(Disclaimer: This article is only for popularization purposes, in order to protect the patient’s privacy, the relevant information in the following content has been processed) Abstract: This case is a 39-year-old pregnant woman, self-reported: menopause for 2 months, during the period of regular obstetrical examination, blood tests and ultrasound suggest that the development of the fetus is normal. Recently, due to work exhaustion, abdominal pain as well as vaginal bleeding symptoms appeared 2 days ago, accompanied by blood clots outflow, so she came to the hospital. The ultrasound of uterine adnexa suggested incomplete spontaneous abortion, and painless uterine surgery was given in time, and postoperative medication was given for symptomatic treatment, after which the patient recovered well and was discharged from the hospital successfully. Basic information] Female, 39 years old [Type of disease] Incomplete spontaneous abortion [Hospital] Jinan Combined Traditional Chinese and Western Medicine Hospital [Time of consultation] June 2022 [Treatment plan] Surgery (painless uterus removal surgery) + medication (contraction injection, compound amino acid injection, ornidazole injection, ceftazidime for injection, drospirenone ethinyl estradiol tablets (Ⅱ), biochemical broth) [Treatment cycle Hospitalization for 2 days 【Treatment effect】 Postoperative uterine contraction was good, the patient recovered well and was successfully discharged I. Initial interview The patient in this case was a 39-year-old pregnant woman of advanced age who came to our hospital in June 2022 for consultation. She reported that she had regular menstruation and her last menstruation was on March 28, 2022, and she was diagnosed to be pregnant after 1 week of delayed menstruation, during which she underwent regular obstetric checkups, and her blood tests and ultrasound showed normal fetal development. Recently, due to work fatigue, she had abdominal pain and vaginal bleeding 2 days ago, and the amount of vaginal bleeding was larger than the normal menstrual flow, accompanied by blood clots, so she urgently came to the hospital for consultation. Ultrasound of the uterine adnexa suggested: uterine cavity residue. Blood HCG: 1484 mIU/mL, progesterone: 5.19 ng/mL. outpatient doctor diagnosed: incomplete spontaneous abortion. Because of the heavy bleeding and relatively large amount of residue, the outpatient clinic recommended timely hospitalization for purging treatment, and the patient agreed. (Ultrasound) After admission to the hospital, blood routine, blood type, coagulation system, viral set, electrocardiogram, chest fluoroscopy and other related examinations were completed. The patient requested painless hysterectomy, so according to the results of the examination, all relevant contraindications were ruled out, and painless hysterectomy was given to the patient after 6 hours of dietary abstinence. During the operation, contraction was poor, and the patient was given intrauterine injection, postoperative rehydration with compound amino acid injection, prevention of infection with ornidazole injection and ceftazidime for injection, biochemical soup to promote the discharge of stasis as soon as possible, and short-acting contraceptive drospirenone ethinyl estradiol tablets (Ⅱ) for contraception, repair of the endometrium, and promotion of the uterus to recover. Third, the treatment effect The whole process of uterine clearance surgery went smoothly, clearing out the residual tissue in the uterine cavity of about 2-3 cm, in line with the ultrasound suggests that the size of the residue. Due to the poor contraction during the operation, hysteronin was given in time to promote uterine contraction, and subsequently the patient had better uterine contraction and little postoperative bleeding. Combined with the comprehensive treatment of anti-inflammatory, rehydration, and traditional Chinese medicine biochemical soup after the operation, the patient recovered well. On the second postoperative day, the patient’s general condition was good, her vital signs were stable, she reported that she could sleep well, her bowel movements were normal, she had no abdominal pain or lumbar pain, she had a small amount of vaginal bleeding, and there was no obvious discomfort, so she was discharged from the hospital without any problems. Precautions Unfortunately, the patient had an incomplete spontaneous abortion, but fortunately, the treatment was timely, and the residual tissue in the uterine cavity was successfully removed, and the patient gradually recovered her health. After being discharged from the hospital, patients should pay attention to the following matters: 1, pay attention to rest: postoperative patients rest, prohibit heavy physical labor, do not stay up all night, to ensure adequate sleep, conducive to postoperative recovery; 2, appropriate diet: postoperative diet should be light, nutritious diet is the main, such as eating more protein-containing foods, such as eggs, lean meats, milk, soybean milk, etc., and eat more fresh vegetables and fruits to ensure balanced nutrition, avoid spicy, stimulating, cold, cold, and so on, and avoid eating spicy, stimulating, cold, cold, and so on. Avoid eating spicy stimulation, cold and other foods; 3, maintain hygiene: after surgery due to the decline in body resistance and immunity, personal hygiene should pay attention to, prohibit the basin bath, can shower, can be washed with warm boiled water every night vulva, to keep the vulva clean and dry; 4, other: it is recommended that the patient is prohibited from having sexual intercourse for one month after the operation, such as the body of other anomalies, should be timely to see the doctor for a follow-up examination. V. Personal perception After pregnancy, if women do not pay attention, such as the existence of overwork, premature or frequent coitus, trauma and other conditions, are prone to cause miscarriage. Once abdominal pain and vaginal bleeding occurs after pregnancy, you should consult a doctor in time, first through ultrasound, blood HCG, progesterone and other relevant indicators to help determine. In most cases of preeclamptic miscarriage, the pregnancy can continue after active birth control. However, if the patient does not seek timely medical attention, the pregnancy will inevitably miscarry and will not continue, requiring treatment through medication or uterine evacuation, such as in this case.