The causes of bleeding after drug abortion and the bleeding after drug abortion are generally 1-3 weeks. The general manifestations are: the bleeding is getting less and less every day; It is abnormal if the bleeding increases after decreasing or does not decrease at all or gradually increases. The common reasons are as follows: 1. Incomplete abortion: the main cause of bleeding after drug abortion can generally be judged by gynecological examination and B-ultrasound. 2. Infection after drug abortion: If B-ultrasound judges that there is no residue in the uterus, then the infection in the uterus should be considered, because the blood produced by abortion is a good culture medium for bacteria. If the situation is serious, there will be tenderness in the uterus during gynecological examination, and there will be fever, etc. 3. The blood coagulation function is not good: some people are prone to ecchymosis or bagging after a slight touch or pinch, so maybe this person's blood coagulation function is not very good, and there may be massive bleeding or bleeding for a long time during drug abortion or abortion. Treatment: For many reasons, it is best to go to the hospital for a detailed examination and judge how to carry out drug abortion. Although drug abortion has many advantages, it also has its limitations and side effects. Therefore, it is not as simple as buying some APC tablets in the pharmacy because of a cold and fever. Moreover, in order to ensure women's health, it is strictly forbidden to sell abortion drugs in general pharmacies, and drug abortion must be carried out in qualified medical institutions. Can you make your own abortion at home? In the past, women of childbearing age have been praying for a safe and reliable method to stop pregnancy after contraceptive failure. Now there are oral abortion drugs, such as mifepristone and misoprostol, which have obvious effects and are very popular. However, if it is not properly applied, serious side effects and complications will also occur, so it cannot be taken lightly. Mifepristone, also known as Xiyin or Ru486, is a new anti-progestogen drug, which can induce abortion and terminate early pregnancy. The effective rate of single application is 65% ~ 85%, and the success rate (complete abortion) can be as high as 95% or more when combined with misoprostol. It is suitable for pregnant women with positive urine pregnancy test within 49 days after menopause. The shorter the pregnancy, the better the effect. However, it is forbidden for pregnant women with asthma, spastic bronchitis, angina pectoris, arrhythmia, heart failure, hypertension, glaucoma and liver and kidney insufficiency, ectopic pregnancy, ulcerative colitis, adrenal insufficiency, long-term use of glucocorticoid and insulin-dependent diabetes. Generally, after mifepristone and misoprostol are used, the embryo sac in the uterine cavity can be discharged in about 2 ~ 3 days. At this time, there is more vaginal bleeding, which may cause dizziness, nausea, vomiting, fatigue, abdominal pain and other reactions. Decidual tissue in the uterus can often be discharged slowly in about 2 weeks, and then the bleeding stops, which is called complete abortion. Therefore, pregnant women are required to go to the hospital for review 15 days after drug abortion. B-ultrasound examination and urine pregnancy test are performed when necessary to determine the effect of abortion. If there is no abortion within one week after taking the medicine, or the vaginal bleeding is obviously increased in about 1 days, and the bleeding is still endless for more than 3 weeks to 1 month, you should go to the hospital in time for re-examination. For those who fail to have abortion or have incomplete abortion, they need artificial abortion or curettage respectively. However, some pregnant women don't know much about the advantages and disadvantages of the drug, which makes it dangerous. For example, a pregnant woman actually took medicine at home to abort, and at first she didn't see the embryo sac discharged, but on the fourth day, she suddenly had abdominal pain, pale face and was in a state of shock, and was diagnosed as ectopic pregnancy by a doctor. Fortunately, she saved the day in time. Another pregnant woman was in the hospital for drug abortion, but she was anxious to leave the hospital. As a result, she bled heavily on her way home and had to rush back to the hospital for emergency surgery to curettage the uterus before turning the corner. There is also a pregnant woman who suffered from vaginal bleeding for more than 4 days after drug abortion. She tried to flush the residual tissue with the help of menstruation, but failed to curettage in time, which also led to massive bleeding. Although she struggled to rescue her, she had anemia and pelvic infection. It should be emphasized that many