Is it painful for a woman to have induced labor for more than five months of pregnancy?

There are many women who are not yet ready for pregnancy. If they are already 5 months pregnant, they want to get rid of the baby as soon as possible through induced abortion. Painless abortion is very common now, but if you choose induced abortion, will it be painful and will it cause serious harm to yourself? Is it painful for a woman who is more than five months pregnant to have induced labor? Let’s find out.

Induced labor means a small delivery, and the woman still needs to take care of herself after the month of confinement. It will definitely hurt a bit, so you need to take good care of yourself.

Induction of labor

1. Body position and disinfection are the same as those for routine gynecological surgery.

2. The upper edge of the incision is 2 cm below the fundus of the uterus. Make a midline incision on the left side of the lower abdomen. Open the abdomen layer by layer to stop bleeding. Use a large saline gauze pad to protect the intestinal tract and uterine incision.

3. Check whether the uterus is right-rotated. After adjusting it, make a vertical incision of about 4 to 6 cm on the anterior wall of the uterus. After cutting the uterine wall, use Ellis clamps to hold the edge of the uterine incision to stop bleeding without breaking the membrane.

4. To deliver the fetus and placenta, the operator inserts the index finger of his right hand between the gestational sac and the uterine wall to separate the gestational sac until the placenta is completely detached and lifted out intact. If the fetus cannot be completely delivered, the fetal sac can be punctured, the amniotic fluid can be sucked out, and the fetus can be delivered by gluteal traction. If it is difficult to deliver the head, the foramen magnum can be inserted into the fetus to suck out the brain and then the fetal head can be delivered. At this time, 20U of oxytocin can be injected into the uterine wall to induce uterine contraction, and the fetal disc and fetal membranes can be delivered in turn.

5. Clean the uterine cavity as in full-term cesarean section.

6. Suture the uterine incision with No. 1 chromic gut thread. Use interrupted sutures of the myometrium, taking care not to penetrate the endometrium. The second layer is continuous sutures of the myometrium and seromuscular layer.

7. Check whether there are any abnormalities in the bilateral ovaries and fallopian tubes. Those who are required to undergo ligation should undergo bilateral tubal sterilization.

8. Close the abdomen, clean the abdominal cavity and instruments, and close the abdomen layer by layer.

Precautions

1. Pay attention to protecting the abdominal wall incision to prevent amniotic fluid and decidua from flowing into the abdominal cavity and causing endometriosis.

2. To prevent amniotic fluid embolism, do not rupture the membranes when cutting the uterus. Clamp the uterine incision before rupturing the membranes, and inject oxytocin after the fetus is delivered.

For women who are more than 5 months pregnant, if they undergo induced labor, it will be relatively painful, because such an induced labor operation is almost equivalent to a cesarean section, so it is relatively serious harm to the female body. Therefore, after the clinical operation, you must pay attention to rest and diet to ensure your body recovers as soon as possible.