What Are the Possible Causes of Bleeding after Abortion?

Although abortion is a relatively safe operation, if the postoperative vaginal bleeding exceeds the menstrual volume or lasts for more than a week, it should be regarded as abnormal, and you should go to the hospital as soon as possible for consultation.

Beware of abnormal bleeding after abortion

Right!

Although abortion is a relatively safe operation, if the postoperative vaginal bleeding exceeds the menstrual volume or lasts for more than a week, it should be regarded as abnormal, and you should go to the hospital as soon as possible for consultation.

Cause of bleeding

The causes of bleeding are as follows:

Infectious bleeding is more common, mainly due to vaginitis or cervicitis. No treatment was given before surgery or the treatment was incomplete, the vagina and cervix were not sufficiently disinfected during surgery, or a few people had intercourse prematurely after surgery, causing bacteria to enter the uterine cavity from the cervix and acute endometritis, uterine myositis, and acute pelvis Yan and so on. The clinical manifestations are endless vaginal bleeding, dark red or light red blood, smelly, and severe cases with lower abdominal pain and anal swelling, fever, chills and so on. After the onset of the disease, a sufficient amount of antibiotics is mainly used to control the development of the disease and stop bleeding.

Abnormal abortion of pregnant women with abnormal uterine position, such as excessive forward and backward flexion, or backward and backward flexion, or failure to suck up embryonic tissue during surgery, resulting in residual part of the embryonic tissue, affecting the normal contraction and recovery of the uterus, can cause more than vaginal bleeding . Bleeding is intermittent, with bright red or blood clots ranging in size, with discomfort such as lower abdominal pain and low back pain. A small number of patients may suffer from major bleeding, even coma and shock, and need to be rushed to the hospital for rescue.

Poor uterine restoration is more common in the flow of people during pregnancy, lactation, or after cesarean delivery, especially those who do not rest after the abortion, continue to work, and have endless vaginal bleeding. Such patients can quickly achieve hemostasis after rest and application of uterine contraction agents, such as ergot oxytocin or Yimu cream.

Cancerous bleeding is rare clinically and is often misdiagnosed as bleeding from other causes. According to statistics, there are about 0.1% to 3.6% of patients with secondary villous cancer after abortion. After the above treatment of vaginal bleeding, especially those who are still ineffective after repeated cleansing of the palace, they should be highly alert to the possibility of malignant transformation.