Diagnosis of complications related to artificial abortion

Some complications may occur after artificial abortion, such as incomplete uterine aspiration, postoperative infection, post-abortion bleeding, and adhesions of the uterine cavity or cervical os, etc. The diagnosis of each complication includes the following:

1. Incomplete uterine aspiration

If some pregnancy tissue remains in the uterine cavity, bleeding lasts more than 10 days after surgery, the amount of bleeding is too much, or there is a lot of bleeding again after bleeding stops, the possibility of incomplete uterine aspiration should be considered. Type B ultrasound examination is helpful for diagnosis. Its occurrence is often related to the operator's unskilled skills, excessive uterine curvature or uterine malformation.

2. Postoperative infection

The main symptoms of patients are fever, lower abdominal pain, turbid leucorrhea or irregular vaginal bleeding, tenderness in the uterus or adnexal area during bimanual examination. It is initially acute endometritis, which can spread to the myometrium, adnexae, and peritoneum if not treated in time, and may even develop into sepsis. It is mostly caused by incomplete uterine aspiration or premature sexual intercourse after abortion. It may also be caused by incomplete disinfection of instruments and dressings or lack of aseptic concept during operation.

3. Bleeding after abortion

Vaginal bleeding after artificial abortion lasts for more than 10 days, is continuous, or the amount of bleeding is heavy, or there is heavy vaginal bleeding again after the bleeding stops, which is called post-abortion bleeding. Its occurrence is related to factors such as residual tissue in the uterine cavity, poor uterine contraction, uterine infection or coagulation dysfunction.

4. Adhesions in the uterine cavity or cervical os

Adhesions in the uterine cavity or cervical os should be considered if there is amenorrhea or oligomenorrhea, semi-periodic lower abdominal distension and pain, or uterine enlargement and blood accumulation after abortion. This is mostly due to rough suction movements, repeated operations in the landscape, repeated entry and exit of the cervical canal with negative pressure, and healing of endometrial and cervical canal infections.