How is an induced abortion procedure performed?
Oct 24, 2023
Source: Cainiu Health
Dr. Zhao Xiaodong
Introduction
Induced labor is a procedure that artificially induces uterine contractions due to maternal or fetal conditions, resulting in the expulsion of the fetus and placenta from the body. Note that after a successful induced labor, hospitalization for observation is required for a period of time. Vaginal bleeding should be closely monitored, and follow-up ultrasound examinations may be necessary. Medications to promote uterine contraction are often prescribed, and additional treatments such as anti-infective therapy or curettage may be required if necessary.
Induced labor is a procedure that artificially induces uterine contractions due to maternal or fetal conditions, with the aim of expelling the fetus and placenta from the body. The specific procedural steps are as follows:
1. Prior to the induced labor procedure, a gynecological examination is performed. Routine tests typically include blood and urine analysis, ultrasound, and electrocardiogram (ECG) to confirm intrauterine pregnancy, assess vaginal cleanliness, and determine uterine size.
2. Before the procedure, the patient must remove clothing, empty the bladder, assume the lithotomy position, and undergo routine disinfection of the abdominal skin, followed by draping with sterile towels.
3. After selecting the puncture site, a needle is inserted perpendicularly through the abdominal wall. The first loss of resistance indicates entry into the abdominal cavity; continued advancement meets resistance again upon entering the uterine wall, and a second loss of resistance signifies successful entry into the amniotic cavity.
4. After successful puncture, the stylet is removed. When clear, colorless amniotic fluid flows out, the fluid is aspirated back; once a cloudy appearance is observed, ethacridine lactate solution is injected into the amniotic cavity.
5. After drug administration, uterine contractions typically begin within approximately 36 hours, leading to expulsion of the placenta and fetal membranes from the uterus.
Note: After a successful induced labor, the patient should remain hospitalized for observation for a period of time. Vaginal bleeding should be closely monitored. Follow-up ultrasound may be required, along with medications to promote uterine contraction. If necessary, treatments such as anti-infective therapy or curettage may be needed.
