What are the treatments for post-abortion bleeding?

Various complications may occur after induced abortion, including induced abortion syndrome, uterine perforation, intraoperative bleeding and post-abortion bleeding, etc. The occurrence of post-abortion bleeding is related to factors such as partial residue of pregnancy tissue in the uterine cavity, poor uterine contraction, uterine cavity infection and coagulation dysfunction. Its treatment methods include traditional Chinese medicine and Western medicine.

1. Traditional Chinese Medicine Treatment

TCM treatment of diseases emphasizes syndrome differentiation and treatment. After comprehensive analysis of the patient's symptoms, signs, tongue and pulse, post-abortion bleeding can be divided into uterine stasis syndrome, qi and blood deficiency syndrome and damp-heat stasis syndrome. Among them, the treatment of uterine stasis syndrome should be to activate blood circulation and remove blood stasis, consolidate Chong and stop bleeding. The prescription can be Shenghua Tang plus Leonurus japonicus; the treatment of qi and blood deficiency syndrome should be to invigorate qi and nourish blood, consolidate Chong and stop bleeding. The prescription can be Bazhen Tang plus cuttlefish bone and crane grass; the treatment of damp-heat stasis syndrome should be to clear dampness and heat, remove blood stasis and stop bleeding. The prescription can be Gujing Pills plus Purslane and Coix Seed.

2. Western medicine treatment

Western medicine treatment is mostly targeted at the cause of the disease. For example, if the patient has large intrauterine pregnancy residues, a diagnostic curettage should be performed in time, and the scrapings should be sent for pathology. If the pregnancy residues are small, oxytocin can be injected to promote the excretion of the residues, and antibiotics can be given to prevent infection. For those with poor uterine contraction, oxytocin can be given to promote uterine contraction. For those with intrauterine infection, broad-spectrum antibiotics can be given to control the infection. Those with coagulation disorders can be given hemostatic drugs, etc.