After an abortion, women's bodies will suffer great harm. If they do not take good care of their bodies during this period, they will be left with some sequelae, which is very bad. Also, they should not be exposed to colds after an abortion, because people's resistance is usually poor during this period. Special attention is needed, and it is best not to get a massage to relieve the body. Indications 1) Healthy women aged 18-40 years who are diagnosed with normal intrauterine pregnancy (last menstrual period ≤ 49 days) and voluntarily request to use medication to terminate pregnancy; 2) High-risk candidates for artificial abortion, such as those with reproductive organ malformations (except rudimentary uterine horn), severe pelvic deformity, extremely tilted uterus, cervical dysplasia or tough uterus, scarred uterus, multiple artificial abortions, etc. (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 hyperemesis gravidarum; 4) Those with anemia and hemoglobin of 100g/L or below; 5) Those who are pregnant with an IUD; 6) Those with ectopic pregnancy or hydatidiform mole; 7) Those who smoke more than 10 cigarettes a day or are alcoholics; 8) Those who travel frequently, come to Beijing from other places, live far away from medical institutions, and cannot seek medical treatment and follow-up in time; 9) Those with genital tract inflammation, such as vaginitis, acute suppurative cervicitis or subacute cervicitis, acute and chronic pelvic inflammatory disease, sexually transmitted diseases, etc., who 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; Prostaglandins: 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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