Should I do "sitting the month" (postpartum confinement) after a medical abortion at 40 days?

Jul 30, 2024 Source: Cainiu Health
Dr. Zhao Xiaodong
Introduction
If a woman recovers quickly and well after a medical abortion, without experiencing abnormal bleeding, abdominal pain, or other discomforts, she may not need an extended post-abortion convalescence period, provided she follows her doctor's advice. However, if her recovery is poor and she experiences severe abdominal pain, fever, or other symptoms, she should strictly adhere to the postpartum confinement guidelines.

In general, "medical abortion" refers to terminating a pregnancy using medication. After a medical abortion at 40 days of gestation, post-abortion convalescence (commonly referred to as "sitting the month") may be recommended, depending on the individual's recovery. If any discomfort occurs, prompt medical attention is advised. Detailed analysis is as follows:

1. Not necessary

If a woman recovers quickly after a medical abortion, with good results and no abnormal symptoms such as excessive bleeding or abdominal pain, she may not need an extended post-abortion rest period, provided she follows her doctor's advice.

2. Necessary

However, if a woman experiences poor recovery after a medical abortion—such as severe abdominal pain or fever—she should strictly observe a post-abortion convalescence period, ensure adequate rest, avoid exposure to cold, and seek timely medical treatment for specific conditions.

In the short term following a medical abortion, strenuous physical activity and sexual intercourse—which may hinder recovery—should be avoided. At the same time, maintaining healthy lifestyle habits and a positive mental state can promote faster physical recovery.