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Suining Chuanshan District Maternal and Child Health Hospital
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What to check before and after abortion surgery
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Ms. Wang asked people to go to the hospital for consultation during the 1+ month of pregnancy. The doctor told her after consulting her medical history that she needed to have some examinations before the operation. Because the gestational week is too small, it is not suitable for immediate surgery, and it is best to perform the surgery one week later. After coming out of the doctor's office, Ms. Wang thought: Isn't it just a simple flow of people, why bother to do so many examinations, and can't have surgery right away. So, in order to solve the problem "efficiently", she worked in a private hospital. One month after the abortion operation, Ms. Wang didn't arrive as scheduled. She thought it was just irregular menstruation after abortion, so she didn't care too much. Who knows, the second month, the menstruation still didn't come. Ms. Wang returned to the hospital for examination and found that the embryo was still alive. In the end, she had to be hospitalized to induce labor due to the large fetus.

In the gynecological clinic, female patients who often “accidentally” wish to terminate pregnancy due to failure of contraception often come to see a doctor. Unplanned pregnancies are frustrating, so these female patients often want to have surgery as soon as possible, preferably on the day of their appointment. Just like Ms. Wang mentioned above, many patients ca n’t understand the examinations and pre-examinations performed by the doctor before the operation, and the follow-up examination after the operation. Is it just a simple flow of people, why is it so troublesome? So, is it better to do abortion as soon as possible? Are these examinations necessary before or after abortion?

Early abortion is a common remedy for contraceptive failure. It is mainly used when the embryo is still developing, the uterus is not large, and the placenta has not yet formed. Termination of pregnancy is performed by curettage or negative pressure suction. Generally suitable for 9 weeks ago, but if the embryo is too large, even if it grows bones, it cannot be sucked out with the largest straw. At this time, you can only be hospitalized to induce labor through medicine or water sac, and wait for the embryo and most After the placenta is excreted, the uterus is cleared. If the induction of labor fails, it is necessary to use forceps and curettage, that is, the instruments are used to directly scrape out the embryo and the placenta from the uterus. This operation is relatively risky. It is easy to cause cervical damage and increased bleeding during the operation. It also increases infection, uterine damage, and Risk of posterior intrauterine adhesions. Therefore, if an unwanted pregnancy is intended to terminate the pregnancy, try to implement it within 2 months of pregnancy. So does it mean that the sooner the abortion can be done, the better? It's not necessarily true. When the gestational week is too small, and even the B-ultrasound can't see the germ, if the surgery is rushed at this time, it is likely that the pregnant sac will not be sucked, or only a part of the pregnant sac will be sucked, causing leakage or incomplete flow. Special cases, such as ectopic pregnancy, because the gestational week is too small, the ultrasound can not see the position of the gestational sac. At this time, uterine curettage is performed, but the pregnancy continues to grow outside the uterus, which may lead to adverse consequences such as major ectopic pregnancy. In general, the appropriate time for early abortion surgery is 6-7 weeks of pregnancy, but the final determination of the time of surgery still has to refer to some pre-operative examination results.

需要做哪些检查呢? So what checks need to be done before and after abortion ?


Before abortion surgery, patients are usually arranged to have an ultrasound examination to determine the position and size of the gestational sac, and then perform surgery to exclude ectopic pregnancy, which can avoid the phenomenon of scraping and leaking when the negative pressure is attracted because the embryo is too small. Embryos are too large, increasing the chance of complications during and after surgery. After finishing the abortion, the doctor usually checks the tissue that is sucked out to see if the amount of tissue is consistent with the size of the pregnancy sac indicated by the ultrasound. If they are not consistent, they need to check again to see if it is abortion. Incomplete or leaking. If necessary, review the B-ultrasonography after surgery to find incomplete flow of people or leaking in time and deal with it in time.

Examination of vaginal discharge

Another key issue before implementing abortion is to exclude the possibility of reproductive tract infections, and to find out if there are abnormal secretions, whether to have chlamydia or gonococcal infections, such as when reproductive tract infections are found. The operation must be performed after the genital tract infection is cured, otherwise, it may cause the germs to infect, cause endometritis, salpingitis, etc., cause endometrial adhesions, fallopian tube adhesions, blockages, etc., and eventually lead to infertility or Occurrence of ectopic pregnancy.

,如血常规、凝血及传染病一套等都是术前的常规检查,对于需要麻醉的患者,需要结合心电图检查了解心脏功能。 Other tests , such as blood routine, coagulation, and infectious diseases, are routine pre-operative tests. For patients who need anesthesia, it is necessary to understand the heart function by combining ECG examination.

Therefore, don't be too troublesome about the inspection before and after the abortion surgery, so as not to pursue the "efficiency" but lay the "bane".

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