What is the best surgical method for threatened abortion?

The first three months of pregnancy is a special period with a high incidence of miscarriage. In order to prevent the occurrence of threatened miscarriage, pregnant women must be vigilant during this period and always pay attention to preventing threatened miscarriage. If threatened miscarriage is found, it is necessary to consider the treatment method. The following introduces which surgical method is best for threatened miscarriage?

Threatened abortion is a common disease in obstetrics and gynecology. Once symptoms of abortion occur, appropriate treatment should be carried out in a timely manner according to the different types of abortion. The principle of treatment is to actively control the infection and remove the intrauterine residues as soon as possible. If there is not much vaginal bleeding, apply broad-spectrum antibiotics for 2 to 3 days, and then perform curettage after the infection is controlled. If there is a lot of vaginal bleeding, use oval forceps to clamp out the residual tissue in the uterine cavity while intravenously infusing antibiotics and blood transfusions to reduce bleeding. Do not use a curette to scrape the uterine cavity comprehensively to avoid the spread of infection. Broad-spectrum antibiotics should continue to be given after surgery, and a thorough curettage should be performed after the infection is controlled. If septic shock has been combined, the shock should be actively rescued. If the infection is severe or abscesses are formed in the pelvic and abdominal cavity, surgical drainage should be performed, and even the uterus should be removed if necessary.

Patients should stay in bed and have no sexual intercourse. Vaginal examinations should be performed gently. If necessary, sedatives with little harm to the fetus should be given. 20 mg of progesterone is injected intramuscularly daily, which has a fetal preservation effect for patients with corpus luteum insufficiency. Secondly, vitamin E and small doses of thyroid powder (suitable for patients with hypothyroidism) can also be used. In addition, psychological treatment is also very important for patients with threatened abortion, so as to stabilize their emotions and enhance their confidence. After two weeks of treatment, if the symptoms do not improve or even worsen, it indicates that the embryo may be abnormal in development. B-ultrasound examination and β-HCG measurement are performed to determine the status of the embryo and give corresponding treatment, including termination of pregnancy.

Once the diagnosis is confirmed, the embryo and placental tissue should be completely expelled as soon as possible. In the case of early abortion, vacuum aspiration should be performed in time, and the products of pregnancy should be carefully examined and sent for pathological examination. In the case of late abortion, if the uterus is large and aspiration or curettage is difficult, 10 units of oxytocin can be added to 500 mL of 5% glucose solution and intravenously dripped to promote uterine contraction. After the fetus and placenta are expelled, it is necessary to check whether they are complete. If necessary, curettage should be performed to remove the residual products of pregnancy in the uterine cavity.

There are many treatments for threatened miscarriage in women. If a pregnant woman shows some signs of miscarriage, it is better to go to the hospital for examination and treatment as soon as possible, and choose some reasonable treatments, such as general treatment and drug treatment, which are all very good treatments.