Induced abortion is the intentional termination of a pregnancy, the removal of the embryo or the death of the fetus. In recent years, the rate of artificial abortion in our country has continued to increase, and there are still several \”abortions\” every year. According to statistics from relevant national departments, there are nearly 5 million abortion operations nationwide every year, not including operations in some black clinics. How does this operation work?
Preparation for abortion surgery
Before surgery, regular hospitals must conduct preoperative examinations on pregnant women, such as blood routine, urine routine, B-ultrasound, electrocardiogram, leucorrhea routine, etc. Through these examinations, we can know whether there are systemic diseases, whether there is ectopic pregnancy, whether there is gynecological inflammation, and we can accurately determine the size and location of the gestational sac, which increases the safety of the operation.
abortion procedure
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attract uterine cavity
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suck
1. Operators should wear clean work clothes, hats, masks, wash hands, and wear sterile gloves.
2. The subject takes the dilation and curettage position (vesical lithotomy position).
3. Cover the vulva with a sterile towel.
4. Check the position, size and appendages of the uterus in detail.
5. Use a speculum to dilate the vagina, wipe away vaginal fluid, and expose the cervix. After the cervix and cervical canal are disinfected, use cervical forceps to clamp the anterior or posterior lip of the cervix.
6. Use the probe to detect the depth of the uterine cavity according to the direction of the uterus.
7. Use a cervical dilator to gently dilate the cervix little by little in a pen-like manner (the degree of dilation is half a size to one size larger than the straw used).
8. Suction the uterine cavity
(1) Connect the suction tube to the negative pressure device prepared before surgery.
(2) Slowly send the suction tube into the uterine cavity along the direction of the uterus. Once you reach the bottom of the uterus, step back slightly to find where the embryo will implant.
(3) Loosen the clamp on the negative pressure bottle device. After you feel the negative pressure, rotate the straw clockwise or counterclockwise and move it up and down. When you feel that there is flow to the suction tube, and you feel the uterine contraction and the roughness of the uterine wall, fold and pinch the leather tube, take out the suction tube (be careful not to bring the negative pressure into and out of the cervical canal), and then reduce the negative pressure to 100- 200mmHg, continue to use the suction tube to suction the uterine cavity for 12 weeks according to the above method, then take out the suction tube and measure the depth of the uterine cavity.
(4) When removing the straw, if the embryonic tissue is stuck in the head of the straw or in the lumen, start the machine to suck the tissue into the bottle, and then shut down. If tissue is stuck in the cervix, oval-shaped forceps can be used to remove the tissue.
If necessary, use a small curette to gently scrape the fundus and corners of the uterus to check whetherSuck clean. If you need to have an IUD inserted, you can proceed as normal.
9. Ensure that the gestational sac and surrounding tissues are sucked clean
Signs of sniffing are:
(1) The tip of the suction tube is close to the wall of the uterine cavity.
(2) The uterine cavity shrinks by 1.5-2.0 cm.
(3) Bloody foam appears on the cervix.
10. Wipe the vagina with gauze, remove the cervical forceps, take out the speculum, and the operation is completed.
11. Filter the aspirated material and check whether the embryos and villi are intact. Measure the volumes of blood and tissue respectively. If abnormalities are found (absence of villi, etc.), they should be sent for pathological examination.
12. The doctor fills in the operation record
Anti-inflammatory after abortion
Necessary anti-inflammatory treatment is generally required after abortion to prevent postoperative infection and avoid complications. After cleaning the vulva after surgery, put on clothes and proceed. Usually it is infusion or medicine to reduce inflammation.
It goes without saying that the harm of abortion is harmful, but the speed of abortion is still increasing. Taking safety measures beforehand is the best way to prevent problems before they happen. If you encounter an unacceptable unwanted pregnancy due to some carelessness or negligence, you should also know what the correct and safe way to handle it is to avoid secondary harm. In short, please don\’t move casually.