You can go to some regular institutions for surgery. If the pregnancy is less than 28 weeks and the fetal weight is less than 1000g, the termination of pregnancy is called abortion. Abortion occurs in 12 weeks of pregnancy, the former is called early abortion, and the latter is called late abortion when it occurs in 12 weeks of pregnancy less than 28 weeks. Abortion is divided into natural abortion and induced abortion. The incidence of spontaneous abortion accounts for about 15% of all pregnancies, and most of them are early abortions. There are also two special types of abortion: missed abortion and habitual abortion.

treat cordially

Abortion is a common disease in obstetrics and gynecology. Once the symptoms of abortion appear, corresponding treatment should be carried out in time according to different types of abortion.

1. threatened abortion

Pay attention to rest, avoid sexual life, and have a gentle vaginal examination. Patients with luteal insufficiency can be supplemented with progesterone, which has the function of protecting the fetus. Secondly, vitamin E and low-dose thyroxine can also be used (suitable for hypothyroidism patients). In addition, psychological treatment of threatened abortion patients is also very important, which can stabilize their emotions and enhance their confidence. After treatment, the symptoms did not alleviate or worsen, suggesting that there may be abnormal embryonic development. B-ultrasound examination and β-HCG determination were performed to determine the embryo status and give corresponding treatment, including termination of pregnancy.

2. Inevitable abortion

Once diagnosed, the embryo and placenta should be completely expelled as soon as possible. Early abortion should be treated with negative pressure suction in time, and the pregnancy products should be carefully examined and sent to pathological examination. Late abortion, because the uterus is large, it is difficult to suck or curettage. Oxytocin 10 unit can be added to 500ml 1% glucose solution for intravenous drip to promote uterine contraction. When the fetus and placenta are discharged, it is necessary to check whether they are complete. If necessary, it is necessary to clear the uterus and remove the residual pregnancy products in the uterine cavity.

3. Incomplete abortion

Once the diagnosis is made, curettage or curettage should be performed in time to remove the residual tissue in the uterine cavity. People with bleeding and shock should be given blood transfusion at the same time and antibiotics to prevent infection.

4. Complete abortion

If there are no signs of infection, special treatment is generally not needed.

5. Missed abortion

It's hard to handle. Because of the timing of placental tissue, it is closely attached to the uterine wall, which makes it difficult to curettage. If the retention time is too long, coagulation dysfunction may occur, leading to disseminated intravascular coagulation (DIC) and severe bleeding. Before treatment, blood routine, bleeding and clotting time, platelet count, fibrinogen, prothrombin time, blood clot contraction test, plasma protamine parathrombin test (3P test) should be checked to make preparations for blood transfusion. The uterus is less than 12 gestational weeks. Curettage is feasible, and uterine contractions are injected during operation to reduce bleeding. If the placenta is organized and closely adhered to the uterine wall, special care should be taken in the operation to prevent perforation. If it cannot be scraped at one time, it can be scraped again after 5 ~ 7 days. If the uterus is larger than 12 gestational weeks, oxytocin should be injected intravenously, and prostaglandin or ethacridine can also be used to induce labor to promote fetal and placental discharge. If the coagulation function is impaired, heparin, fibrinogen and new blood transfusion should be used as soon as possible, and after the coagulation function is improved, induction of labor or curettage should be performed.