What is the harm of aspiration abortion? What method should I use for the first time? How to calculate the cost?

Induced abortion is a method of terminating pregnancy by surgery. Negative pressure suction is suitable for pregnant women less than 10 weeks. A straw can be inserted into the official cavity, and the embryo tissue can be sucked out by negative pressure to terminate pregnancy. [indications] 1. Pregnancy is within 10 week, and pregnancy is terminated without contraindication. 2. It is not suitable to continue pregnancy due to a certain disease. [Contraindications] 1. Acute inflammation of reproductive organs, such as pelvic inflammatory disease, trichomonal vaginitis, fungal vaginitis and acute cervicitis (surgery can be performed only after treatment). 2. Acute infectious diseases or acute attack of chronic infectious diseases, or serious systemic diseases such as heart failure and hematological diseases (hospitalization after treatment). 3. Hyperemesis gravidarum requires surgery after treatment. 4. If the body temperature is above 37.5 t, twice every 4 hours before operation. [Preoperative examination] 1. Medical history inquiry includes menopause, early pregnancy reaction and previous menstrual history, marriage and childbearing history and contraceptive measures, past medical history and current health status. 2. General physical examination and gynecological examination, routine examination of leucorrhea, urine pregnancy test, blood pressure and temperature measurement, uterine B-ultrasound examination, and gestational sac size. When necessary, blood routine, urine routine, liver and kidney function, chest X-ray and electrocardiogram were examined. 【 Operation method of uterine aspiration 】 1. The patient emptied his bladder and took the lithotomy position. 2. Disinfect vulva and vagina according to routine before operation. 3. Clamp the center of the front lip with a cervical clamp, and pull the cervical clamp outward with your left hand to fix the uterus. 4. Hold the uterine probe with a brush in your right hand, and gradually enter the official cavity along the direction of the uterus to detect the direction and measure the depth of the uterine cavity before operation. (Note: Whether it is consistent with vaginal double river needle examination. If in doubt, repeat Shuanghe acupuncture again to consider whether there are genital malformations or ovarian tumors. ) .5. The right-handed brush cervical dilator gradually expands to No.6, No.7 or No.8 along the direction of uterine penetration. 6. Connect the rubber tube with the suction head, and the other end of the rubber tube is connected with the negative pressure suction device. Gently put the suction head into the official cavity until it reaches the bottom of the uterus, then pull it out a little and switch it with the pedal aspirator. The suction of negative pressure gauge is 400? 500mm heart, that is, the suction head rotates in the official cavity to find the implantation point of pregnant eggs. Generally, pregnant eggs are implanted more than the anterior and posterior walls of fundus. After finding the pregnant egg, gently rotate there, twitch up and down, suck up the tissue, then rotate around the bureaucratic cavity and attract again. You can feel that the bureaucratic cavity is gradually shrinking and the uterine wall is close to the suction head, indicating that the placental tissue has been sucked up. At this point, tighten the rubber tube before taking out the suction head, and be careful not to let negative pressure in and out of the neck tube. 7. If there is embryonic tissue stuck in the mouth of the straw when pulling out the straw, the tissue can be removed with oval pliers. 8. Scrape the uterine wall with a curette for a week to check whether it is clean. If it is clean, the wall feels rough. If you feel that a certain part of the wall is slippery, it means that it is not clean, then put the suction head into the official cavity and suck the tissue there. 9. Measure the depth of uterine cavity again, take out the cervical forceps and wipe the cervical and vaginal blood with gauze forceps. If there is active bleeding, you can use gauze to stop the bleeding, take out the vaginal dilator, filter the sucked tissue with a filter, measure the amount of bleeding and tissue, and carefully check whether there is fluff in the cloth. If the tissue is not fresh and there is an old blood clot, give antibiotics to prevent infection. If abnormalities are found and villi are not found, all tissues should be sent for pathological examination. [Precautions during operation] 1. If the electric aspirator is used for induced abortion, it is necessary to check whether the machine function is normal before suction, and negative pressure suction must be used before application. 2. The maximum negative pressure during suction should not exceed 500mmHg, and then the negative pressure will decrease with the decrease of intrauterine tissue. 3. If there is resistance when the probe enters the official cavity, do not use violence to avoid uterine perforation caused by the wrong direction. Every time any instrument enters the cavity, it should be gentle to avoid injury. 4. When sucking the uterus, the action should be light, especially the uterine horn and the bottom of the uterus to prevent leakage and residue. 5. The upper end of IUD should not be directly touched by hands, nor should it touch the vaginal wall to avoid pollution. 6. During lactation, because the uterus is soft, uterine contractions should be used before operation. When sucking the uterus, the suction head should be sucked out from the lcm of the uterine bottom first, and then gently sucked into the uterine bottom after the uterus contracts to prevent uterine perforation. 7. Double uterine cavity aspiration is only performed on H, and both uterine cavities should be sucked to prevent tissue residue. 8. Those who have a history of cesarean section sometimes have a long cervical canal, or an irregular or angular passage is formed between the cervix and the uterine body. When sucking the uterus, pay attention to scar tissue to prevent perforation. 9. For pre-flexion or post-flexion uterine pregnancy, clamp the cervical anterior lip with cervical forceps and pull it outward to make the uterine position as neutral as possible, which is convenient for surgical operation and can prevent residue and perforation. 10. hysteromyoma complicated with pregnancy, because hysteromyoma distorts the shape of the official cavity and makes it bigger, it is necessary to accurately measure the length of the official cavity, pay attention to the shape of the official cavity when attracting, and operate carefully to prevent leakage or residue. Uterine fibroids with pregnancy usually have a large amount of bleeding during uterine aspiration, and uterine contractile drugs can be used before and during uterine aspiration. 1 1. If you have two miscarriages in a short time, you will get pregnant before the uterus completely subsides, and the uterus is soft and easy to get hurt. After dilating the cervix, uterine contractions are used to prevent uterine perforation. 【 Precautions after operation 】 1 Rest in the observation room after operation 1-2 hours. If you pay attention to vaginal bleeding, you can go home without abnormality. 2. No bathing within two weeks or before vaginal bleeding, and avoid sex for 65,438+0 months. To prevent infection of reproductive organs. 3. For those with severe cervical erosion or possible infection, antibiotics should be given to prevent infection. 4. Rest for two weeks after operation, and follow up once after 1 month. If there are abnormalities (excessive bleeding, fever, abdominal pain, etc.). ), you can see a doctor at any time. 5. Those who place intrauterine devices at the same time during the suction operation must be reexamined in the outpatient clinic after the next menstrual period is clean. 6. Strengthen family planning education, give birth control knowledge guidance and implement contraceptive measures. Huaxia Gender Health Network reminds you that the above information is for reference only, and your personal situation needs to be combined with your actual situation. Early prevention, early detection and early treatment of any disease are fundamental to maintaining health.