Treatment of complications after mid-term induction of labor during artificial abortion

Mid-term induced labor is often due to missing the best time for abortion or problems with the mother or fetus. At this time, the placenta has been formed, the fetus is large, and the bones are hard. The cervix must be fully dilated during delivery, so it is more likely to have complications such as induced labor infection, uterine rupture, cervical and vaginal fractures, and placental retention. The treatment of related complications includes the following:

1. Treatment of infection during induced labor

If the infection occurs before abortion, large amounts of antibiotics and hormones should be given intravenously to control the infection and prevent shock, while the decision on induction of labor and surgical methods should be made.

If the infection occurs after induced labor, the patient should rest in bed and eat nutritious and easily digestible food. If the pain is severe, analgesics should be given. At the same time, strong and large amounts of antibiotics such as cephalosporin should be given intravenously. If intrauterine tissue residue is suspected, uterine curettage should be performed after the infection is controlled.

2. Treatment of uterine rupture and cervicovaginal rupture

When patients have cervical and vaginal lacerations, the lacerations should be sutured promptly; when the uterus ruptures, cesarean section should be performed promptly; if patients lose too much blood and go into shock, anti-shock treatment should be actively given; antibiotics should be used after surgery to prevent infection.

3. Placenta Retention

When the placenta remains in the uterine cavity, uterine curettage should be performed promptly; if the placenta is retained or adhered, manual removal should be performed under disinfection; if the patient has active vaginal bleeding, uterine curettage is required; if placental tissue residue is found in the puerperium, uterine curettage and pathological examination should be performed promptly; oxytocin should be used after surgery, and antibiotics should be used to prevent infection.