Professional knowledge on the hazards of abortion

In ancient times, if a woman had a miscarriage, she would generally pay special attention to conditioning and rest. However, in modern society, although women know more about miscarriage, they are busy with work and neglect to condition and cultivate their bodies. At the very least, it will prolong the time for the uterus to recover, and at worst it may cause infection. Let us now learn about the professional knowledge related to the hazards of miscarriage.

Abortion is a common gynecological disease. If it is not handled properly or in time, it may leave behind inflammation of the reproductive organs, or cause heavy bleeding that endangers the health of pregnant women, or even threatens their lives. In addition, abortion is easily confused with certain gynecological diseases. If pregnancy ends before 20 weeks and the fetus weighs less than 500 grams, it is called abortion (World Health Organization in 1966). Abortion that occurs before 12 weeks of pregnancy is called early abortion. If it occurs after 12 weeks, it is called late abortion.

1. Miscarriage or incomplete miscarriage is sometimes inevitable due to heavy blood loss, which may cause severe blood loss or even shock. Therefore, active treatment should be adopted. Various measures can be taken at the same time, such as intravenous or intramuscular injection of oxytocin or posterior pituitary hormone 10U, and blood transfusion should be given to the patient. In the absence of a blood bank, medical staff or their families can be mobilized to donate blood. If blood is not available for the time being, dextran can be temporarily dripped intravenously. At the same time, curettage can be performed. Bleeding often stops after the fetal tissue is removed. Even if there is infection, large pieces of fetal tissue should be removed, and then conditions should be actively created for blood transfusion.

2. Infection: All types of abortion may be complicated by infection, which is more common in incomplete abortions. Infection often occurs when abortion surgery is performed with instruments that have not been strictly sterilized; the instruments damage the cervix; or there are original infected lesions in the uterine cavity. Surgical abortion or spontaneous abortion can cause the spread of infection. In addition, lack of attention to hygiene after abortion (natural or artificial abortion) and premature sexual intercourse can cause infection. The infectious pathogens are often multiple bacteria, mixed infections of anaerobic and aerobic bacteria. In recent years, various reports have shown that anaerobic bacteria account for the majority, reaching 60% to 80%.

The infection can be confined to the uterine cavity or spread to the area around the uterus, causing salpingitis, salpingo-oophoritis, pelvic connective tissue inflammation, and even beyond the reproductive organs to cause peritonitis and sepsis.

The patient has chills and fever, abdominal pain, vaginal bleeding, sometimes foul-smelling secretions, tenderness of the uterus and its appendages, poor uterine involution, leukocytosis and other inflammatory manifestations. In severe cases, septic shock may occur. Blood, cervical or uterine secretion smears, cultures (aerobic and anaerobic bacteria), and B-ultrasound examinations can be performed to check whether there is any tissue residue in the uterine cavity.

If an examination shows that the fetus of an aborted patient has abnormal development and the doctor believes that a curettage should be performed, the patient should not delay to avoid excessive blood loss (even shock or death) or internal genital inflammation that may affect future fertility. It should be noted that most aborted embryos are generally born with congenital defects and are subject to natural elimination. You must not lose sight of the big picture and endanger the health of the pregnant woman.