Is uterine curettage necessary for missed abortion?

Most people are familiar with missed abortion. Missed abortion is usually called a missed abortion or a phenomenon in which the embryo dies in the womb. If the residue is not removed in time, it is very dangerous and can easily cause uterine infection or heavy bleeding. In severe cases, it may affect the life safety of women. Some people think that missed abortion does not require uterine curettage. Is uterine curettage necessary for missed abortion?

Is uterine curettage necessary for missed abortion?

In principle, it is better to have a curettage for missed abortion, which can effectively rule out the situation of continuous bleeding. Continuous bleeding is caused by incomplete abortion and there are residues in the uterus. In this case, curettage is the best treatment. Of course, if the symptoms are mild, taking blood-activating and blood-stasis-removing drugs can sometimes achieve the goal of eliminating missed abortion.

Precautions for missed abortion

1. Care and recuperation after missed abortion is necessary to reduce some damage. After a missed abortion, you should be observed for 2 hours, paying attention to vaginal bleeding and abdominal pain. If there is no reaction, you can go home. You may experience mild lower abdominal discomfort, pain, or a small amount of vaginal bleeding on the day after a missed abortion. If the abdominal pain is severe or the vaginal bleeding is heavy or persists for a long time, you should seek medical attention immediately.

2. After a missed abortion, you should increase your nutrition appropriately, because the operation will cause a small amount of bleeding and cause certain damage to the body. Therefore, you should promptly supplement with some foods rich in protein and vitamins, such as lean meat, fresh fish, eggs, milk or soy products. Eat more high-protein, high-vitamin foods to nourish your body. At the same time, eat more vegetables and fruits, and do not avoid certain foods or have picky eating habits.

3. You should rest well after a missed abortion. You should pay attention to proper rest after a missed abortion. It is best to rest in bed for the first 3 days. Generally, you should rest in bed for 3-5 days after the operation. If your body temperature is normal, there is little bloody secretions from the vagina, and you have no abdominal pain or other discomfort, you can get up and move around, and do some light housework as appropriate. Because after a missed abortion, a wound is left on the endometrium. If you move too early, it may prolong the vaginal bleeding time. Generally, you should avoid physical labor and physical exercise within half a month.

4. Missed abortion will reduce the body's resistance, so more attention should be paid to personal hygiene. Keep the vulva clean. Do not take a bath in a tub within two weeks after the operation. It is best to take a shower. Because of the wounds left on the endometrium, vaginal secretions increase, making it a breeding ground for bacterial infection and reproduction. Therefore, special attention should be paid to the cleanliness of the vulva, shower and clean the vulva in time, disinfect the toilet paper and change it frequently; avoid taking a bath in a tub within half a month, and change underwear frequently; and sexual intercourse is absolutely prohibited within one month to prevent bacterial infection. In addition, contraception should be further strengthened.

For patients with prolonged bleeding, this type of missed abortion must be treated with uterine curettage. Because the residues have been in the uterus for too long and have rotted and cannot be automatically discharged from the body, only curettage can remove these residues from the body. Never underestimate missed abortion. Although it is a case of spotting and the amount of bleeding is small, it can have serious sequelae. If the residues retained in the uterus rot and cause reproductive organ infection and pelvic infection, the consequences will be very serious and you must pay attention.