How to deal with bleeding during abortion

The amount of bleeding during abortion suction and curettage is related to the gestational age. The amount of bleeding within 10 weeks of pregnancy generally does not exceed 100 ml. If the amount of bleeding during abortion suction ≥ 200 ml, and the amount of bleeding during curettage ≥ 300 ml, it is considered a bleeding complication during abortion.

1. If bleeding is found, in addition to intramuscular injection of uterotonics, the number of the suction tube and the size of the negative pressure should be adjusted to quickly remove the residual tissue in the uterine cavity. Bleeding often stops quickly. This is an effective method of stopping bleeding.

2. Treatment of poor uterine contraction If the contents of the uterine cavity have been scraped clean, stop suction or curettage. Rapidly inject uterine contraction agent, and if necessary, intravenous drip of oxytocin 20-30U to maintain uterine contraction. If conditions permit, prostaglandin preparations such as PGF2a can be injected (for those without contraindications).

3. Massage the uterus with your fingers from the abdomen, or use bimanual massage and pressure on the uterine body to promote uterine contractions and control bleeding.

4. If uterine perforation or injury and bleeding occurs, treat according to the treatment principles for uterine perforation.

5. Patients with heavy bleeding should take measures to replenish fluids and expand blood volume in a timely manner, and blood transfusions should be performed if necessary. Antibiotics should be used after surgery to prevent infection.