What complications may result from artificial abortion?

Artificial abortion is a remedial measure for unplanned pregnancy, including medical abortion and artificial abortion. The former strictly controls early pregnancy within 49 days of amenorrhea, takes RU486 (mifepristone) orally for 3 days, and takes misoprostol orally once on the 4th day. After taking the medicine, the gestational sac will generally flow out naturally, but the decidual tissue will not be completely discharged until 2 weeks later. Artificial abortion includes aspiration within 10 weeks of pregnancy and curettage at 10-14 weeks of pregnancy. Both use mechanical methods to remove the embryonic tissue and decidua. The time for postoperative bleeding and decidua discharge is generally less than 2 weeks. Regardless of medical abortion or artificial abortion, menstruation will generally occur about 1 month after surgery, and the amount of menstruation may be slightly more than usual. If there is always bleeding or no menstruation after surgery, you should seek medical attention in time.

Complications of abortion include:

① Incomplete artificial abortion: After suction or medication, the embryonic villi or decidual placental tissue is not completely discharged, and some tissues are retained in the uterine cavity. These tissues affect the contraction and recovery of the uterus, and will not be discharged automatically, resulting in repeated bleeding in the uterus and easy infection. Normally, after artificial abortion in early pregnancy, vaginal bleeding is relatively small, and bleeding will stop naturally within 10 days. If the amount of bleeding is large, or continuous (bleeding after medical abortion for more than 2 weeks), there is waist and abdominal pain, or heavy bleeding, it should be considered that it is an incomplete abortion. After the diagnosis is confirmed, the uterus should be cleaned in time, and antibiotics should be used to control infection. Anemia should be corrected when there is heavy bleeding, and blood transfusion can be performed if necessary. Therefore, if a girl bleeds for more than 10 days after artificial abortion or medical abortion, she should be treated immediately, and do not hope that the bleeding can be stopped by extending the time.

② Failed abortion: During medical abortion, if the gestational sac has not been discharged 8 days after taking the medicine, and the gestational sac is also seen in the uterus by B-ultrasound, it means that the abortion has not been successful. At this time, regardless of whether the fetus is alive or not, the abortion should be carried out to the end, and aspiration uterus is generally used for remedy. Aspiration uterus is not perfect. When the pregnancy is less than 6 weeks, the embryonic tissue is very small. If it hides in relatively hidden places such as the uterine horns, it is possible to escape the effect of the suction tube. Failed abortion after artificial abortion is also called missed aspiration. There is no good way, and you can only try again.

Artificial abortion is a destructive operation that is definitely traumatic to the body. Although the incidence of complications is very low, some complications can cause lifelong harm. Adolescent girls must understand this knowledge and protect themselves. Even if complications unfortunately occur, they must accept the doctor's guidance and not take medicine on their own or go to unlicensed clinics to avoid lifelong regrets.