Women all know that after a miscarriage, they need a period of care and physical conditioning, otherwise it will leave many health risks to the body. But sometimes there are surprises. If a woman becomes pregnant again three weeks after having a miscarriage, the physical burden on her will be heavier, and she will be more likely to have another miscarriage during pregnancy. So after you get pregnant, you have to be extra careful! Termination of pregnancy before 28 weeks of gestation and with a fetal weight of less than 1000g is called abortion. Abortion that occurs before 12 weeks of pregnancy is called early abortion, and abortion that occurs between 12 weeks and less than 28 weeks of pregnancy is called late abortion. Abortion is divided into spontaneous abortion and induced abortion. The incidence of spontaneous abortion accounts for about 15% of all pregnancies, and most of them are early abortions. There are also two specific types of miscarriage: missed miscarriage and habitual miscarriage. 1. Threatened abortion You should pay attention to rest, avoid sexual intercourse, and vaginal examination should be performed gently. Patients with luteal insufficiency can supplement with progesterone, which has the effect of preserving pregnancy. Secondly, vitamin E and small doses of thyroxine (suitable for patients with hypothyroidism) can also be used. In addition, psychological treatment is also very important for patients with threatened abortion to calm their emotions and enhance their confidence. If symptoms do not improve or even worsen after treatment, it indicates possible abnormal fetal development. B-ultrasound examination and β-HCG measurement should be performed to determine the condition of the fetus and give appropriate treatment, including termination of pregnancy. 2. Miscarriage is inevitable Once the diagnosis is confirmed, the embryo and placental tissue should be completely expelled as soon as possible. In the case of early miscarriage, vacuum aspiration should be performed promptly, and the products of pregnancy should be carefully examined and sent for pathological examination. In case of late miscarriage, if the uterus is large and suction or curettage is difficult, 10 units of oxytocin can be added to 500 ml of 1% glucose solution and dripped intravenously to promote uterine contraction. After the fetus and placenta are expelled, it is necessary to check whether they are complete. If necessary, a curettage should be performed to remove the remaining products of pregnancy in the uterine cavity. 3. Incomplete abortion Once diagnosed, curettage or curettage should be performed promptly to remove residual tissue in the uterine cavity. Patients with heavy bleeding and shock should receive blood transfusion and fluid infusion, and be given antibiotics to prevent infection. |
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