Abortion and common complications

Pregnant women who have had a caesarean section, fibroid surgery, uterine malformations, large gestational age… often face many risks of complications during abortion.

A few days ago, a 44-year-old pregnant woman in critical condition entered Hung Vuong Hospital for emergency due to massive vaginal bleeding after a medical abortion at a private clinic. The doctor was forced to remove the uterus to save the patient’s life.

Doctor Nguyen Thi Sa Giang (Deputy Department of Family Planning, Hung Vuong Hospital) said that many women are worried and afraid that others will know when they have an abortion, so they go to unqualified abortion clinics. safe. As a result, it is easy to experience many complications, significantly affecting fertility.

According to Dr. Giang, safe abortion is a method of termination of pregnancy performed by officially trained medical staff, performed at a qualified medical facility with full equipment to be able to timely emergency treatment. Safe abortion will minimize the risks and complications affecting reproductive health and life.

Currently, there are two methods of abortion, including medical abortion (using drugs, not interfering with the uterine cavity, but if it fails, still have to switch to surgical abortion method is abortion) and surgical abortion. (aspiration, or dilation and extraction depending on gestational age).

“Whether it’s medical or surgical abortion, there can be complications and complications ranging from mild to severe,” said Dr. Giang. In particular, abortion in the older gestational age group, the higher the risk of complications, especially when the fetus is larger than 12 weeks. In addition, the high-risk case of complications during abortion is when the uterus has a cesarean scar (due to caesarean section, fibroid removal…). The risk of complications increases with the number of caesarean sections, the fetus may stick to an abnormal position right at the old cesarean scar site, or the placenta may stick tightly, eating into the uterine muscle can cause bleeding, uterine rupture during abortion. . Women with uterine fibroids, genital malformations such as double uterus, uterus with septum… also face many risks when having an abortion.

Dr. Giang said that these cases must be carefully investigated and evaluated. Pregnant women must tell medical staff about their obstetric and gynecological history for advice, choice of abortion method and appropriate place to perform. High-risk groups are only performed at provincial and central hospitals.

Some abortion complications can occur such as shock due to large blood loss due to hemorrhage during miscarriage can be life-threatening; Uterine rupture, bowel and bladder damage, etc. need emergency surgery. Many cases of miscarriage, left placenta cause bleeding, can lead to severe anemia requiring blood transfusion, even life-threatening. In addition, the patient may have genital tract infections, sepsis; infertility due to inflammation causing uterine adhesions, blocked fallopian tubes; menstrual disorders…

Dr. Giang recommends that, in order to have a safe abortion, pregnant women need to be examined to determine the position of the fetus inside or outside the uterus, gestational age, the same possible risks attached to the old incision, abnormal uterus or pregnant women. no… to choose the right measure.

“At specialized hospitals, abortion procedures are performed with a strict, legal and reasonable process, patient information is always kept confidential, the hospital is not allowed to disclose personal information without prior consent. the patient’s own permission, so the patient should not be afraid,” said Dr. Giang.

Le Phuong