnancy due to special circumstances such as illness or has failed other abortion methods. Generally, a combination of clamping and negative pressure aspiration is used to terminate pregnancy. The scope of clamping is generally recommended to be within 14 weeks. In recent years, due to the clinical application of mifepristone, prostaglandins, etc., clamping and curettage have gradually been replaced by medical induction of labor.

(1) Indications: ① Those who are between 10 and 13 weeks pregnant and wish to terminate their pregnancy or are not suitable for pregnancy due to special circumstances such as illness; ② Those who have failed other abortion methods.

(2) Contraindications: ① Patients in the acute stage of various diseases; ② Patients with genital inflammation, such as vaginitis, acute suppurative cervicitis or subacute cervicitis, acute and chronic pelvic inflammatory disease, sexually transmitted diseases, etc., who should undergo surgery after treatment; ③ Patients with poor general condition who are unable to undergo surgery may consider hospitalization for surgery after improvement after treatment; ④ Patients with a body temperature of more than 37.5℃ twice before surgery.