Is it dangerous to have an abortion for a cervical pregnancy? Will there be bleeding?

There are certain risks in abortion for cervical pregnancy, which may be accompanied by bleeding. Treatment should be based on the specific situation, including medical abortion, vacuum aspiration, or hysteroscopic surgery. At the same time, the bleeding should be closely monitored and hemostasis should be performed when necessary. Cervical pregnancy refers to the implantation of the fertilized egg in the cervical canal rather than in the uterine cavity. This situation is relatively rare but has a higher risk. Because the cervical tissue is thin and has a rich blood supply, surgical operations may cause heavy bleeding or cervical injury.

1. The risk of cervical pregnancy mainly lies in the anatomical characteristics of cervical tissue. The cervical canal wall is thin and lacks sufficient muscle layer support, which makes it easy to rupture or bleed after pregnancy. During abortion surgery, instrument operation may damage cervical tissue, resulting in increased bleeding. The embryonic tissue of cervical pregnancy is tightly adhered to the cervical canal wall, which may cause heavy bleeding during the peeling process. Ultrasound examination is required before surgery to determine the location of pregnancy and assess the risks of surgery.

2. The method of treating cervical pregnancy should be selected according to the number of weeks of pregnancy, the patient's physical condition and medical conditions. Medical abortion is suitable for early pregnancy. Commonly used drugs include mifepristone and misoprostol, which can cause the embryonic tissue to fall off and be discharged through the drug action. Vacuum aspiration is suitable for 6-10 weeks of pregnancy. The embryonic tissue is sucked out through a negative pressure device. The operation should be cautious to avoid cervical injury. Hysteroscopic surgery is suitable for those who are more than 10 weeks pregnant or have failed medical abortion. Embryonic tissue is removed under direct vision of the hysteroscope to reduce the risk of bleeding.

3. Postoperative care and complication prevention are crucial. Bleeding needs to be closely monitored after surgery. If the amount of bleeding exceeds the normal menstrual volume or lasts too long, seek medical attention in time. Hemostasis measures include cervical packing, cervical suture or interventional embolization. Avoid strenuous activities after surgery, keep the vulva clean, and prevent infection. Regularly check ultrasound and blood HCG levels to ensure that the embryonic tissue is completely removed.

There are certain risks in abortion for cervical pregnancy. It is necessary to choose the appropriate surgical method under the guidance of a professional doctor, closely monitor the bleeding after the operation and take effective hemostatic measures to ensure the safety of the patient.