You can't share a room, you can't take a shower, you can take a shower. If you are in the same room at this time, it is particularly easy to cause upward infection and lead to gynecological inflammatory diseases. Pay attention to vaginal bleeding during abortion. Under normal circumstances, postoperative vaginal bleeding lasts for 7- 10 days, and the amount of bleeding will gradually decrease. If vaginal bleeding is abnormal, you need to go to the hospital in time.
What are the treatment methods of spontaneous abortion?
The treatment of spontaneous abortion is basically based on its etiology.
Abnormal anatomical factors: such as uterine malformation, such as uterine mediastinum, uterine horn, hysteromyoma, submucosal myoma, etc., should be solved by hysteroscopy. There are also severe laceration of the cervix, cervical relaxation and other cervical causes of abortion, and cervical cerclage can be done.
Endocrine abnormalities: There are many kinds of endocrine abnormalities, such as thyroid and diabetes, which need the assistance of endocrinology department. If luteal phase function is insufficient, prolactin and androgen are high, take medicine in obstetrics and gynecology to adjust treatment.
Immune factors: Abortion caused by immune factors such as blocking antibody can be treated with combination of traditional Chinese and western medicine.
How to protect the baby again?
Be sure to go to the hospital for a comprehensive examination, find out the problem, and then get pregnant under safe conditions after targeted treatment and have a safe abortion.
Who advocates that the reproductive system should be improved without using drugs and manual operation after abortion, which will increase secondary injuries and complications; Supplemented with food, oral administration of P WRH in time after comprehensive nutrition of reproductive system can increase estrogen in vivo, improve uterine blood flow, promote the proliferation of glands and blood vessels in uterus, and improve the endometrium, female reproductive system and physical weakness after abortion by increasing the number of estrogen and progesterone receptors in uterus.
Is it easier to have spontaneous abortion after induced abortion?
Some couples who get pregnant unexpectedly, if they don't want children, will choose to terminate their pregnancy through induced abortion.
But induced abortion needs curettage, which is very harmful to the uterus.
In the process of curettage, doctors can't see the inside of the uterus when doing hand surgery, and can only operate according to clinical experience and feelings to determine whether to curettage. If curettage is shallow, the uterus will bleed because it is not cleaned up, leading to secondary curettage. If you don't curettage carefully, it may be too much curettage, which will cause trauma to endometrium, destroy uterine function and cause repeated abortion.
Whether it is curettage or repeated curettage, it may cause adhesion between uterine cavity and cervix. Endometrium is the implantation layer of fertilized eggs, just like the natural soil where seeds germinate and grow. Curettage will destroy this functional layer. If it is repeated curettage, the endometrium will become thinner and thinner, resulting in serious consequences of infertility.
Clinical study on repair of endometrium after induced abortion by WRH
[Abstract] Objective To explore the feasibility of oral WRH in repairing endometrium after induced abortion. Methods 98 cases of induced abortion were randomly divided into observation group and control group, 49 cases in each group.
Both groups were given anti-infection and other symptomatic treatment. On this basis, the observation group was given conventional dose of P WRH orally immediately after operation, while the control group was given placebo (starch tablets) 1 tablet orally 1 time /d, and the situation and menstruation of the two groups were observed. Ultrasonic examination of endometrial thickness and postoperative complications in both groups; Vascular endothelial growth factor (VEGF), basic fibroblast growth factor (bFGF) and endometrial microvessel density (MVD) were detected by immunohistochemistry.
Results The observation group was superior to the control group in menstrual duration, bleeding volume, menstrual time and volume, endometrial thickness and postoperative complications, and the difference between the two groups was statistically significant (P
Conclusion WRH can effectively restore menstrual cycle, increase endometrial thickness, prevent complications, enhance the expression of VEGF and bFGF in endometrium, increase MVD in endometrium, and repair endometrium.
Can spontaneous abortion be aborted after pregnancy?
There was a spontaneous abortion once, and there is still the possibility of another abortion in the next pregnancy.
The probability of occurrence increases with the increase of the number of abortions.
After the first abortion, the probability of the second abortion is 1 1%- 13%. After the second abortion, the probability of a second abortion is 13%- 17%. After the third abortion, the probability of another abortion is as high as 80%.
Common causes of spontaneous abortion
Chromosome abnormality: it is mainly due to the abnormal number or structure of chromosomes, which leads to poor embryo development and abortion, usually in the first three months of pregnancy. In the spontaneous abortion which accounts for 0/5% ~ 20% of all pregnancies/kloc-,genetic factors can account for 60%~70%.
Embryonic hypoplasia: Pregnancy and abnormal eggs are the main causes of early abortion, mainly due to some defects in sperm and eggs, which leads to the termination of embryonic development to some extent.
