Patient's question:
I had an abortion a year ago and am now pregnant again. I want to have another abortion. Can the doctor determine if I have had an abortion based on changes in the cervix? Thank you!Doctor's answer:
Women with cervical insufficiency often experience cervical dilation and protrusion of the gestational sac into the cervical canal during the second trimester of pregnancy, as the fetus grows, amniotic fluid increases, and intrauterine pressure rises. Most patients are asymptomatic, and when the membranes rupture, the fetus may be expelled.If the bleeding duration is prolonged, there is retained tissue in the uterine cavity, or there are complications from illegal abortion, it may lead to intrauterine infection. In severe cases, the infection can spread to the pelvic cavity, abdominal cavity, or even the entire body, resulting in conditions such as pelvic inflammatory disease, peritonitis, sepsis, and septic shock, which are collectively referred to as septic abortion.