women, especially unmarried women, often have a wrong understanding that drug abortion is like menstrual cramps and will not affect their health, so that they do not pay attention to taking effective contraceptive measures. Once they find pregnancy, they ask for drug abortion, and some do it two or three times a year, which will obviously harm their health. It can be seen that drug abortion is not a conventional contraceptive method, but only as a remedial measure after an unexpected pregnancy due to contraceptive failure. Moreover, it must be carried out in a conditional hospital under the supervision and guidance of a doctor. It is forbidden for pregnant women to take medicine at home without authorization, otherwise the consequences will be unimaginable. With the development of obstetrics and gynecology, artificial termination of pregnancy is widely used in clinic as a remedial measure after contraceptive failure, especially the popularization and application of mifepristone, a new drug against early pregnancy, and the treatment with traditional Chinese medicine after abortion, which reduces the side effects of excessive vaginal bleeding and prolonged bleeding time caused by poor discharge of pregnancy products, reduces the rate of uterine clearing and greatly relieves the pain of subjects. The author has been engaged in clinical work for many years, and deeply felt that many patients who have induced abortion (especially those who have used drug abortion in recent years) do not pay attention to recuperation after abortion, thus affecting their physical and mental health. Postpartum adjustment is well known and has always been paid much attention to, but the importance of adjustment after drug abortion is often neglected. Drug abortion is the forced separation of pregnancy and uterus by using drugs, which is more harmful to the body than full-term delivery. Xue Lizhai, a physician in the Ming Dynasty, also pointed out: "Small production is more important than large production, and large production is like millet ripening; A miscarriage is like picking raw, breaking its skin and hurting its roots. " The pain caused by abortion can be imagined. Therefore, gynecologists now attach importance to rest after abortion and think that rest after abortion should be more important than postpartum. Under normal circumstances, after drug abortion in early pregnancy, the vagina has different degrees of bleeding, and it is clean for 3-5 days or 7-1 days. Generally, it will not have a big impact on the body. However, many complications can also be caused if you have repeated pregnancies and repeated abortions, or if you don't adjust your photography properly. The reasons are as follows: first, there is no abortion without damaging the uterus. Improper adjustment, overwork or sexual immorality, easy to hurt and rush, the uterus is more difficult to recover. Second, after abortion, the blood room is open, ignoring the adjustment, not keeping the vulva clean, and evil drugs are easy to commit. Thirdly, after the abortion, the impulse to ren is damaged, the turbid fluid in the uterus stays, and the "things that protect the fetus and follow" stagnate, resulting in vaginal bleeding for a long time, improper treatment and adjustment, which often leads to many complications such as "pelvic infection". Therefore, nursing after abortion is particularly important. Work and rest: With the accelerated pace of life, many professional women, especially unmarried pregnant women, often give up their rest time after abortion. The author often asks such outpatients why they don't follow the doctor's advice and don't rest after drug abortion. They always laugh it off, or think that they can't do without work, or think that the damage is small and harmless. I once met an ancestral car driver who had four induced abortions (including two drug abortions) in two years, and * * * had a rest of less than 1 days. Now I am weak and sick, and I often catch a cold. This shows that after abortion, you must rest and recuperate according to the doctor's advice, and you should not worry too much. Suitable cold and warm: after abortion, the reason is not dense, and the pathogenic wind and cold are easy to invade. Don't be greedy for cold and drink cold. "In summer, avoid being greedy for cooling, eating cold things, and sleeping in the wind; One or two cylinders of water are stored in the summer room to solve the hot air; In winter, add one or two pots of fire to keep warm ("Guaranteeing Production and Keeping Spirit"). Cautious diet: after abortion, qi and blood are depleted, and overeating is greasy and cold, which is easy to hurt the spleen and stomach. You should eat nutritious and digestible products, and you can also choose appropriate prescriptions or medicated diets for treatment and conditioning according to the fact that the vegetarian body is too hot or too cold. The following prescriptions are available: 1. Yigong Drink: 15g of Codonopsis pilosula, 15g of Ligustrum lucidum, 15g of Eclipta prostrata, 12g of madder and 12g of motherwort, 12g of Atractylodes macrocephala, 12g of pollen typhae charcoal and 3g of licorice. Soak in cold water for 3 minutes, decoct and take 15-2ml of juice, and take it twice, one dose a day. It is suitable for patients with vaginal bleeding after abortion. 