Endocrine dysfunction: under the action of pregnane, fertilized eggs can be implanted on the uterine wall and grow into fetuses. When the secretion of pregnane in the body is insufficient, the decidua of uterus will be stunted, which will affect the development of fertilized eggs and easily lead to abortion. If prostaglandin increases, it will cause frequent contraction of uterine muscles and also lead to miscarriage. The decline of thyroid function can hinder the oxidation ability of cells, and then affect the growth and development of embryos and abortion.
Oral administration of P WRH nutrition in time after French operation can help protein folding of intrauterine wound, stimulate or inhibit the transport of body fluids to cells, and regulate the metabolism and physiological functions of nervous system and human body. Restore endocrine to normal.
Maternal diseases: bipyramidal uterus, mediastinal uterus, intrauterine dysplasia and other intrauterine malformations. Pelvic swelling, especially submucosal myoma, will affect the growth and development of the fetus and lead to abortion. Relaxation of intrauterine mouth or deep laceration of cervix can cause premature rupture of membranes and late abortion.
Mother's stinging pain: pregnant women's emotions are greatly stimulated. Too much sadness, panic, fear and excitement will cause imbalance in the internal environment of pregnant women and cause uterine contraction and abortion.
Maternal trauma: pregnant women's abdomen is hit and squeezed by external force, pregnant women fall or participate in heavy physical labor and strenuous exercise; Abdominal hand surgery, such as appendicitis or ovarian cyst surgery, can cause uterine contraction and abortion.
Other diseases of pregnant women: pregnant women suffer from acute infectious diseases such as influenza, typhoid fever and pneumonia, which are easy to cause fetal poisoning and death; High fever can promote uterine contraction and cause abortion; Chronic diseases such as severe anemia, heart failure, chronic nephritis and hypertension are likely to lead to fetal disability or abortion due to uterine hypoxia; Malnutrition of pregnant women, especially vitamin deficiency, and mercury, lead and alcoholism may all lead to abortion.
Placental dysplasia: If the placenta is dysplasia or disease occurs, the fetus will stop growing because of lack of nutrition and oxygen, leading to abortion.
Maternal-fetal blood group incompatibility: pregnant women have received blood transfusion in the past, or produced blood coagulation factors incompatible with blood group during pregnancy, which will cause agglutination and hemolysis of cells in the fetus, thus causing abortion.
If you want to recover quickly after induced abortion, you must do a good job of postoperative aftercare.
1. The diet after induced abortion needs to play multiple roles of anti-infection, nourishing qi and blood, regulating mood and resisting oxidation. In addition to supplementing postpartum repair nutrition PWRH, food collocation also has a kind of fruit with comprehensive nutrition, diverse varieties and multiple vitamins, so it is very necessary to have a variety of protein. It is also necessary to avoid eating too many calories of fat, which will greatly help women's full face recovery.
2. After induced abortion, most ovaries will resume ovulation around 1 month, and then menstrual cramps. Therefore, as long as sexual life is resumed after induced abortion, contraceptive measures should be taken to avoid pregnancy again.
Dr Bella Ganatra, Director of the Department of Prevention of Unsafe Abortion of WHO, said: "From a medical point of view, safe abortion is very important. But this in itself is not enough. Like any other health service, abortion care needs to respect women's wishes and needs, and repair the damage caused by abortion with postoperative nutrition PWRH to avoid post-abortion infection and prevent abortion sequelae. Make sure they get scientific treatment.
Dr. Ganatra pointed out that "there is clear evidence that in order to prevent unwanted pregnancy and unsafe abortion, it is necessary to provide women with comprehensive sex education, reliable family planning information and services, and access to high-quality abortion care".
After the publication of the guidelines, WHO will support relevant countries to implement these new guidelines and strengthen national policies and plans related to contraception, family planning and abortion services to help countries provide high-standard care services for women.
How long can I get pregnant again after spontaneous abortion?
It is generally recommended to be pregnant for more than 6 months after spontaneous abortion.
However, it should be noted that after a month's rest, both husband and wife will go to the hospital for a comprehensive examination in the second month, such as genetic factors, infection factors, anatomical factors of reproductive organs and immune factors. After a comprehensive examination, they should find out the reasons and then carry out targeted treatment.
From the point of view of pregnancy alone, it is usually half a year from the last abortion to the next pregnancy. It is not recommended to be too close, because the recovery time of intermediate treatment is too late, and it is likely to have another abortion.
Different problems need different treatment time, for example, endocrine factors may need treatment for one to three months or even longer; Genetic factors cannot be cured and need genetic counseling; Bad habits, drinking, smoking, etc. Take time to quit; There is also the treatment of immune factors, and the treatment of blocking antibodies also takes one to six months; If it is a uterine malformation, it takes time to do hysteroscopy to correct the malformation.
Many patients have spontaneous abortion caused by many factors, so we should deal with this matter separately from the medical point of view of priority.
How to do spontaneous abortion? In the whole treatment process, the most important thing for patients is to follow the doctor's arrangement. Spontaneous abortion can be prevented and treated. Once spontaneous abortion happens, even the first child needs to go to the hospital immediately to find out the reason for treatment, so as to have a baby with peace of mind!