What preparations should be made before artificial abortion

Artificial abortion refers to the termination of pregnancy by surgical methods at 3 months of pregnancy, including vacuum aspiration and curettage. Among them, vacuum aspiration refers to the termination of pregnancy by inserting a suction tube into the uterine cavity and sucking out the embryonic tissue with negative pressure; when the pregnancy is more than 10 weeks to 14 weeks and needs to be terminated, curettage is required because the fetus is large. The preoperative preparation content of each surgical method is not completely the same, as follows:

1. Preoperative preparation for negative pressure aspiration

Medical history and physical examination: Detailed medical history of the patient: including amenorrhea, early pregnancy reaction and past menstrual history, marital history and contraceptive measures, past medical history and current health status, etc. At the same time, the patient needs to undergo a systemic and gynecological examination (patients with acute inflammation of the reproductive organs, acute stage of various diseases or severe systemic diseases who cannot tolerate surgery, and patients with body temperature higher than 37.5℃ twice before surgery are not suitable for surgery).

Related auxiliary examinations: urine hCG examination, B-type ultrasound examination to confirm intrauterine pregnancy; routine leucorrhea, blood routine and coagulation function examinations; preoperative measurement of body temperature, pulse and blood pressure, etc.

2. Preoperative preparation for curettage

Application of urinary catheter: A rubber urinary catheter is used to dilate the cervical canal. An appropriate type of urinary catheter is slowly inserted into the cervix 12 hours before surgery and removed after surgery.

Application of related drugs: Oral, intramuscular or vaginal placement of prostaglandin preparations 3 hours before surgery to dilate and soften the cervix, etc.