Patient's question:
A while ago, a friend of mine was pregnant for five months, but due to some unavoidable reasons, she could no longer keep the child. Because the pregnancy was at an advanced stage, she later underwent an abortion procedure at the hospital.Doctor's answer:
Problem Analysis: Before a pregnant woman undergoes an induced abortion, she is usually asked in detail why she wants to terminate the pregnancy, whether she has a history of bleeding, whether there are any liver or kidney diseases or hereditary diseases in her family, as well as her menstrual history, previous pregnancy and delivery history, and other details about the current pregnancy. Then, a comprehensive physical examination is required, such as a gynecological examination and leukorrhea tests, to determine if she is eligible for an induced abortion procedure.Advice: Next, her temperature, pulse, blood pressure, blood tests, and urinalysis should be measured. If necessary, liver and kidney function tests and chest X-ray electrocardiogram tests may also be required. If the pregnant woman has severe cervical inflammation or discharge, treatment should be administered first to improve the condition before the surgery. Infections and complications after induced abortion typically occur within two weeks post-procedure, and patients may experience fever. If the fever persists for more than 24 hours, it can be basically diagnosed as a secondary infection after induced abortion.
According to the pregnant woman's gestational age, the condition of her cervical development, the status of her cervix, and the amount of medication required before the surgery, it may be necessary to perform an ultrasound to locate the placenta. Low-lying placenta is contraindicated, which is also the important significance of pre-procedure examinations for induced abortion.
Miscarriage and induced abortion are two different concepts. Miscarriage generally occurs in the first three months of pregnancy, while induced abortion occurs between the fourth and sixth months. Therefore, the risks of induced abortion are higher, and the postoperative complications are relatively more frequent.