(1) Bleeding: Intraoperative bleeding often occurs in the larger number of weeks of gestation. Because the placenta area is larger, and the straw used is smaller and the negative pressure is not enough, the placenta and fetal components can not be quickly removed, the uterus can not be a good contraction to stop bleeding, so it is easy to cause bleeding. At this point the placenta should be removed as soon as possible and the contents of the uterine cavity, and then inject uterine contractions, bleeding will stop. (2) Residual after abortion: If there is a small part of villi or aponeurosis in the uterine cavity after artificial abortion, postoperative infection is prone to occur. The symptoms are poor uterine contractions, irregular vaginal bleeding, bleeding to 2 weeks after surgery, and sometimes a lot, or bloody vaginal discharge, odor, and more accompanied by micro-heat, indicating intrauterine infection. At this time we must ask the doctor to carefully check, if found in the uterine cavity with villi or aponeurosis and some blocked in the cervix, should be anti-infective at the same time, immediately disinfect the local, and then remove the residual tissue in the bureau, after surgery to give Antibiotics and official drugs. Sometimes a small amount of residual decidua tissue in the uterine cavity, due to chronic inflammation and foreign body stimuli, easy to form endometrial polyps, blood flow and uterine wall blood flow and cause bleeding. Because polyps can persist in the uterus for a long time, they should be surgically removed under hysteroscopy to completely resolve abnormal uterine bleeding. (3) Absorption: pregnant women still have early pregnancy after abortion. In addition to the uterine malformation that affects the success of the operation, there is often another condition, because the position of the uterus is not good, or the surgeon is timid. Failed to suck out the embryonic tissue so that the fetus continues to grow in the uterus. Pregnant women must not have any illusions about this. They should go to the hospital for surgery as soon as possible. Because the fetus undergoes abortion trauma, even if it is full-term delivery, it is likely to be a disability child, and it will give children, families, pain or burden. (4) Uterine perforation: Artificial abortion is a blind operation that depends on the feeling of a doctor. Such as maternal uterine position is not good (heavy dorsiflexion or posterior flexion), cervical dysplasia, age <20 or 50 years of age (poor cervical and vaginal flexibility, weak uterine contractility), lactation uterus softer, In the Palace of malformations, will bring certain difficulties to the surgery, and even uterine perforation. Perforation of the uterus on pregnant women suddenly felt severe lower abdominal pain, accompanied by nausea, vomiting, anal fall and other discomfort, severe pale, cold sweat, cold extremities, and even fainting. At this point, the operation should be stopped immediately, and the necessary inspections should be done. It is best to observe the diagnosis and treatment after admission. If it is a small perforation, such as a probe perforation, treatment with antibiotics and uterotonics can be healed for several days after observation. If the above treatment fails to improve, there are abdominal pain, tenderness, rebound tenderness, and abdominal muscle tension. It should be thought that there is a possibility of internal bleeding or organ damage. At this time, the lesions should be found to be cleaned up and surgically treated to ensure surgery. Health and safety. Guard against long-term complications of artificial abortion In recent years, due to reasons such as eugenics and unmarried pregnancies, the number of cases of abortions that are selected for the first pregnancy is increasing. For the recent complications of abortion—infection, uterine perforation, etc.—most women of child-bearing age know a little about it, but little is known about its long-term complications. 1, irregular menstruation. About half of patients after artificial abortion resumed ovulation function around the 22nd day after surgery. A few menstrual cycles were irregular, menstrual period extended, and menstrual flow increased. If it does not recover naturally, it must be treated with irregular menstruation. 2. Infection causes endometritis and salpingitis. Pregnant women suffering from inflammation of the genital organs before surgery are not treated. Aseptic operation after disinfection is not strictly performed during the operation, and no attention is paid to local cleanliness or premature operation after surgery, which can cause endometritis. If the treatment can not be completely converted to chronic pelvic inflammatory disease, there will be frequent lower abdominal pain, lumbosacral pain, increased vaginal discharge embolism. Some patients suffering from endometriosis may develop endometrial dysplasia after pregnancy, leading to placental adhesions that cause postpartum hemorrhage during childbirth and endanger the lives of patients. Salpingitis can cause obstruction of the fallopian tube and lead to secondary infertility. 3, cervical cancer and intrauterine adhesions. Intraoperative abortion suction head repeatedly absorb intrauterine tissue or in and out of the cervix is ​​not just brilliance, can increase the damage of the endometrium and uterine basal layer, which can cause postoperative cervical canal and uterine cavity adhesions.
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