Treatment of complications after abortion

Women may experience some complications after artificial abortion, such as incomplete uterine aspiration, postoperative infection, post-abortion bleeding, and adhesions in the uterine cavity or cervical os, etc. The treatment of each complication is as follows:

1. Incomplete uterine aspiration

If there are no obvious signs of infection, diagnostic curettage should be performed promptly, and the scrapings should be sent for pathological examination. Antibacterial drugs should be used after the operation to prevent infection.

2. Postoperative infection

If the amount of vaginal bleeding is not large, broad-spectrum antibiotics can be used first, and curettage can be performed after the infection is controlled; if the amount of vaginal bleeding is large or the infection is not controlled after the use of a large amount of antibiotics, intravenous antibiotics and blood transfusion are required. At the same time, the contents of the uterine cavity are clamped out with oval forceps to control bleeding, and antibiotics are continued after surgery. After the infection is controlled, a thorough curettage is performed; when combined with septic shock, shock is actively rescued; when the infection is severe or there is abscess in the pelvis, surgical drainage is performed, and the uterus is removed if necessary.

3. Bleeding after abortion

If there are pregnancy residues in the uterine cavity and they are large, a diagnostic curettage should be performed and the scrapings should be sent for pathology; if they are smaller, oxytocin can be injected and antibiotics can be given to prevent infection; oxytocin can be given when the uterus contracts poorly; antibiotics can be given when there is an infection in the uterine cavity; hemostatic drugs can be given when there is a coagulation disorder, etc.

4. Adhesions in the uterine cavity or cervical os

When the internal os of the cervix is ​​adhered, a probe should be inserted deep into the cervical canal, slowly separated and probed into the uterine cavity. After the accumulated blood has drained out, the cervix should be dilated with a cervical dilator. When there is adhesion in the uterine cavity, a probe or dilator should be inserted into the uterine cavity and then swung horizontally left and right to separate the adhesion, or the adhesion can be separated under direct vision of the hysteroscope, and then an intrauterine contraceptive device can be placed, and artificial cycle therapy can be used for treatment.