Why do women need to undergo B-ultrasound examinations before and after abortion? What are the functions of B-ultrasound examinations after abortion?

Why do we need to do B-ultrasound examination before and after abortion? This is actually to ensure the smooth progress of abortion and avoid abnormal situations. B-ultrasound examination is an extremely important examination item that cannot be missed. Here, let's introduce to you the role of B-ultrasound examination before and after abortion.

The role of B-ultrasound examination before abortion

Observe the size and position of the gestational sac: B-ultrasound examination can accurately see the size and position of the gestational sac to avoid incomplete miscarriage.

Rule out the possibility of ectopic pregnancy: For pregnant women, ectopic pregnancy is the most frightening situation. B-ultrasound examination can check whether the position of the gestational sac is correct, rule out the possibility of ectopic pregnancy, and reduce the risk.

Avoid accidents of empty aspiration: B-ultrasound examination can check the specific time of pregnancy, so that female friends can have abortion surgery at the most appropriate time, avoiding accidents of empty aspiration caused by premature pregnancy.

B-ultrasound examination can also help understand whether the patient has any reproductive tract malformations. If so, it can help the doctor make appropriate preparations before the operation to avoid unnecessary injuries.

At the same time, what are the functions of B-ultrasound examination after abortion?

The role of B-ultrasound examination after abortion

Incomplete uterine aspiration: It is a common complication, which means that part of the embryo or chorionic villus tissue remains in the uterine cavity after artificial abortion. Generally, if the bleeding lasts for more than 15 days after the operation or there is still early pregnancy reaction, it should be taken seriously. B-ultrasound and blood HCG can help to diagnose that uterine curettage should be performed, and antibiotics should be used after the operation to prevent infection.

Infection: refers to inflammation of the reproductive organs within 2 weeks of artificial abortion, which starts with endometritis. If not treated in time, it can affect the uterine muscle layer, appendages, peritoneum, and even sepsis. It is often caused by incomplete uterine aspiration, prolonged bleeding, or premature sexual intercourse. It can also be caused by incomplete treatment of the original lesions in the body or surgical infection.

Intrauterine hemorrhage: It often occurs in curettage with a late gestational age of more than 10 weeks. The uterus contracts poorly after surgery, and the blood clots in the uterine cavity are difficult to expel and accumulate in the uterine cavity. Symptoms include abdominal pain, bleeding, enlarged uterus, high tension, and obvious tenderness after surgery. After diagnosis, a second suction is required immediately. Therefore, pregnancy should be discovered in time and terminated before 10 weeks as much as possible. During the operation, the cervix should be dilated routinely to prevent the cervix from being too tight after surgery, which is not conducive to the outflow of blood in the uterine cavity.

Adhesions of the cervical canal or uterine cavity: If there is amenorrhea or a significant decrease in menstrual volume after artificial abortion, sometimes accompanied by periodic lower abdominal pain, no menstruation during artificial cycle treatment, or uterine enlargement and blood accumulation, cervical or uterine cavity adhesions should be considered. Repeated artificial abortions or curettage, especially when accompanied by infection, are more likely to occur. If it is cervical adhesion, the old blood will be discharged after dilation of the uterus, and the condition will improve significantly. If it is uterine cavity adhesion, it is necessary to separate the adhesions under hysteroscopy, place an intrauterine contraceptive device after surgery, and take estrogen to prevent adhesions again.

In order to ensure safe abortion, B-ultrasound examination is essential.