Rehabilitation after medical termination of pregnancy
Fetal fading is one of the reasons for not carrying a pregnancy in women, regardless of their socio-economic level and lifestyle. The danger is that it manifests itself only after the death of the fetal egg.
Sudden spontaneous termination of pregnancy is a stress for the body, a psychological trauma for a woman and her family members. Hope for the future is the planning of a new conception, the success of which is determined by high-quality treatment and rehabilitation after a missed pregnancy.
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Treatment methods
It is impossible to revive a dead fetal egg. It gradually decomposes, over time, an infection begins to develop in it, which causes intoxication and can end in sepsis.
Therefore, the treatment is aimed at removing the fetus from the uterine cavity without a trace, and restoring the woman's body after that. The choice of technique depends on her state of health, the duration and development of pregnancy until the moment of fading.
The following removal methods are used:
- Spontaneous miscarriage.
- Vacuum aspiration (mini abortion).
- Medical (tablet, pharmaceutical) abortion.
- Curettage (cleaning) of the uterine cavity.
More often prescribed method of pill abortion, curettage, mini-abortion, less often - miscarriage. With the fading of the fetus in the later stages, an artificial birth is performed.
Use of spontaneous miscarriage and vacuum aspiration
The fading of pregnancy is accompanied by a decrease in the concentration of a specific hormone in the woman's body - human chorionic gonadotropin. The uterus reacts to this with contractions, rejection of the dead fetus and pushing it through the ajar neck. The method is prescribed in the absence of symptoms of inflammation in a woman.
A complete miscarriage without complications is confirmed by an ultrasound study. If fetal remains are found in the uterus, a vacuum or curettage is performed.
The first week after a miscarriage may be accompanied by slight pain in the lower abdomen and discharge with a small amount of blood. After a few weeks, the woman's body is restored, a month later, menstruation begins. The method is used in the absence of signs of inflammation and intoxication in the body of a woman.
If the fetus is frozen for a period of 5-6 weeks, a vacuum aspiration of the contents from the uterine cavity is prescribed using an inserted catheter. In this case, only the upper layer of the mucous membrane is removed and the embryo is removed. Control ultrasound is performed.
The found remains of the fetus in the uterus are sucked off with a vacuum again, or a mechanical curettage is performed. 2 weeks after the mini-abortion, the woman's body is restored, menstruation appears on the 35th - 40th day.
Medical abortion - rehabilitation
Tableted removal of a frozen fetus is performed during the period of embryonic development - no later than 7 weeks of pregnancy.
A woman in two stages according to the scheme takes drugs that block the action of progesterone - Mifepristone, Mifegin. Their properties are enhanced by misoprostol. Under the influence of drugs, the uterus actively contracts, rejects and pushes the embryo out with bleeding. After its release, the release of blood gradually stops, but it is smeared for several more weeks.
On the first day, a woman feels pain in the lower abdomen, which is relieved with the help of an antispasmodic - No-shpy. Pain medications are taken only as prescribed by a doctor. Uncontrolled use of such drugs significantly weakens the immune system.
The menstrual cycle is counted from the onset of bleeding after taking the pills. Within 2 - 3 months, it is normalized. The first menstruation lasts up to 2 weeks.
2 weeks after the abortion, ultrasound scans the remains of the fetus in the uterine cavity. During this time, it should be completely cleared. If this does not happen, perform vacuum aspiration or curettage.
Rehabilitation after medical termination of pregnancy is reduced to the implementation of a number of doctor's recommendations that contribute to the restoration of the woman's body. He reviews the patient's diet, helps to balance it, include vegetables and fruits in the menu.
To strengthen the immune system, the doctor prescribes a vitamin complex. It also recommends following simple rules:
- avoid psycho-emotional stresses, learn to manage them;
- exclude any physical activity;
- include in the daily routine rest, walks in the fresh air;
- give up smoking, alcohol, strong coffee;
- to exclude the reception of water procedures in baths, saunas, baths, swimming in pools, reservoirs;
- monitor the restoration of the menstrual cycle, the nature of vaginal discharge after an abortion;
- begin sexual activity after the end of the first menstruation;
- it is necessary to protect yourself from pregnancy for the first 6 months, coordinate the means of contraception with your doctor.
