What Examinations Are Needed for a Follow-Up After a Medical Abortion?
Drug-induced abortion is a method to terminate pregnancy. To determine the effectiveness of the abortion, it is necessary to return to the hospital for a follow-up examination 10-14 days after the procedure. The main items of the examination include the use of ultrasound to observe the condition of the uterus and the recovery status of the uterus. If the abortion is complete, proper post-abortion care measures should be taken. If the abortion is incomplete, further surgical intervention such as uterine evacuation may be considered. It is important to follow the doctor's instructions for taking antibiotics to prevent infection, and to take contraceptive measures for six months to avoid another pregnancy.
The follow-up examination after drug-induced abortion typically includes several components. First, a gynecological examination is performed to assess the recovery of the uterus. Second, the vagina is examined for any bleeding. Third, the nature of the bleeding is evaluated, including whether there is any odor or indication of secondary inflammation. Most importantly, an ultrasound examination is conducted to assess the size and recovery status of the uterus, as well as to check for any residual tissue in the uterine cavity that may require further surgical intervention. Additionally, blood tests such as a complete blood count or blood hCG test may be ordered.
After taking the medication for drug-induced abortion, it is important to continue with the prescribed dosage even if vaginal bleeding occurs. Use a chamber pot for urination and defecation, and be alert for any tissue expulsion. If any tissue is expelled, it should be brought to the doctor for identification. If vaginal bleeding exceeds twice the normal menstrual flow, immediate medical attention should be sought. Some women may experience mild nausea, vomiting, dizziness, fatigue, and lower abdominal pain after taking the medication, which is generally tolerable and does not require special treatment. However, individual cases may develop a rash, which should be reported to the doctor. On the fourth day, take the remaining medication with warm water (not exceeding 30°C) on an empty stomach or two hours after eating. Rest for two hours after taking the medication and observe for any expulsion of pregnancy tissue, bleeding, and side effects for six hours. Rest for two weeks after the abortion and maintain vaginal hygiene. Avoid taking a bath for two weeks and refrain from sexual activity for one month. Additionally, avoid taking salicylates, anti-inflammatory drugs, and other analgesics while undergoing drug-induced abortion. If no tissue expulsion is observed after six hours, it is generally safe to return home unless there are any abnormal symptoms. If bleeding persists or increases, seek medical attention immediately and bring any expelled tissue to the hospital for identification or pathological examination. Finally, it is recommended to return to the hospital for follow-up checks on the 8th, 15th, and 43rd days after taking the medication to monitor recovery progress.
