Nowadays, most people would choose painless abortion because it is safer and the price is not too expensive, but it is more expensive than ordinary abortion. Moreover, painless abortion can only be performed in large hospitals, and the medical equipment is safer. Painless abortion also needs to be reviewed after the operation because it cannot rule out possible infection and some residues. Types of artificial abortion 1. Medical abortion: Abortion with medicine needs to be performed under the guidance of a doctor. Advantages: No artificial instruments are used, thus avoiding damage or infection to the genitals; Disadvantages: Medical abortion is prone to incompleteness. Residual fetal membrane tissue can cause hemorrhage, and a curettage is required to clean it out. Otherwise, there will be a risk of life. Therefore, doctors generally do not recommend that women have medical abortion. 2. Ordinary abortion: Abortion requires curettage to separate the gestational sac tissue attached to the uterine wall, and then use a negative pressure aspirator to suck out the gestational sac. Advantages: The success rate is higher and incomplete abortion is less likely to occur; if there are any unexpected situations during the operation, emergency treatment can be provided at any time, and the patient can be discharged from the hospital after a period of observation after the operation. Disadvantages: The pain is severe and weak women may go into shock during the operation; if the instruments are not properly sterilized during the abortion process, reproductive infection may easily occur. 3. Visual painless abortion: Using advanced endoscopic technology, the doctor can clearly see the condition of the woman's uterus during the entire operation and accurately locate the gestational sac, making it less likely for missed or empty aspiration to occur. complication 1. Intraoperative complications Uterine bleeding is more than 200 ml; abortion syndrome is also known as cardio-cerebral syndrome, with an incidence rate of 12%. The patient suddenly develops a series of symptoms such as bradycardia, arrhythmia, low blood pressure, pale face, profuse sweating, etc. In severe cases, even fainting and convulsions may occur; uterine perforation; missed aspiration, the embryonic tissue cannot be aspirated out, and the pregnancy continues to develop. 2. Recent complications Incomplete artificial abortion, vaginal bleeding lasting more than 15 days after surgery; endometritis, adnexitis, pelvic inflammatory disease, etc. due to infection with pathogenic bacteria within 2 weeks after surgery; intrauterine blood accumulation; intrauterine adhesions, postoperative amenorrhea or significantly reduced menstrual volume, sometimes accompanied by periodic lower abdominal pain or uterine enlargement and blood accumulation. 3. Long-term complications Chronic pelvic inflammatory disease; menstrual abnormalities; secondary infertility; endometriosis. 4. Complications of subsequent pregnancy Infertility; high rate of late miscarriage; high rate of premature birth; high perinatal mortality rate; increased rate of antepartum and postpartum hemorrhage; increased neonatal hemolytic disease. |
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