Bleeding fifteen days after abortion

Generally, women's immunity will be reduced after an abortion. At this time, you should pay more attention to keeping warm and not catch cold. You should go to the hospital regularly for relevant check-ups. If bleeding still occurs 15 days after the abortion, you should deal with it in time. Otherwise, you can only take some medication for treatment. During the process of taking the medication, you should closely observe the relevant conditions of your vaginal bleeding.

1) Pay attention to the duration and amount of vaginal bleeding after taking mifepristone. If the amount of bleeding is heavy or tissue is discharged, you should go to the hospital for treatment in time; 2) After using prostaglandins, you should stay in the hospital for observation, blood pressure, pulse, diarrhea, abdominal pain, bleeding, and whether the fetal sac is discharged and any side effects of the medication. If some side effects are more obvious, timely symptomatic treatment can be given. And keep detailed records; 3) After the gestational sac is expelled, medical staff will carefully check the expelled material (uterine cleaning will be performed at any time if there is heavy bleeding), and the patient will be discharged after 1 hour of observation. Before leaving the hospital, blood pressure and pulse will be measured, and records will be kept. The patient will be instructed on the follow-up date and precautions (2 weeks and 6 weeks after abortion); 4) If the gestational sac is not expelled, the patient will be discharged within 6 hours, and an appointment will be made for a B-ultrasound examination and follow-up within 1 week.

If the abortion fails, vacuum aspiration will be performed for artificial abortion; 5) On the 15th day of medication: all subjects are required to return for a follow-up visit 2 weeks after taking the medication. If the bleeding is more than the menstrual volume, you should go to the original hospital for examination. For patients diagnosed with incomplete abortion through B-ultrasound and HCG examination, uterine curettage should be performed as appropriate and the patient should be sent for pathological examination.

Postoperative precautions

1) Follow up on schedule; 2) No sexual intercourse or bathing for one month; 3) Appropriate activities; 4) Take a 2-week vacation; 5) Contraceptive guidance: After medical abortion, you can take short-acting oral contraceptives at the same time, or have an intrauterine device inserted after 2 menstruations.

Follow-up

Follow-up of medical abortion is the most important, because after the gestational sac is expelled, the decidua will still be gradually expelled, so regular follow-up is crucial. 1) One week after medication: If the fetal sac is not expelled on the day of medical abortion, a follow-up examination should be conducted one week later. If it is confirmed that the pregnancy is continuing or the embryo has stopped growing, a vacuum aspiration procedure should be performed. 2) 2 weeks after medication: If there is not much bleeding after the fetal sac is expelled, you can continue to observe the situation. B-ultrasound examination or HCG measurement should be performed. If necessary, the uterus should be cleaned and the scraped material should be sent for pathology. 3) After 6 weeks of medication, evaluate the abortion effect and understand the menstrual recovery status. If vaginal bleeding persists, uterine curettage may be necessary.

1) Complete abortion: spontaneous expulsion of the complete gestational sac or no obvious expulsion of the gestational sac 14 days after medication, no gestational sac found by B-ultrasound or negative urine pregnancy test, uterus returns to normal size, and bleeding stops without curettage; 2) Incomplete abortion: spontaneous expulsion of the gestational sac within 14 days after medication, and curettage is performed before menstruation due to excessive bleeding from the gestational sac including decidua or for too long; 3) Failure: no expulsion of the gestational sac within 14 days after medication, the uterus remains the same or continues to grow, blood HCG rises, gestational sac is still found by B-ultrasound, and artificial abortion vacuum aspiration is used to terminate the pregnancy.