2, brown sugar motherwort soup: 6 grams of brown sugar, 3 grams of motherwort. Take motherwort decoction to get juice, pour it into brown sugar, and take it twice. It is suitable for patients with excessive blood stasis. 3. Shenqi ointment: 6 grams of ginseng, 5 grams of Radix Astragali preparata, and 5 grams of glutinous rice. The first two ingredients are repeatedly decocted twice, filtered to get 2 ml of juice, added with maltose, concentrated into paste with slow fire, and stored for later use. 3 times a day, 2 grams each time, with boiled water. It is suitable for patients with qi deficiency and pale and thin lower blood color. If the symptoms are obvious, such as fever, abdominal pain, unclean blood for a long time, leucorrhea or foul blood, etc., you should go to the hospital in time for corresponding diagnosis and treatment. Drug abortion is forbidden because induced abortion often brings great pain to the body and mind, so many people choose drug abortion. Drug abortion, as its name implies, is a method to terminate early pregnancy by taking drugs orally. It avoids some problems caused by surgical abortion, and the complete abortion rate has reached 9%-95%. Moreover, if the abortion fails, the pain of re-operation to clear the uterus is lighter than that of induced abortion, because the cervix has been opened and there is no need to expand the uterus. However, medical abortion also has its scope of application. Before doing medical abortion, women must first find out whether they are within this scope. Indications: 1. Those who require termination of pregnancy for various reasons without contraindications; 2. It is suitable for high-risk pregnancy within 8 weeks of pregnancy, those who have difficulty or high risk of negative pressure aspiration and need to terminate pregnancy, and also suitable for women who have concerns or fears about surgical abortion. Contraindications: 1. Patients with glaucoma and asthma; 2. Heart, liver and kidney diseases and adrenal sebum insufficiency; 3. Those with intrauterine devices, pregnancy and suspected ectopic pregnancy; 4. Those who can't go to the hospital in time after taking the medicine had better not use medicine abortion, so as to avoid the delay of illness in case of emergency. If you decide on drug abortion, you should also know some precautions: First, drug abortion is only used to terminate intrauterine pregnancy. B-ultrasound examination must be done before taking medicine to confirm intrauterine pregnancy, and the size of fetal sac is about 1.cm-2.5cm before taking medicine; Secondly, motherwort granules can be taken after the fetal sac is discharged to reduce the bleeding time caused by decidual residue. In addition, anti-inflammatory drugs should be taken orally to prevent infection. The general procedures for drug abortion are as follows: (1) Strict screening before medication, including asking medical history, general physical examination and gynecological examination, laboratory examination, such as urine pregnancy test, vaginal cleanliness, trichomonas and mold, blood routine and blood type, and B-ultrasound examination when necessary. (2) The doctor explains the medication method, drug efficacy and possible side effects in detail, and can only use the medicine after obtaining the consent. (3) Current dosage: The dosage of mifepristone is 15 ~ 2mg, which can be taken orally in three days. On the third day, I went to the hospital to add prostaglandin preparation: 1 mg of carboprost was placed in the vagina or 6O micrograms of misoprostol was taken orally. Observe in the hospital for 6 hours. (4) Monitoring during abortion: During hospitalization observation, besides paying attention to blood pressure, pulse and drug side effects, the discharged urine and urine should be kept in a clean bedpan, and the presence of fetal sac and its discharge time, the size of fetal sac and the amount of bleeding should be checked and recorded by a special person. If there is active bleeding before and after the fetal sac is discharged, uterine contractions can be given or curettage can be performed immediately to stop bleeding. (5) After 6 hours of observation, if the fetal sac is still not discharged and there is not much bleeding, you can go home and follow up according to the date specified by the doctor. If tissue is excreted at home, it must be taken to a doctor for examination.