What to do if abortion syndrome occurs during abortion

Patients with heart disease or those with poor stress tolerance should be given appropriate sedatives. During surgery, be careful not to force the operation. For those who are in advanced pregnancy and are expected to have difficulty in dilating the cervix, a urinary catheter should be placed 12 to 14 hours before surgery. Paracervical block anesthesia can be given to those who have difficulty in dilating the cervix during cervical dilation surgery; negative pressure should be appropriate during uterine suction, and the negative pressure should be reduced after most of the embryonic sac tissue is sucked out. When the heart rate slows down to below 60 beats/minute, 0.5 to 1 mg of atropine can be injected intravenously to avoid the occurrence of artificial abortion syndrome. Acupuncture at Guanyuan and Zhongji points can also be used as a preventive measure.

The treatment of artificial abortion syndrome mainly uses intravenous injection of atropine 0.5-1 mg or anisodamine 20 mg. If it is ineffective, use isoproterenol 1 mg dissolved in 5% glucose solution and drip it intravenously. The number of drops can be adjusted according to the recovery of heart rate. Ephedrine injection can also be used. For pregnant women who have experienced artificial abortion syndrome, when they undergo artificial abortion again, 0.25 mg of atropine can be injected intramuscularly 20-30 minutes before the operation. This can have a good effect on preventing the occurrence of artificial abortion syndrome. Painless artificial abortion can also be used.