It is best not to have an abortion immediately if the leucorrhea is abnormal. You should first undergo a detailed gynecological examination to confirm the real cause of the abnormal leucorrhea, so that you can better perform the abortion to avoid some deviations during the operation, or other risks. In fact, not everyone is suitable for abortion. Some people can have medical abortion, which will have less risk. Termination of pregnancy by artificial or medical methods within 3 months of pregnancy is called early pregnancy termination, also known as artificial abortion. It is used as a remedy for unexpected pregnancy due to contraceptive failure. It is also used for those who need to terminate pregnancy due to illness or to prevent congenital malformations or genetic diseases. Artificial abortion can be divided into two methods: surgical abortion and medical abortion. Commonly used methods include vacuum aspiration abortion, forceps curettage abortion and medical abortion. Indications 1) Healthy women aged 18-40 years who are diagnosed with normal intrauterine pregnancy (last menstrual amenorrhea ≤ 49 days) and voluntarily request to use medication to terminate pregnancy; 2) High-risk candidates for abortion, such as those with reproductive organ malformations (except rudimentary uterine horn), severe pelvic malformations, extremely tilted uterus, cervical dysplasia or tough uterus, scarred uterus, and multiple artificial abortions. (Note: Even if these patients choose medical abortion, they still have high-risk factors for medical abortion. The failure rate of medical abortion and the chance of post-abortion bleeding are higher than those of patients without high-risk factors); 3) Those who have concerns or fears about surgical abortion. Contraindications 1) Contraindications of mifepristone: endocrine diseases such as adrenal glands, diabetes, thyroid glands, abnormal liver and kidney function, history of skin itching during pregnancy, blood diseases and vascular thrombosis, and tumors related to steroid hormones; 2) Contraindications of prostaglandins: cardiovascular diseases such as mitral stenosis, hypertension, hypotension, glaucoma, gastrointestinal dysfunction, asthma, epilepsy, etc., or those who are allergic to prostaglandins; 3) Those with allergic constitutions and those with severe vomiting during pregnancy; 4) Those with anemia and hemoglobin levels of 100g/L or below; 5) Those with pregnancy with an IUD; 6) Those with ectopic pregnancy or hydatidiform mole Smokers who smoke more than 10 cigarettes a day or are alcoholics; 8) Those who frequently travel on business, come to Beijing from other places, live far from medical institutions, and cannot receive timely medical treatment and follow-up. Reproductive tract inflammation, such as vaginitis, acute suppurative cervicitis or subacute cervicitis, acute and chronic pelvic inflammatory disease, sexually transmitted diseases, etc., which have not been treated. Pre-medication treatment 1) The doctor should explain the medication method, efficacy and possible side effects to the recipient, and the recipient can make a voluntary choice; 2) Physical examination and testing are the same as vacuum aspiration; 3) The pros and cons of medical abortion should be explained to pregnant women, and they can make a natural choice. Directions Mifepristone: Generally, the first dose is given in the outpatient clinic, and the rest can be taken home by the patient; Prostaglandin: Patients are required to come to the hospital for medication and stay in the hospital for observation, take it on an empty stomach on the morning of the third day, or insert it vaginally and stay in the hospital for observation for 6 hours. |
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