Abortion diagnosis and treatment

Abortion is a very common phenomenon. Many women who do not want to have children have abortions, and some have habitual miscarriages. However, abortions are very harmful to women's health, so women should diagnose abortions in time. Today we will learn about the diagnosis and treatment of abortions.

Diagnosing miscarriage is generally not difficult. Most cases can be diagnosed based on medical history and clinical manifestations, and only a few require auxiliary examinations. After confirming miscarriage, the clinical type of miscarriage should also be determined to decide on the treatment method.

Diagnostic criteria: The amount of uterine bleeding during abortion is generally greater than that of ectopic pregnancy; it is also different from other abnormal pregnancies. Ectopic pregnancy is mostly vaginal bleeding; it often occurs in women over 40 years old with a history of amenorrhea. Although there is a lot of vaginal bleeding, there is usually no abdominal pain and rarely other discharges. All these situations are not difficult to distinguish, combined with the pregnancy history and the use of contraceptive measures. If there is any doubt, diagnostic curettage can be performed, and the diagnosis can usually be confirmed through pathological examination.

Many cases of miscarriage are indeed misdiagnosed as functional uterine bleeding. Patients with uterine fibroids have no obvious history of amenorrhea but have a history of menorrhagia and infertility. If the uterus is large and the myonuclei can be palpated, the diagnosis is more certain.

Treatment methods: Endocrine therapy: For patients with luteal insufficiency, 20 mg of progesterone can be used, 1 to 2 times a day, intramuscularly, to help the growth of decidua and inhibit uterine muscle activity. Treatment should be under the monitoring of B-ultrasound.

Pay attention to adequate nutrition, sedatives that are harmless to the fetus, keep bowel movements smooth, and if constipated, take laxatives to soften the stool. For older women, first perform B-ultrasound to understand the size of the fetus when it died and whether there is amniotic fluid. If there is amniotic fluid, amniocentesis can be performed, and 80-100 mg of rivanol can be injected into the amniotic cavity to induce labor. Oxytocin can also be used to induce labor if necessary, and the former is more convenient and safer.