It takes a long time to recover after an abortion. During this period, female friends must pay more attention to keeping warm and not catch cold, otherwise it will cause sequelae. There will also be slight bleeding after an abortion, which is also quite common. However, the color of the bleeding should be judged according to your actual situation. Generally, there will not be a problem of excessive bleeding. The main clinical manifestations of miscarriage are postmenopausal abdominal pain and vaginal bleeding. 1. Early miscarriage: often bleeding first and then abdominal pain. Before 8 weeks of pregnancy, the villi are immature and not firmly connected to the maternal decidua. If a miscarriage occurs, the bleeding will not be much. From 8 to 12 weeks of pregnancy, as the connection between the villi and the maternal decidua gradually becomes stronger, heavy bleeding will occur if the separation is incomplete. At the beginning of miscarriage, the chorion and decidua are separated, the blood sinuses open, vaginal bleeding occurs, the uterus contracts, the embryo and other products of conception are expelled, and paroxysmal lower abdominal pain occurs. Afterwards, the uterus contracts, the blood sinuses close, and the bleeding stops. Recurrent miscarriage is mostly early miscarriage. 2. Late abortion: Similar to the process of early abortion, there is often abdominal pain first and then bleeding. The fetus and placenta are expelled in turn, and the bleeding is not much. If the decidua basalis bleeds repeatedly, the fetal mass will be surrounded by blood clots, and the bleeding will often not stop, and even a bloody fetal mass may be retained in the uterine cavity. 3. Missed abortion: also known as missed abortion. The main symptoms are that the uterus no longer enlarges, fetal movement disappears, with or without symptoms of threatened abortion. 1. Laboratory examination 1. Pregnancy test: You can use urine early pregnancy test strips to diagnose pregnancy, or you can continuously measure the level of blood HCG to assist in determining the prognosis of threatened abortion. 2. Progesterone measurement: Blood progesterone level measurement can assist in determining the prognosis of threatened abortion. (II) Imaging examination Type B ultrasound examination: For those suspected of threatened abortion, it can determine whether the embryo or fetus is alive based on the gestational sac and fetal heart rate, judge the prognosis of threatened abortion, and can also assist in the diagnosis of incomplete abortion and missed abortion. Termination of pregnancy before 28 weeks of gestation and with a fetal weight of less than 1000g is called abortion. Abortion that occurs before 12 weeks of pregnancy is called early abortion, and abortion that occurs between 12 weeks and less than 28 weeks of pregnancy is called late abortion. Abortion is divided into spontaneous abortion and induced abortion. The incidence of spontaneous abortion accounts for about 15% of all pregnancies, and most of them are early abortions. There are also two specific types of miscarriage: missed miscarriage and habitual miscarriage. |
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