Does spontaneous abortion require uterine curettage?

The so-called uterine curettage in medicine refers to the treatment of miscarriage in women. The reason for uterine cleaning is that if a woman does not have a complete abortion, this can easily happen, especially if it is a medical abortion. At this time, some methods are needed to clean the woman's uterus to avoid future troubles. Palace cleaning is extremely harmful to the body. If it is not necessary, no woman would want to do it. So, does spontaneous abortion still require uterine curettage?

Spontaneous abortion is different from artificial abortion. It is not caused by external force, so the damage to women will be slightly less. It is not necessary to perform a curettage after a spontaneous abortion. It is only necessary when the outflow of embryonic tissue is incomplete.

treat

After miscarriage is confirmed, appropriate treatment should be given according to its clinical type.

1. Threatened abortion

Rest in bed and avoid sexual intercourse. Progesterone can be used to treat patients with luteal insufficiency. During treatment, observe changes in the patient's symptoms and test results, and perform ultrasound examinations to clarify fetal development if necessary. Before preserving pregnancy, ectopic pregnancy should be ruled out first.

2. Inevitable miscarriage and incomplete miscarriage

Once the diagnosis is confirmed, the embryo and placental tissue should be completely expelled as soon as possible. When inevitable miscarriage or incomplete miscarriage occurs in early pregnancy, vacuum aspiration should be performed promptly. Carefully examine the aborted tissue and send it for pathological examination. For late miscarriage, uterine contractions need to be promoted. After the fetus and placenta are completely delivered, check whether the placenta and fetal membranes are complete. If necessary, curettage can be performed to remove the products of pregnancy remaining in the uterine cavity. For those with excessive vaginal bleeding, complete laboratory tests should be performed, and blood transfusion and anti-shock treatment should be given when necessary. For those with prolonged bleeding, antibiotics should be given to prevent infection.

3. Complete miscarriage

If there are no signs of infection, generally no treatment is required, and an ultrasound examination can be performed to determine whether there is any residue in the uterine cavity.

4.Missed abortion

Abortion is usually induced. If the embryo stops developing for a long time, the pregnancy tissue will become organized and tightly adhere to the uterine wall, which may cause surgical difficulties and may lead to heavy bleeding due to abnormal coagulation function. Before treatment, blood routine, coagulation time, platelet count, etc. should be checked, and preparations for blood transfusion should be made.

5. Abortion infection

It often occurs in incomplete abortion combined with infection. The treatment principle should be to actively control the infection. If the vaginal bleeding is not much, intravenous broad-spectrum antibiotics should be used, and complete uterine curettage should be performed after the infection is controlled. If the patient has developed infectious shock, the shock should be corrected actively. If the infection is severe or an abscess has formed in the abdominal and pelvic cavity, surgical drainage should be performed and the uterus should be removed if necessary.