Induced abortion process
Release time : 11/04/2025 09:30:04
Abortion refers to the induced termination of pregnancy by artificial methods, when women are 12 weeks pregnant due to their own or fetal reasons.
What is the process? What situations require induced abortion? How is it performed? How does an induced abortion occur? Induced abortion refers to the artificial induction of uterine contractions in a woman, after 12 weeks of gestation, due to reasons related to the woman or the fetus, to terminate pregnancy.
So, how does the induced abortion process work? Let's take a look at what it involves.
Generally speaking, the abortion process can be divided into three stages: pre-abortion examinations, intraoperative procedure, and postoperative care.
Pre-surgical Examination: The pre-surgical examination for induced abortion generally includes urinalysis, ultrasound, electrocardiogram, vaginal discharge routine, and so on.
Upon the aforementioned examinations, it is possible to ascertain whether the woman undergoing induced abortion is in an intrauterine pregnancy, determine the cleanliness of the vagina, examine the size of the uterus, and assess whether she can tolerate anesthesia.
During surgery: The woman in labor is taken to the preparation room, her shirt removed, and then into the operating room. She lies on the table, legs spread apart, secured to a support frame.
Then a needle is used to inject 100 milligrams of the drug through the amniotic sac into the placenta, which can induce contractions and expel the fetus within 36 hours.
After the fetus is expelled, curettage surgery is needed. The process of Qing Gong can be either injected with narcotic drugs or painless abortion.
The entire operation time needs to be determined according to the woman's pregnancy month, fetal sac size, personal constitution, etc.
Post-operation nursing: After inducing labor, women should consume enough protein, vitamins, inorganic salts and other nutrients, pay attention to hygiene, and rest more.
After inducing labor, women have to wait until the uterus fully recovers before they can share the same room.
What circumstances require a miscarriage? In cases where the woman is unable to continue with the pregnancy due to physical incompetency or issues with the fetus, a miscarriage must be carried out through induced labor.
Under what circumstances does a pregnancy need to be terminated? Let's take a look at this.
1. A woman suffering from chronic nephritis.
In women with chronic nephritis, it will increase the burden on the kidneys after pregnancy and aggravate various symptoms, which is not conducive to the growth and development of the fetus and the health of the mother.
In this case, induction of labor should be performed as soon as possible to terminate the pregnancy.
2. Intrauterine stillbirth.
If a pregnant woman feels that fetal movement has disappeared and a doctor's examination determines that the fetus has died in the uterus, abortion should be induced in time to expel the stillbirth to ensure the safety of the pregnant woman.
Pregnant women with severe pregnancy poisoning.
Severe pregnancy toxemia often occurs in the later stages of pregnancy. Pregnant women with this condition experience symptoms such as hypertension, dizziness and headaches, vomiting, edema in the lower extremities, and proteinuria in the urine. If the condition does not improve after treatment, continuing the pregnancy may lead to seizures or premature separation of the placenta from the uterine wall, resulting in significant bleeding in the uterus and fetal hypoxia, or even a miscarriage.
Therefore, pregnant women with severe pregnancy toxemia should undergo an induced abortion as soon as possible.
4. Fetuses with congenital malformations or those who cannot survive.
When doctors examine the fetus using ultrasound and discover severe deformities or a fetus that cannot survive, timely induced abortion is also necessary.
5. Pregnant women with excessive amniotic fluid.
When a pregnant woman develops polyhydramnios, the fundus of the uterus will rise sharply, pressing on the pregnant woman's stomach, and even displacing the heart, causing palpitations, holding her breath, and difficulty lying flat, affecting sleep and diet.
If a doctor diagnoses that polyhydramnios causes the above malignant symptoms in a pregnant woman, abortion should be induced as soon as possible and the pregnancy should be terminated.
6. Pregnant women with diabetes or other serious organic diseases.
Pregnant women with diabetes or other serious morbid conditions, who are physically weak and lack energy, should consider terminating the pregnancy if they continue to carry it, as this may be detrimental to both themselves and the fetus.
The methods of induced labor generally fall into two categories: water sac induction, Tianhuang hua induction, Lifannuo induction, prostaglandin induction, and painless induction. Doctors usually choose the appropriate method of induced labor based on the specific circumstances of the patient undergoing labor induction.
In clinical practice, the most commonly used abortifacient methods are intrauterine saline instillation and prostaglandin-induced abortion.
Here is a brief introduction to the water bag induced abortion method.
Water Bag Embolization for Inducing Abortion: This technique involves the placement of a specially designed water bag, surgically, between the uterine wall and the fetal membranes of the pregnant woman. The volume of saline solution to be injected is determined according to the gestational age of the woman undergoing the procedure. For instance, if the pregnancy is at month 4, 400 milliliters are injected, while for month 5, 500 milliliters. However, the maximum volume should not exceed 500 milliliters; after that, the tube opening is securely fastened with a sterile gauze, which is then inserted into the vagina.
Placement of the water bag should be closely monitored to prevent accidents.
