(1) Do relevant inspection:
First of all, hang the gynecological number and tell the doctor that pregnancy requires abortion. The doctor will do a simple examination and check leucorrhea. If there is vaginitis, the doctor will prescribe some medicine to cure vaginitis before abortion. If it is drug abortion, it is best not to have vaginitis, because the bleeding time after drug abortion is long and it is easy to be infected.
Then, the doctor will prescribe N tests such as urine routine and blood routine, including B-ultrasound. If the pregnancy time is short, B-ultrasound is vaginal B-ultrasound. You don't have to hold your urine. The doctor will tell you to pee before you do it.
When all the test results come out, we will make an appointment for medical abortion in the medical abortion observation room and other places. The doctor will judge whether you can have an abortion according to the number of days you are pregnant and the size of the fetal sac. Usually within 49 days, so the sooner the better. Doctors usually don't advise you to use induced abortion or medical abortion. They will generally tell you the advantages and disadvantages of two kinds of abortion, so you can choose for yourself, because they are also afraid of taking great responsibility in case of accidents. So before deciding which one to do, we should find out the advantages and disadvantages of the two through various channels, and then decide according to our own time, because it is difficult to make an objective and suitable decision in such a short time in the hospital.
(2) Take medicine:
There are two kinds of drugs for drug abortion, one is mifepristone. I took it for three days in a row and went to the hospital to take prostate medicine. After the appointment, the doctor will prescribe mifepristone for you, usually 9 tablets, and let you go home to eat for 3 days, 3 tablets at 8: 00 every morning. According to one of my biology students, this drug denatures uterine protein, which means that the baby in the belly dies and stops growing. This medicine will aggravate the early pregnancy reaction. I have vomiting and diarrhea. After taking medicine on the first day, except for the early pregnancy reaction, I will feel much more relaxed that night. According to my own estimation, at that time, the baby in my stomach was already dead and no longer ate my mother.
After taking mifepristone, some people will bleed. If so, you need to remember your bleeding time clearly, because the doctor will ask you this time when you finally fill out the abortion form.
During this period, some people can't eat anything, which is absolutely impossible, because they have to go to the hospital to have an abortion three days after taking the medicine, usually at 8 am and can't come back in the afternoon. There will be a lot of blood. I lost weight a few days ago, so I can't stay up.
(3) What should I take to the hospital?
A. water cup: for taking medicine. It is usually more convenient to bring a disposable water cup. Because it is only used when taking medicine, even if you want to drink water afterwards, the doctor will not let you, because drinking water will reduce the efficacy.
B. Soft and thick pad: Abdominal pain after taking medicine. Hospitals generally don't have so many beds for you to lie down and rest, especially in winter. Bringing a soft cushion will make you feel much more comfortable.
C at least 2 packs of sanitary napkins: bleeding begins after abdominal pain, because the whole endometrium falls off, so there will be a lot of blood. Change sanitary napkins frequently, because the falling fetal sac and the like should be put in sanitary napkins for the doctor to check. It's really bad to hold wet sanitary napkins.
D. some plastic bags: prostate medicine will make you sick. Although I haven't eaten for a long time, it's not good to spit everywhere. Moreover, sanitary napkins that need to be seen by doctors are better in plastic bags than in your hands.
E. scarf and hat: pay special attention to keep warm in winter.
F. Wear soft and loose pants, preferably without a belt. Because I need to go to the toilet more than a dozen times that day, if I wear troublesome pants, I will be inconvenient to move because of abdominal pain.
G. sufficient toilet paper.
H. M: He has several functions. He needs to sign the first abortion form. Second, you need to run around after taking medicine and need his care; The third doctor will prescribe a lot of medicine that day. He needs to run errands to pay for the medicine, and he can't let the weak woman go upstairs and downstairs by herself. Fourth, escort home after abortion.
Basic information on the day of drug abortion:
(1) medication: after taking mifepristone for three days, on the fourth day, I went to the hospital to take prostate drugs under the supervision of a doctor according to the doctor's requirements. Don't eat or drink water before taking the medicine. Usually at 8 o'clock in the morning, a group of people who have medical abortion are assigned by doctors to get the medicine and take it as soon as possible in their own cups. At the same time, doctors will also pay attention to matters needing attention. Doctors in every hospital have different examination methods, so be sure to listen carefully. Prostate drugs can cause vomiting, and doctors will emphasize that you must hold back. After half an hour, the medicine can be completely absorbed. On the day I went, many girls held their voices to prevent themselves from vomiting, which is quite correct. I felt very uncomfortable at that time because of lack of sleep. After taking the medicine for five minutes, I vomited: (But it is said that this medicine is soluble in water, and even if I vomit, it will absorb about 80%.
