Complications after abortion

Abortion is a common method of terminating pregnancy. When undergoing an abortion, it must be performed in a regular hospital to avoid some hazards. If the operation is not performed properly, it is often easy to cause some serious complications. The most common is postoperative infection, which often leads to some gynecological problems. In addition, if the abortion is not performed properly, it will also cause heavy blood loss, which will pose a certain threat to women's life safety.

Complications after abortion

1. Heavy blood loss

Sometimes unavoidable miscarriage or incomplete miscarriage can cause severe blood loss or even shock. So it should be dealt with proactively. Various measures can be implemented simultaneously. Administer 10 U of oxytocin or vasopressin intravenously or intramuscularly. Try to get a blood transfusion for the patient. In the absence of a blood bank, medical staff or their families can be mobilized to donate blood. If blood cannot be obtained for the time being, dextran can be temporarily administered by intravenous drip. At the same time, curettage is performed. Bleeding often stops after the fetal tissue is removed. Large pieces of fetal tissue should be removed even if infection exists. Subsequently, we should actively create conditions for blood transfusion.

2. Infection

All types of abortion may be complicated by infection, which is more common in incomplete abortions. Infection often occurs when abortion is performed with instruments that have not been strictly sterilized; the instruments damage the cervix; or there are original infected lesions in the uterine cavity, which can cause the infection to spread after surgical abortion or spontaneous abortion. In addition, not paying attention to hygiene after abortion (natural or artificial abortion) and premature sexual intercourse can cause infection.

The infection can be confined to the uterine cavity or spread to the area around the uterus, causing salpingitis, salpingo-oophoritis, pelvic connective tissue inflammation, and even beyond the reproductive organs to cause peritonitis and sepsis.

The patient has chills and fever, abdominal pain, vaginal bleeding, sometimes with foul-smelling discharge, tenderness of the uterus and appendages, poor uterine involution, leukocytosis and other inflammatory manifestations. In severe cases, septic shock may occur. Blood, cervical or uterine secretion smears and cultures (aerobic and anaerobic bacteria) can be done. B-ultrasound examination to check whether there is any residual tissue in the uterine cavity.