What does it mean if there is blood clot 20 days after medical abortion?

When a woman becomes pregnant unexpectedly, if she does not want to have the baby or is unable to have the baby for other reasons, she should go to the hospital for an abortion in time. As time goes by, the fetus will grow bigger and bigger, and by the time it is four months old, it will be basically complete. It is obviously very dangerous to have an abortion at this time. Therefore, many women will choose to have a medical abortion in time once they find out that they are pregnant and do not want the child. So, what is the reason for blood clots 20 days after medical abortion?

What is the blood clot that comes out of the medical abortion?

It is normal to experience abdominal pain after taking the medicine. In addition, in the first 2 to 3 days after medical abortion, the discharged tissue mainly manifests as vaginal bleeding, which is generally equivalent to or slightly more than the menstrual amount. However, if vaginal bleeding occurs for a long time, the amount of bleeding is heavy or continuous, you should go to the hospital for treatment immediately. Also observe whether the gestational sac is discharged from the body. If no tissue is seen being discharged, observe for 14 days after taking the medicine. During this period, pay attention to whether any tissue is discharged during defecation and urination.

Experts say that the presence of blood clots after medical abortion, and the amount is large, is generally a sign of incomplete abortion. You must go to a regular hospital for examination in time. If the abortion is not complete, uterine curettage treatment is required. In addition, you should also pay attention to rest and avoid fatigue after medical abortion. You can take blood-activating and blood-stasis-removing drugs to promote uterine contraction, expel embryonic tissue, reduce vaginal bleeding, and shorten bleeding time.

At the same time, there are two points to note: 1. If vaginal bleeding lasts for more than 7 days, you should take antibiotics under the guidance of a doctor to prevent infection. If bleeding continues for more than two weeks, you should go to the hospital to find out the cause and perform a curettage if necessary. 2. The sanitary napkins and toilet paper used must be qualified products. Change sanitary napkins frequently. Do not wear underwear made of synthetic fabrics. Change and wash underwear every day. Do not take a bath, do vaginal douching, or swim within one month after medical abortion.

The process of medical abortion

1. Strict screening before medication, including asking about medical history, conducting a full physical examination and gynecological examination, laboratory tests such as urine pregnancy test, vaginal cleanliness, Trichomonas and fungi, blood routine and blood type, and B-ultrasound examination if necessary.

2. The doctor will explain in detail the method of taking the medicine, the efficacy of the medicine and the possible side effects, and the medicine can only be used after obtaining consent.

3. Currently commonly used dosage: Mifepristone dosage is 150-200 mg, which can be taken all at once or divided into several doses within 3 days. On the third day, go to the hospital to add prostaglandin preparations: 1 mg of Carprostol suppository placed in the vagina or 600 micrograms of misoprostol taken orally. Observe in hospital for 6 hours.

4. Monitoring during abortion: During the hospitalization observation period, in addition to paying attention to blood pressure, pulse, and side effects of drugs, all urine and feces must be kept in a clean bedpan, and a dedicated person will check and record the presence of a gestational sac and the time of its excretion, the size of the gestational sac, and the amount of bleeding. If there is active bleeding before or after the expulsion of the fetal sac, uterotonics can be given or curettage can be performed immediately to stop the bleeding.

5. If the fetal sac has not been expelled and bleeding is not excessive after 6 hours of observation, you can go home and follow up on the date specified by the doctor. If tissue is passed at home, it should be brought to the doctor for examination. It usually takes three to four days to terminate an unwanted pregnancy with medical abortion. Under normal circumstances, it takes four days to take the medicine for medical abortion, on an empty stomach, one tablet each morning and evening for the first three days, and three tablets at a time on the fourth day. Generally, there is no feeling in the first three days, but the pain becomes more severe after taking the medicine on the fourth day. Some individuals do not react obviously.