How to judge the gestational sac falling

It is well known that women will drop the gestational sac after miscarriage, which means that the miscarriage has not been completed and has not been completely discharged. For example, after taking abortion drugs for several hours, there is still no obvious bleeding or no villi or embryo found, accompanied by severe abdominal pain, etc. All these indicate that the gestational sac has not fallen off, and it is still necessary to inject oxytocin or take other effective methods to deal with it. The following is a brief introduction to the method.

(1) If you bleed a lot within a few hours of taking abortion drugs, but the bleeding is gradually decreasing now, it means that the gestational sac has been discharged, but you did not see it at the time. It is white, about the size of your own fingernail or pigeon egg, and sometimes it is wrapped in a blood clot. You cannot see the blood clot without washing it with water. If the gestational sac has not come out, the bleeding will not decrease, but will become more and more. Generally, the embryonic tissue is expelled within 4-6 hours. Generally, after the blood clot is discharged, the abdominal pain gradually stops and the amount of bleeding is greatly reduced. However, whether it is completely discharged needs to be identified. Abortion is successful only when the complete embryonic tissue is eliminated. Identification of the blood clot is a very important step. The method is to put the menstrual blood in a container, add water and gently rinse it. After the blood clot disappears, if you see a small water bag, sometimes you can see something that looks a bit like a shrimp, which is the embryo. Then you need to find the villi, which are attached to the surface of the embryo sac. After being rinsed in water, they appear white and fluffy. If this mass of fluff is seen, it can be further confirmed that it is an embryo, indicating that the embryo has been expelled and the abortion is complete.

If only blood clots or some flat tissues are discharged, and no embryo or villi are found after identification using the above method, and the abdominal pain is still severe and the bleeding is still heavy, then the gestational sac tissue has not been discharged. At this time, you can take 3 more misoprostol pills or inject another oxytocin at the same time, which will help cervical dilation and uterine contraction, thereby expelling the gestational sac. You can also take Gongxuening at the same time, two pills at a time, once every 6 hours, for 7 consecutive days. This medicine can reduce inflammation, stop bleeding, help the uterus contract, and expel residual tissue, with a relatively good effect. You can also take motherwort paste or motherwort powder. Check again after 15-20 days. If it is negative, it is clean. If it is positive, it is not clean and you can have another uterine cleaning. After such treatment, most of the abortions will be successful.

(2) If there is little or no bleeding a few hours after taking the abortion drug, it means that the gestational sac has not been expelled. You can inject another oxytocin. If the gestational sac is still not seen after 6 hours, observe for a few more days, because 10% of people can expel the gestational sac within a week. If the gestational sac is still not expelled after a week, you should go to the hospital to see a doctor and take the next step, such as taking abortion pills again or having a uterine cleaning.