Abortion methods include surgical abortion and medication abortion. Surgical abortion includes negative pressure suction and forceps scraping; medication abortion, currently clinical application of mifepristone and misoprostol, the application of the two in combination to terminate early pregnancy complete abortion rate of more than 90%. For the choice of the two abortion methods, the clinical time of pregnancy, the presence of serious diseases and other factors to clarify.
I. Choice of abortion methods
1.Confirmation according to the time of pregnancy
Surgical abortion: negative pressure suction is suitable for those who are within 10 weeks of pregnancy without contraindications; forceps scraping is suitable for those who are 10-14 weeks of pregnancy, but it is more damaging and less used.
Drug abortion: for early pregnancy ≤ 49 days, drug abortion can be performed in the outpatient clinic; early pregnancy > 49 days should be considered as appropriate, if necessary, inpatient abortion.
2.Confirmed according to indications
Surgical abortion: suffering from a serious disease that makes it inadvisable to continue the pregnancy.
Medication abortion: those with high risk factors for surgical abortion, such as scarred uterus, lactation, cervical dysplasia or severe pelvic deformity; history of multiple abortions, and those with fear and apprehension of surgical abortion.
3. Regardless of whether it is a medical abortion or an abortion, it is necessary to confirm the diagnosis of intrauterine pregnancy and exclude ectopic pregnancy in advance.
Contraindications to abortion
1.Surgical abortion: inflammation of the reproductive tract; acute stage of various diseases; poor general condition, unable to tolerate surgery; body temperature above 37.5℃ twice before surgery.
2, drug abortion: contraindications to the use of mifepristone, such as adrenal and other endocrine diseases, history of pruritus during pregnancy; contraindications to the use of prostaglandin drugs, such as cardiovascular disease, glaucoma, asthma, etc.; pregnancy with apparatus, ectopic pregnancy; allergic constitution, pregnancy vomiting, long-term use of anti-tuberculosis, anti-epilepsy, anti-depression, anti-prostaglandin.
Third, the precautions after abortion
1. Surgical abortion (negative pressure suction as an example)
(1) Book the date of operation, not the earlier the operation the better, if the gestational period is too small, it is easy to cause leakage of suction or suction empty.
(2) No intercourse three days before the operation.
(3) Take preoperative medication as prescribed by the doctor on the day of surgery.
(4) Seek medical consultation if there is any abnormality after surgery.
(5) Review one month later.
2.Medical abortion
(1) must be used under the supervision of regular hospital medical staff.
(2) If the bleeding is heavy or persistent after 2-3 days of medical abortion, promptly consult a doctor.
(3) If the tissue is not discharged within two weeks after the drug is used, prompt medical consultation should be made.
(4) Strictly contraceptive, can immediately take compounded short-acting oral contraceptive pills.