With the development of modern society and the change of life style, the abortion rate of young and middle-aged women is on the rise. With the progress of medical science, the emergence of painless abortion and drug abortion has made abortion a safe, painful and simple thing, which has changed the attitude of female friends towards abortion, believing that abortion is a trivial matter and lacking awareness of its harmfulness. In fact, although the operation has been greatly improved in terms of technology and safety, the impact of abortion on the body still exists and can not be ignored.
The impact of induced abortion on women’s body is mainly manifested in the following aspects:
1. Uterine perforation
Pregnant uterus becomes soft under the influence of hormone levels, or there is a scarred uterus before, the position of the uterus is anteverted or malformed, which may lead to the risk of uterine perforation during induced abortion. Once uterine perforation occurs, remedial measures should be taken immediately. If a large amount of internal bleeding is found or organ injury is suspected, laparotomy should be performed immediately to repair the gap.
2. Induced abortion syndrome
Also known as cardio-cerebral syndrome, some patients can not tolerate cervical canal dilation, traction and excessive negative pressure during the operation due to mental stress, resulting in blood pressure drop, bradycardia, arrhythmia, pallor, sweating, dizziness, chest tightness, and even syncope and convulsions during or after the operation.
The possibility of intraoperative or postoperative uterine bleeding exists in both surgical abortion and medical abortion, which is mainly related to poor uterine contraction and incomplete discharge of pregnancy.
4. Incomplete uterine aspiration
It is the most common complication after induced abortion. The main reason is that part of the pregnancy is not scraped out or completely flowed out, which affects uterine contraction and involution. Incomplete uterine aspiration should be considered if the postoperative bleeding is more than 10 days, the amount of bleeding is large or repeated bleeding. At this time, color Doppler ultrasound should be done to make a definite diagnosis, and curettage should be done again if necessary.
As long as the operation will have the possibility of infection, abortion also has the risk of infection, mostly due to incomplete uterine aspiration, surgical instruments, gauze and other disinfection is not strict or the operator’s poor concept of asepsis. The initial manifestation is acute endometritis, which can spread to myometrium, adnexa and peritoneum if not treated in time, and develop into septicemia in severe cases. Its clinical manifestations can be seen as hyperthermia, pain in the lower abdomen, turbid leucorrhea or irregular vaginal bleeding.
Embolism is a serious complication, which can be divided into air embolism and amniotic fluid embolism. It is because air or amniotic fluid enters the blood vessels during the operation, resulting in the formation of emboli or pulmonary embolism. This complication is rare, but the condition is dangerous, which requires timely diagnosis and rescue, otherwise it is life-threatening.
7. Cervical laceration
This complication is more common in patients with tight cervix, excessive operation and abortion in older months. If this happens, cervical suture is needed.
8. Long-term complications
Although the above complications do not occur, the long-term complications of induced abortion can not be ignored by us. Its long-term complications include uterine adhesions, chronic pelvic inflammatory disease, menstrual disorders, endometriosis, female infertility, immunological abnormalities, secondary infertility and so on, which may affect the future pregnancy and delivery ability.
In short, abortion is not as safe and simple as most people think, it hides many risks and hazards. The harm and risk of induced abortion should not be ignored by both the user and the operator. We should never forget that abortion can only be used as a remedy for pregnancy after contraceptive failure, and should not be used unless absolutely necessary.