Steps of an artificial abortion procedure

May 22, 2023 Source: Cainiu Health

Dr. Lv Aiming

Introduction

Artificial abortion is a procedure used to terminate unintended pregnancies resulting from contraceptive failure, or to end pregnancies in women who have medical conditions that make continuing the pregnancy inadvisable. It generally consists of two methods: surgical abortion and medical abortion. The procedure can cause physical trauma, so adequate rest after surgery is essential. It is also important to avoid raw, cold, spicy foods, and to maintain proper nutrition during recovery.

Generally, induced abortion is used as a remedial measure for unintended pregnancies resulting from contraceptive failure, or for women who need to terminate pregnancy due to medical conditions that make continuing the pregnancy inadvisable. It is typically divided into two methods: surgical abortion and medical abortion. Taking surgical abortion as an example, the specific procedure is as follows:

1. The patient empties her bladder and lies on the examination table in the lithotomy position.

2. The external genitalia are disinfected and covered with sterile drapes. A bimanual examination is performed to assess the position and size of the uterus.

3. A speculum is used to dilate the vagina. The vagina and cervical canal are disinfected, and the anterior lip of the cervix is grasped with a cervical clamp.

4. Following the direction of the uterine position, a probe is used to determine the depth and orientation of the uterine cavity, and an appropriate suction cannula is selected based on the cavity size.

5. The suction cannula is connected to a vacuum aspirator, and the embryo is removed by rotating the cannula clockwise.

This procedure causes some physical trauma, so adequate rest after surgery is important. Avoid raw, cold, spicy foods, and ensure sufficient nutritional intake. Maintain good personal hygiene to prevent infection. It is recommended to undergo the procedure at a正规 medical institution under the guidance of qualified healthcare professionals.

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What does it mean if a B-ultrasound 14 days after an abortion shows residual tissue but no bleeding, and what should be done?

Fourteen days after abortion, a B-ultrasound shows residual tissue but no bleeding. This may be due to a small amount of residue, tissue organization, or excessive adhesion. Targeted management is required, and a detailed analysis is as follows: When the residual tissue is small, it may adhere closely to the uterine cavity and has not yet detached, thus not easily causing bleeding. If there are no obvious discomfort symptoms, regular monitoring is recommended. Avoid fatigue and pay extra attention to personal hygiene.

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Yellow, tofu-dreg-like discharge after abortion

Yellow, tofu-dreg-like discharge after an induced abortion may be a normal phenomenon, or it could result from wound infection, vaginitis, or other causes. Appropriate treatment should be based on the specific situation. A detailed analysis is as follows: After an induced abortion, the endometrium sheds and accumulates in the uterine cavity to form lochia, which then mixes with secretions from the cervix.

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How long should one rest after an artificial abortion?

Rest for 1 to 2 weeks is required after an induced abortion. Heavy physical activity should be avoided during recovery, along with a light diet and no staying up late. Sexual intercourse and tub baths are prohibited for one month after the procedure to prevent pelvic infections. A follow-up ultrasound examination at the hospital is recommended after one month. If severe abdominal pain, increased bleeding, or prolonged symptoms occur after the procedure, medical attention should be sought promptly.