Every woman after an abortion thinks about how to quickly recover and conceive a child again. This should not be allowed until the body is fully restored. This can negatively affect pregnancy.
The pharmacist method is the simplest and most affordable, it is easily tolerated by women. But it should be used only as prescribed by a doctor and under his control.
Mechanical cleaning, restoration
Curettage of the uterine cavity is prescribed in cases of fetal death at 7-8 weeks of pregnancy and later. Before the operation, the woman is examined, special training is carried out. Cleaning is performed in a hospital, under anesthesia (general or local), with the expansion of the cervix.
Scraped with a special tool (curette). The upper layer of the mucosa is cleaned and removed along with all the contents of the uterine cavity. Cleaning materials are sent for histological examination to determine the cause of fetal death.
Treatment after a frozen pregnancy and curettage begins during the operation - drugs are administered to quickly contract the uterus (Oxytocin, Pituitrin).
Rehabilitation after curettage of a missed pregnancy
The complex of therapeutic and restorative measures after the surgical removal of a frozen fetus includes:
- antibacterial drugs that prevent the development of infection in the uterine cavity (Ceftriaxone, Metronidazole, Gentamicin);
- contraceptive hormonal drugs that prevent pregnancy and restore the hormonal background in a woman's body (Regulon, Marvelon);
- vitamin complexes to support immunity;
- proper nutrition with the inclusion in the menu of meat, vegetables, fruits, lactic acid products, juices;
- conducting a control ultrasound to detect fetal remains in the uterine cavity.
Incomplete curettage is an indication for re-cleaning. If you experience severe pain after surgery, your doctor may prescribe painkillers.
Sexual life is recommended to start no earlier than a month after cleaning. During this period, the endometrium is restored, and the likelihood of penetration and development of infection in the uterine mucosa is significantly reduced.
Menstruation starts 2-8 weeks after surgery. If the menstrual cycle is not restored, hormonal drugs are prescribed - analogues of progesterone (Dufaston, Utrozhestan).
The next pregnancy can be planned no earlier than 6 months from the date of the curettage. The favorable period is 9-12 months after the operation. During this time, recovery after curettage of a missed pregnancy is completed, its causes are established.
At the first fading of pregnancy, the doctor, most often, finds them in violations of the woman's health in the first trimester. Additional studies are not carried out.
The histology of curettage materials gives an answer about the reasons for the repeated fading of the fetus. In some cases, the doctor prescribes a comprehensive examination of both spouses. After that, if necessary, perform treatment.
Psychological recovery of a woman
A sudden frozen pregnancy is a psychological trauma for a woman and develops into depression. She blames herself for the death of the fetus. Therefore, the gynecologist refers each patient to a psychologist for professional help.
It is important for relatives, especially her husband, to surround her with care and attention, to be patient. The woman is depressed, loses interest in life, is indifferent to everything, cries. She must be convinced that motherhood will be, but for this it is necessary to recover.
It is more correct to speak this topic, and not to feel sorry for the woman. During this period, it is better to protect her from contact with young children and pregnant women.
Communication with family and friends, doing your favorite hobbies, meditation, walking will help you find peace of mind and confidence in future motherhood. This takes 1-2 months. Protracted depression can last up to 6 months.
In this case, to restore the woman, a psychiatrist is involved, who prescribes medication with the use of antidepressants, tranquilizers. The heartache subsides, life goes on, and the family is planning a pregnancy again.
The success of re-conception depends on the fulfillment of all prescriptions and recommendations of the attending physician, compliance with the recovery time after cleaning . A healthy lifestyle, a good family climate, harmony in family relationships and observation by a gynecologist will help you safely endure the next pregnancy.
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