(2) Exercise: The doctor will ask the abortion to run in the corridor or yard outside immediately after taking the medicine, and jump stairs and the like, because this can accelerate the fetal sac to fall off. It is best to run for half an hour to an hour.
(3) Hot and sour soup: There are many peppers in the hot and sour soup, which can help the uterus contract and is very effective. I just ate a little, and I can't eat any more. Some girls ate a bowl, and the effect was very obvious.
(4) Abdominal pain and bleeding: Abdominal pain usually occurs within one hour after taking the medicine, and massive bleeding begins. You should often run to the toilet at this time. If a large solid blood clot falls, there will be a white fetal sac, which is very easy to identify. Look carefully before throwing it. Some people have abdominal pain for half an hour, and then a fetal sac will come down soon, which is the fastest. Because of incomplete drug absorption and slow drug response, abdominal pain and massive bleeding began more than an hour later, and abdominal pain continued until three hours later. In this case, you need to wait patiently, because the endometrium is peeling off piece by piece. If there is a sharp pain for a while and a large amount of blood clots fall, it is usually the fetal sac inside.
(5) Oxytocin: Oxytocin will be used if the abortion embryo sac is large and there is more bleeding. If the blood still gurgles out after the fetal sac falls, and the sanitary towel should be changed every once in a while, it may be massive bleeding, so you need to tell the doctor in time. At this time, the doctor in charge will immediately prescribe oxytocin for you to have an injection. Because I am a twin, and the gestational sac is very big, the doctor gave me an injection for three days and told me to do it at once. This kind of needle hurts much more than penicillin. I cried when I finished playing.
In addition, motherwort has obvious inhibitory effect on oxytocin, because motherwort can relieve uterine spasm and prevent uterine contraction. If you take oxytocin, don't eat motherwort first. I am anyway.
(6) Observation: After taking oxytocin, the doctor will let you rest in the observation room for 20 minutes, and let you leave if there is not much bleeding. After returning home, if there is bleeding all the time, immediately send it to the hospital for rescue, which may be massive bleeding.
Rest after abortion:
(1) Bed rest: The uterus needs to recover after abortion, and the best posture is to lie on your back completely. If you are weak, you'd better stay in bed for three days to a week to completely relax the uterus and reduce the amount of bleeding.
(2) Keep warm: commonly known as confinement after abortion. It is very necessary to keep warm at this time, and you can't be affected by a little cold. So I'd rather sweat than blow dry. If you live in a dormitory, you need your roommate's understanding. Wear a hat when you go out. Do not touch cold water.
(3) Cleaning: postpartum hemorrhage takes a long time, so vulva cleaning is very important, otherwise it will cause infection and inflammation. I consulted the doctor, who said I could take a bath the next day. But to be on the safe side, I suggest you wait until the amount of bleeding is less after 5 days before taking a bath. During the period, you can clean the vulva every other day, pay attention to the water temperature, and don't take too long, because squatting is also oppressing the uterus. You can't share the rent for one month. I suggest two months, at least one and a half months. If the man can't wait, I suggest kicking him away.
(4) things: eat when you are full. Chicken, eggs, whatever. Eat more dates, brown sugar and other blood. Do not drink cold food. I don't even eat fruit. I eat a lot of vegetables to supplement vitamins every day.
(5) read less books and listen to music with headphones. Do less manual labor. Reduce abdominal force. Peace of mind is conducive to rapid recovery.
During this period, men played a very important role, from life care to psychological comfort. Now it's just you and me, and you're pregnant. You can't blame the man, let alone the woman. It's no use blaming each other, but relaxing and discussing how to solve it is the first problem. You can properly tell a few close friends that you can take care of them. However, if someone knows that cynicism and loud criticism are defenders, it is suggested that her boyfriend or husband join hands with several muscular men to beat him up and leave him alone.
I forgot to mention the cost. The cost of inspection is almost 200. On the day of the appointment, the operation fee plus mifepristone and prostate medicine will be nearly 200. On the day of abortion, the hospital prescribed a lot of drugs, plus oxytocin, which was nearly 400. Up to now, I have spent about 1 000 yuan on other nutriments and daily necessities.