Is it necessary to have a uterine clearance after a miscarriage?

Patient's question:

If the child is not very young, it will be less painful. Is induced abortion more dangerous than giving birth? Is it true that most women need a uterine clearance after induced abortion? I want to know if there is a risk to life. I have given birth to two children and have a vaginal tear. If I have an induced abortion, will I also have a vaginal tear? Finally, what is uterine clearance? Thank you.

Doctor's answer:

Hello, if it is not more than 5 months, it will not lead to perineal laceration. Induction of labor may cause heavy bleeding, amniotic fluid embolism, and other life-threatening complications. The smaller the gestational age, the relatively less pain it is.
Medical Advice: It is recommended to undergo induction of labor at a regular hospital. After the fetal and placental tissue is expelled, a uterine aspiration is generally required. Postoperative restrictions include abstaining from sexual activity and tub baths for one month, taking anti-inflammatory medication and uterine relief medication for one week. If the bleeding persists for less than one week, a follow-up ultrasound is necessary.

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