The principle of the hydroceliotomy is as follows: mechanical stimulation can stimulate the uterine wall and cause contractions, dilate the cervical orifice, and subsequently lead to localized fetal membrane detachment, decidual transformation, and an increase in prostaglandins in amniotic fluid, all of which promote uterine contractions and ultimately result in miscarriage.
It is important to note that the success rate of water bag induction is approximately 90%, but it also has certain contraindications, such as pregnant women with scars in the uterus, pregnant women with inflammation in the reproductive organs, and pregnant women who experience repeated bleeding during pregnancy, etc., are not suitable for the water bag induction surgery.
Dilation and curettage refers to the artificial induction of uterine contractions by women in their third month of pregnancy to end the pregnancy.
When is the optimal time for induced abortion? Let's take a look at the introduction! Generally speaking, terminating pregnancy artificially in the second to twelfth week of pregnancy can be referred to as mid-term induced abortion.
At 28 weeks of pregnancy, termination of pregnancy through artificial means is referred to as labor at the late stage of pregnancy.
In fact, there is no specific optimal time for induced abortion surgery, as it refers to a procedure performed by women after 12 weeks of pregnancy. The earlier the procedure is carried out, the less harm it causes to the woman.
Therefore, abortion surgery should be carried out as early as possible within the 12th to 24th weeks of pregnancy, during which the placenta has been formed, the fetus is relatively large, and the bones are hard. The vagina needs to be fully dilated for delivery.
Additionally, due to the enlargement of the uterus and congestion and softening of the uterine wall during labor, it is easier to damage the uterine wall during surgery. Mid-term induction of labor is more difficult than early miscarriage and has a higher incidence of complications. Therefore, it is advisable to perform induction of labor at this stage; otherwise, the longer the period between the onset of labor and the induction of labor, the greater the potential harm to the female body and even the risk of infertility.
It is important to note that women who have undergone an induced abortion must take good postoperative care. They should consume adequate amounts of proteins, vitamins, and minerals, maintain hygiene, rest sufficiently, etc. Otherwise, they may lay the groundwork for future health issues.
For women considering induced abortion, it is important to undergo a thorough examination at a hospital. The procedure of induced abortion can be harmful to the female body and is not suitable for all women. Therefore, women who wish to terminate pregnancy through this method should visit a hospital for a detailed check-up to determine if they are eligible for an induced abortion.
What tests are needed for a termination of pregnancy? Let's take a look together.
Generally speaking, women who wish to terminate a pregnancy through induced labor must undergo a thorough examination at a hospital. The examination includes the following: 1. The doctor will ask detailed questions about the patient's medical history, including her past history, bleeding history, liver and kidney disease history, menstrual history, pregnancy and childbirth history, and the details of this current pregnancy.
2. Full-body examination and gynecological examination, routine bacteriology of vaginal discharge.
3. Measurements include body temperature, pulse, blood pressure, blood tests, urine routine, and sometimes liver and kidney function tests, chest X-ray, and ECG examinations.
4. For individuals with severe cervicitis or those who have a high volume of discharge during induced abortion, treatment should first be administered until the condition improves before proceeding with the induced abortion surgery.
Antibiotics should be given to those who induce labor before surgery to prevent infection.
If necessary, secretion culture and drug allergy testing should also be performed.
5. For those who have a larger pregnancy month, cervical dysplasia, small uterine orifice, and long cervical canal, they should take certain drugs before induction surgery to improve the situation.
6. If necessary, B-ultrasound examination should be performed to locate the placenta. It is contraindicated for those with low placenta.
Does induction of labor lead to infertility? I believe many women would like to know whether induction of labor will lead to infertility? In fact, every type of abortion operation has certain hazards and cannot be 100% guaranteed that there will be no side effects or sequelae.
So, does induction of labor lead to infertility? Let's let Ma Net Encyclopedia introduce it below.
In fact, any induction of labor may lead to secondary infertility or habitual abortion in women.
Too many induced labor, the higher the chance of a woman suffering from infertility.
Therefore, when you have an unexpected pregnancy, if you want to end the pregnancy, it is best to have a painless abortion within 3 months of pregnancy, so that the harm to the body will be relatively small.
Most of the causes of infertility are caused by inflammation and blockage of the fallopian tubes.
Multiple induced abortions can cause certain damage to the uterus and body, and may lead to infertility.
If a woman has ever been pregnant or undergone an abortion and, within one year, has not taken contraceptive measures without conceiving, she is said to have secondary infertility.
The causes of secondary infertility include: abortion, adnexitis, fallopian tube obstruction, and poor follicular development.
In summary, although it cannot be said that induced abortion is the direct cause of female infertility, women who have undergone induced abortions are at a certain risk of physical and uterine damage. As a result, they are more susceptible to various gynecological infections, such as vaginitis, pelvic inflammation, and cervicitis. If these infections affect the fallopian tubes, they can lead to inflammation or blockage, ultimately causing infertility.
Therefore, after the abortion surgery, women must take good care of their bodies.
The medical information provided in this text is for reference only.
If you feel unwell, it is recommended to seek medical attention immediately, and the medical diagnosis and treatment will be subject to offline diagnosis.