Prevention of bleeding during artificial abortion

Artificial abortion, also known as induced abortion, is a last resort remedial measure for women who fail to obtain contraception. Abortion surgery includes vacuum aspiration and forceps curettage. Some complications may occur during the surgery, such as induced abortion syndrome, incomplete uterine aspiration, missed aspiration, intraoperative bleeding, etc. Intraoperative bleeding is one of the main complications of vacuum aspiration. The relevant treatment contents include the following:

Intraoperative bleeding often occurs when the uterus is older, mainly because the tissue cannot be discharged quickly, affecting uterine contraction. Therefore, prevention should first be carried out for the relevant population, such as preoperative gynecological examination and leucorrhea examination to exclude acute genital inflammation; B-ultrasound to exclude ectopic pregnancy and uterine malformation; exclude blood system diseases and severe cardiopulmonary diseases; patients with normal body temperature and blood pressure, and no history of allergy to related drugs (such as anesthetics).

During the operation, the suction tube and negative pressure should be selected according to the size of the gestational sac, and the suction tube should be placed in the uterine fundus, and suction should be repeated between the uterine fundus and the internal cervical os until the uterine wall becomes rough, the uterus shrinks, and bloody foam appears. If necessary, a small curette can be used to clean the uterus to prevent the residue of pregnancy. After the operation, the amount of bleeding in the suction bottle should be measured.

If intraoperative bleeding occurs, oxytocin should be injected to promote uterine contraction. At the same time, the placenta and embryo should be clamped or sucked out as quickly as possible. If the straw is too thin or the hose is too soft, it should be replaced in time.