Spontaneous abortion Treatment
Treatment:
Are not normally required to complete abortion apart from the special treatment, other types of abortion should be based on the clinical condition of its deal to do
1. Threatened abortion
(1) treatment of threatened abortion principles:
① to patients with threatened abortion, made it clear that the only reason why the normal embryonic development, Baotai only likely to succeed.
② abnormal embryonic development if it would be inappropriate tocolysis treatment
③ normal embryonic development should focus on the reasons for the positive Baotai.
(2) commonly used tocolysis measures:
① rest sedation: patients should be bed rest, prohibition of sexual life, the spirit of excessive tension on the fetus will be allowed to use harmless sedatives such as phenobarbital (luminal) 0.03 ~ 0.06g, 3 times / d. Strengthening nutrition, maintain patency stool.
② the application of progesterone or HCG: Luteal underemployed, available progesterone 20mg, every day or the next day, one intramuscular injection times can also use the HCG to promote progesterone synthesis, luteal phase to maintain the usage for the 1000U, intramuscular injection one time every day , or one intramuscular injection of 2000U next meeting.
③ other drugs: vitamin E as antioxidants beneficial todevelopment, 100mg oral every day. Low basal metabolic rate can take thyroxine tablets 1 times / d per 40mg
④ longer bleeding time, may choose to use antibiotics without role in the prevention of infection, such as penicillin and so on.
2. Inevitable abortion principles of treatment of early.
(1) 12 weeks pregnant possible surgery or suction curettage surgery Palace, preoperative intramuscular injection of oxytocin 10U.
(2) more than 12 weeks pregnant, can be intravenous infusion of oxytocin led from embryonic tissue, bleeding from many viable curettage surgery.
(3) hemorrhagic shock with many persons, should be corrected at the same time Qinggong shock.
(4) Qinggong after detailed examination should be scraped off objects, pay attention to whether the integrity of embryonic tissue and, if necessary, make pathological examination or analysis of fetal chromosomes.
(5) after application of antibiotics to prevent infection can use many bleeding intramuscular oxytocin in order to reduce the bleeding.
3. Incomplete abortion
(1) In the event of confirmed non-co-infection should be immediately Qinggong.
(2) hemorrhagic shock with many persons and should at the same time anti-shock line Qinggong surgery.
(3) The bleeding time is short, less or has ceased, but the infection should be in the control of infection after surgery to do Qinggong.
(4) curettage specimen should be sent to pathological examination.
(5) routine use of postoperative antibiotics.
4. Complete abortion.complete abortion confirmed, will be having to deal with. If it is not clear diagnosis, treatment should be incomplete abortion in order to re-curettage appropriate.
5. Deal with missed abortion more difficult. Fetal death, placental soluble thromboplastin generated continuously into the maternal blood circulation, promote microvascular coagulation, consumption of many coagulation factors. The death of embryos in the body to stay longer, the occurrence of coagulation dysfunction the greater the likelihood. Therefore, one missed abortion confirmed to be doing a good job at the preoperative examination and preparation as soon as possible under conditions of intrauterine emptying.
6. Habitual abortion
7. Abortion infections such as hemorrhagic few antibiotics, infection control should be at after the curettage; many such as bleeding or infection in a large number of antibiotics failed to control the available clamp oval contents. Should not use uterine curet-proliferation in order to avoid infection. When necessary, resectable uterine