Medical abortion only produces blood clots but no gestational sac

Medical abortion only produces blood clots but no gestational sac

After the medical abortion, the blood clots in the body flowed out but the white gestational sac did not flow out. It is possible that the gestational sac has lost its activity but has not been expelled from the body. It will affect the health of the body in the uterus and cause infection in women. In this case, a uterine curettage surgery must be performed artificially. After the uterine curettage surgery, the woman's body will be extremely weak, so she must pay more attention to rest.

If the gestational sac has not come down, it means that the medical abortion was not successful and a uterine curettage is needed!

Curettage is also known as dilation and curettage, which is the most commonly used method for early induced abortion. Although curettage does not require surgery, it is also a gynecological surgery and must be performed under strict disinfection. The operation is divided into two steps. The first step is to dilate the cervix to a sufficient size, and the second step is to use a curette to extend into the uterine cavity and scrape out the embryo. The longer the pregnancy lasts, the larger the fetus will be. At this time, the cervix needs to be dilated to the maximum limit to scrape out the fetus, so scraping the uterus becomes more difficult. At the same time, the longer the pregnancy lasts, the softer the uterus will become, and the chance of piercing the uterus during surgery will naturally increase.

Choose your timing

Once incomplete abortion, delayed abortion, or hydatidiform mole is diagnosed, uterine curettage can be performed if there are no special contraindications (including visceral diseases such as heart and lung, blood diseases, infections, etc.); if artificial termination of pregnancy is desired, it should be performed within 12 weeks of pregnancy.

Technical steps

1. Body position: lithotomy position.

2. Rinse and disinfect the vulva and vagina routinely.

3. Use cervical clamp to fix the upper lip of the cervix during uterine exploration. Send the probe along the direction of the uterine body to the fundus of the uterus to understand the size of the uterus.

4. Dilate the cervix Use a cervical dilator to dilate the cervical canal until the intrauterine suction device can pass through it.

5. During uterine curettage, insert the uterine suction device into the uterine cavity without negative pressure. Then maintain negative pressure and perform repeated scraping and suction, being gentle throughout the entire process. If the suction tip is blocked by tissue during suction, the tissue should be quickly removed before continuing suction. If there are no conditions for suction uterus, curettage and dilatation can be performed.

When suctioning the uterus, pay special attention to the uterine corners and fundus on both sides. If you feel there is still tissue, scrape it with a curette. If you feel that the uterine wall has become rough and observe bloody foam in the suction bottle, and the uterus is significantly shrunk during examination, it means that the uterus has been emptied and the operation can be ended.

Postoperative care

1. Tissue examination: Send the scrapings for pathological examination.

2. To prevent infection, take oral antibiotics for 3 to 5 days.

3. No bathing in the tub and no sexual intercourse: No bathing in the tub for 14 days and no sexual intercourse for 30 days.

<<:  Can I have a medical abortion after three months?

>>:  Is masturbation harmful after medical abortion?

Recommend

What are the causes of anovulatory functional uterine bleeding?

Many of us know that as a woman, we will feel par...

Three features of the Apple Watch that no one has mentioned yet

“If Apple wants to create a new, large product ca...

My postpartum rheumatism was cured

At present, although the living standard continue...

What is the reason for the dull pain under the right breast?

I believe that many female friends have encounter...

Symptoms of back myofasciitis in women

In current clinical medicine, fasciitis is not a ...

What color is abortion during pregnancy

During the pregnancy process, miscarriage is prob...

What is the reason for girls' long body hair

If we pay attention, we will find that the length...

How to draw a heart in coffee? Can I drink tea after drinking coffee?

Tasting a cup of good coffee is like appreciating...

What are the four factors that determine childbirth?

Under normal circumstances, whether a woman's...

Sudden bleeding after two months of pregnancy

In modern life, people's fertility is declini...

What does phv virus positive mean

HPV can be positive or negative, so when someone ...

How many weeks of pregnancy is considered a full-term birth

At 37 weeks of pregnancy, the various organs of t...