What are the tests for after induced labor?

As we all know, induced abortion is a common way to end pregnancy. In many cases, a doctor is needed to induce labor because the pregnant woman is unable to give birth on her own. Compared with natural childbirth, induced labor is more harmful to pregnant women. Therefore, after induced abortion, pregnant women need to undergo certain examinations to determine whether their health has been affected. So, what should be checked after the induction of labor?

If the pregnancy has to be ended after 12 weeks of pregnancy due to the health of the mother or the baby, the doctor will use artificial methods to promote uterine contractions so that the fetus can leave the mother's body. This method is called induction of labor.

What situations require induced labor?

1. Pregnant women with chronic nephritis

Pregnant women with chronic nephritis will have decreased body functions and accelerated metabolism after pregnancy, which will increase the burden on their kidneys. If they also have high blood pressure at this time, the fetus cannot be kept in the womb and early induced labor is required. If you suffer from this disease, pregnancy will not only make the adult's condition worse and shorten their lifespan, but it will also cause the fetus to die in the womb. Therefore, in this case, the pregnancy should be ended as soon as possible.

2. Intrauterine fetal death

When pregnant women have regular prenatal checkups, they must check whether the fetus is normal. If the examination finds that the fetus has no heartbeat and is confirmed dead, induced labor will need to be performed as soon as possible to ensure the safety of the pregnant woman's life.

3. Pregnant women with severe gestosis

Pregnancy toxification usually occurs after the 20th week of pregnancy, when there will be many discomfort symptoms. Pregnant women with pregnancy toxification will have symptoms such as high blood pressure, dizziness, and proteinuria. If preeclampsia becomes severe, symptoms such as nausea, vomiting, convulsions and coma may occur. If you do not go to the hospital for treatment in time, the worsening condition will cause the embryo to separate from the uterus prematurely, causing heavy bleeding in the pregnant woman. If the embryo separates from the uterus, it will lose oxygen supply and suffocate to death. Once severe preeclampsia is discovered, you need to go to the hospital for examination as soon as possible. If it cannot be cured, induced abortion should be performed.

When the fetus reaches 18-24 weeks, ultrasound screening should be performed. This examination can detect some common fetal malformations, such as hydrocephalus, anencephaly, congenital heart disease, etc. If the fetus is indeed found to have malformations, the pregnancy cannot be continued and induced abortion is the only option.

5. Pregnant women with excessive amniotic fluid

There are many reasons for excessive amniotic fluid, generally speaking it is due to fetal malformation, placental lesions, maternal and fetal diseases, twins, etc. Therefore, when there is too much amniotic fluid, you should go to the hospital for examination to confirm the cause. Another problem is that when there is too much amniotic fluid, the pregnant woman's heart will shift, and she will often have symptoms such as inability to lie flat, poor sleep and diet, etc. Since excessive amniotic fluid is generally caused by fetal disease and other conditions, women with excessive amniotic fluid need to undergo induced labor.

6. Pregnant women suffer from diabetes or other serious organ diseases

Pregnant women suffering from these diseases are generally physically weak and mentally unwell. In severe cases, these diseases may affect the health of the fetus and cause harm to the mother. So once this happens, you should consider ending the pregnancy.

The best time to induce labor

Induced labor refers to the method of ending pregnancy by artificial means after 12 weeks of pregnancy, so of course the earlier the pregnancy is ended, the better. The earlier the month and the longer the time, the greater the damage to the pregnant woman's uterus. Generally, 12 to 24 weeks is considered mid-term induced labor, and the fetus has already been formed at this time. If induced labor is to be performed, the uterus must be expanded, which can easily damage the uterine wall and make induced labor more difficult than in the early stages, so early induced labor surgery should be performed as soon as possible.

Examinations for induction of labor

The tests to be done for induction of labor include:

1. First, the doctor needs to have a detailed understanding of the pregnant woman's medical history, which generally includes pregnancy and delivery history, family medical history, bleeding conditions, history of liver and kidney diseases, and the specific circumstances of this pregnancy.

2. Secondly, a full-body examination should be conducted to understand the overall physical condition of the pregnant woman, clarify her body temperature, blood pressure and other routine physical conditions, and perform blood and urine tests. Sometimes it is also necessary to check liver and kidney function, perform electrocardiograms and dialysis.

3. Gynecological examinations generally require understanding the specific conditions of the vulva, vagina, uterus, and cervix, and routine leucorrhea testing to determine the cleanliness of the vagina.

4. If you suffer from cervicitis and the symptoms are severe, accompanied by abnormal leucorrhea and excessive secretions, you need to be cured before undergoing an induced abortion.

5. When preparing for surgery, in order to prevent infection during or after the operation, pregnant women should take certain antibiotics, and before that, allergic reactions in pregnant women should be avoided.

6. Before inducing abortion, pregnant women who are in a late stage of pregnancy or have cervical hypoplasia need to take a certain amount of mifepristone orally.

7. In certain circumstances, an ultrasonic examination is also required to more conveniently determine the location of the placenta. Pregnant women with a low-lying placenta may not be able to undergo induced labor.

There are many methods of inducing labor, which can generally be divided into three categories: water bag induction, medical induction and cesarean section.

1. Water bag induction of labor: This is a method of induction of labor that uses mechanical methods to achieve the purpose of induction of labor. First, a special medical water bag filled with sterile saline is placed between the uterine wall and the gestational sac. Generally, uterine contractions will occur between 12 and 24 hours after the water bag is placed, which will cause natural miscarriage. After induction of labor, the integrity of the placenta must be checked to determine whether a curettage is needed.

2. Medical induction of labor: In the second trimester, the uterus is in a relatively stable stage and there is no obvious contraction of the uterus. On the one hand, medical induction of labor stimulates the contraction of the uterus, and on the other hand, it reduces the secretion of placental hormones and kills the fetus. Commonly used drugs include prostaglandins, trichosanthes, levavanol, etc., which can be injected via intra-amniotic injection and extra-amniotic injection. Medical induction of labor is a process in which the placenta is first separated from the uterus and then expelled naturally. However, if the drug dosage is not well controlled in this method, it will cause severe uterine contractions and damage the birth canal of the pregnant woman. The ideal drug effect is that uterine contractions are not very severe, there is no residue in the uterus after drug-induced abortion, and the amount of bleeding is not large.

3. Cesarean section: Cesarean section is a surgical method to induce labor through abdominal section or vaginal section. However, this method is generally only used when the pregnant woman has physical limitations and is not used under normal circumstances.