What is transabdominal potassium chloride fetal reduction and what is the operation process of transabdominal potassium chloride fetal reduction?

Transabdominal potassium chloride feticide is an easy-to-operate drug-induced feticide technique. Before the operation, the patient needs to undergo an ultrasound examination. After that, the fetal heart or other parts can be punctured under the guidance of B-ultrasound, and potassium chloride can be injected to stop the fetal heartbeat. After the operation, the patient needs to pay attention to observation and keep clean.

When the fetus is abnormal during mid-pregnancy, it may be necessary to use transabdominal potassium chloride feticide to solve the problem. However, most people have not heard of this feticide and may not understand the specific operation process. At this time, they will be worried when they need treatment. So what is the operation process of transabdominal potassium chloride feticide?
1. What is transabdominal potassium chloride fetal reduction ?<br/>The essence of transabdominal potassium chloride fetal reduction is drug-induced fetal reduction. Specifically, potassium chloride is injected into the fetal skull or near the heart through the abdomen during the second trimester, and ultrasound guidance and puncture therapy are required to achieve the purpose of stopping the fetal heartbeat. This method is easy to operate and can significantly shorten the fetal reduction operation time, so it is more commonly used in obstetrics and gynecology.
2. Transabdominal potassium chloride fetal reduction procedure
1. Preoperative examination <br/>Before undergoing transabdominal potassium chloride feticide, pregnant women need to undergo ultrasound examination to accurately determine the number of embryos and chorionicity. At the same time, they need to undergo blood routine examination, leucorrhea routine examination, and four coagulation tests, and also determine whether there is syphilis infection.
2. Operation process <br/>The operation process of this fetal reduction surgery is relatively simple. Under the guidance of B-ultrasound, a puncture needle can be used to puncture the fetal heart or nearby parts, and then a certain dose of potassium chloride injection can be injected until the ultrasound examination confirms that the fetus' heartbeat has stopped. The next day, the status of the retained fetus must be checked. If the twins in the same chorion are to be reduced, only one of the fetuses needs to be punctured.
3. How to care after abdominal potassium chloride fetal reduction surgery
1. Hospitalization for observation <br/>Because there are risks of secondary infection and premature rupture of membranes after fetal reduction surgery, it is necessary to insist on hospitalization for observation for a period of time. In particular, attention should be paid to whether there are adverse conditions such as vaginal bleeding and abdominal pain. Once abnormalities occur, they need to be treated in time.
2. Keep the vulva clean <br/>After the operation, you must pay attention to keeping the vulva clean and hygienic. You can use iodine to scrub the vulva and surrounding areas every day. At the same time, you need to change clean cotton underwear frequently, wash the vulva with warm water every night, and use sanitary pads when necessary. In addition, since sexual intercourse is prone to breed bacteria, you should temporarily avoid having sex.