In what cases is induced abortion necessary?

After 28 weeks of pregnancy, due to some special reasons, in order to ensure the health of the mother or to save the fetus from danger in the womb, the pregnancy must be terminated and induced abortion must be performed. The so-called "special reasons" here mainly refer to the following situations:

Case 1: Patients with chronic nephritis should not give birth, because pregnancy will increase the burden on the kidneys of pregnant women, aggravate various symptoms, and be very detrimental to the growth and development of the fetus and the health of the mother. Therefore, such pregnant women should be induced to give birth as soon as possible.

Situation 2: Severe pregnancy-induced hypertension syndrome, which often occurs in the middle and late stages of pregnancy. Pregnant women with this disease will experience systemic small blood vessel constriction, leading to high blood pressure, headache and dizziness, vomiting, lower limb edema, and protein discharge in urine. If the condition does not improve after treatment, continued pregnancy is prone to convulsions (eclampsia) or placental abruption, which will then cause massive bleeding in the uterus, and can cause fetal asphyxia or even stillbirth. Therefore, if a pregnant woman suffers from severe pregnancy-induced hypertension syndrome, she should be induced to labor if treatment is ineffective. Women's private talk Situation 3: When a pregnant woman has too much amniotic fluid, the fundus of the uterus will rise sharply, compressing the pregnant woman's stomach and even displacing the heart, resulting in palpitations, breath holding, difficulty lying flat, affecting sleep and diet, and in severe cases, fetal malformations. In this case, labor should be induced immediately to terminate the pregnancy.

Situation 4: If the pregnant woman feels that the fetal movement has disappeared and the doctor confirms that the fetus is dead in the uterus after examination, induced labor should be performed immediately to ensure the safety of the pregnant woman.

Case 5: Pregnant women with diabetes or other serious organic diseases are weak, lack energy and physical strength. Continuing the pregnancy is not good for both the pregnant woman and the fetus, so induced labor should be considered.

Case 6: If ultrasound or other examinations reveal that the fetus is severely deformed or cannot survive, induced labor is also required immediately.

Related common sense: Precautions before and after induced labor Pregnant women must abstain from sexual intercourse for 1 week before induced labor, take a bath, especially clean the lower abdomen and genitals; doctors should strictly implement aseptic operation during induced labor; if there is vaginal bleeding or fever after induced labor, the cause should be found out, and residual tissue in the uterine cavity should be removed to stop bleeding and avoid the presence of infection sources. Once the patient has a fever, bacterial culture should be done and large doses of antibiotics should be given to control the infection. Serious complications such as pelvic inflammatory disease, peritonitis or sepsis should also be avoided.