How to distinguish pathological bleeding after termination of pregnancy from normal. How long does it take to bleed after a medical termination of pregnancy? Heavy bleeding after medical termination of pregnancy

How many there's blood coming out after medication interruption pregnancy? This is a question that women who are faced with the need for an abortion in an unwanted pregnancy must ask themselves. How many days will the bleeding continue? How dangerous is this? In what situation should you consult a doctor? Is the duration of bleeding related to how the unwanted pregnancy was terminated? There are a lot of questions. Let's try to figure out why there is bleeding after an abortion.

After an abortion, the occurrence of bleeding is quite natural, but there are nuances that you need to be aware of. After a medical termination of pregnancy, how long does it bleed? A lot depends on the method by which the pregnancy was terminated and the characteristics of each individual organism.

Why does bleeding occur after an abortion?

After an abortion there is always blood. This can last from 1 to 20 days. It is necessary to distinguish when this is a sign of cleansing the body, and when it is the cause of obvious deviations. The presence of bleeding should not be immediately attributed to complications. You should sound the alarm if the blood flows for too long and too heavily. This state of affairs can then result in severe blood loss or complications. You should immediately contact a gynecologist if the bleeding suddenly stops after medical termination of pregnancy. The sudden disappearance of discharge after termination of pregnancy may also indicate the presence of complications. A spasm occurs in the area of the cervix, as a result of which it becomes impossible for blood and tissue debris to come out, so there is no bleeding after an abortion. In such an atmosphere inflammation easily occurs.

The absence of bleeding after an abortion is more often observed during a surgical abortion if the cervix is damaged as a result of the operation or medical instruments were applied incorrectly. Bleeding after a medical abortion is usually profuse and requires constant monitoring by a gynecologist.

Most common reasons severe bleeding:

An infection has occurred.
The operation was carried out in bad faith.
The activity of the uterus is significantly reduced.

If abnormalities become obvious, you should immediately consult a doctor, even if a significant amount of time has passed since the abortion. It would not be superfluous to conduct a thorough examination of the body, in particular an ultrasound, in order to exclude the possibility of complications. It happens that bleeding after an abortion lasts a very long time, in addition, the patient’s general health worsens, and the temperature may rise. All this characteristic symptoms progressive infection. Intense bleeding with a successful outcome lasts up to two days, then there may be minor bleeding, gradually they should stop, usually this does not last longer than a week. At the same time, the amount of discharge is constantly decreasing.

If bleeding continues for a long time after the intervention, then it makes sense to consult with your doctor.

How does the duration of bleeding depend on the method of termination of pregnancy?

Abortion will have different but always dangerous consequences for woman. You should always remember that this is a very serious step and should be taken as a last resort.

Currently, abortions are performed in several ways:

instrumental;
medicinal;
vacuum.

Clinics also provide artificial births in later stages. With the medical method, termination of pregnancy occurs without the intervention of a surgeon. Medical termination is the most gentle method, although the blood after an abortion in this case can flow long and profusely. The patient is taking abortifacient medications as prescribed by the gynecologist. There's a lot going on strong surge hormones into the body, as a result of which the fetus is rejected and discharge occurs. After medicinal method bleeding smoothly transitions into the next menstruation, so general blood will take quite a long time, from several weeks to 1 month.

If it goes heavy bleeding for a very long time, and there is a lot of blood after an abortion, then you should go to the doctor. Heavy discharge may occur only on the first day, then the intensity decreases. Medicinal termination of pregnancy can only be done under the supervision of a doctor!

With the vacuum method of abortion, there is little bleeding, heavy discharge will occur within 1-2 days after the abortion, then they become less and less and then stop. If the operation is performed during the day, the intensity of bleeding may increase in the evening and then decrease. Sometimes it may take 5-7 days, then menstruation returns to normal. If the pregnancy was terminated by an instrumental (surgical) method, then after it there will be a lot of blood and it will flow from 5 days to 2 weeks. At first, the discharge may contain blood clots. There is usually a lot of blood after an abortion performed using this method and this can be considered the norm, since the mucous membrane is severely injured.

After an artificial termination of pregnancy, the situation should be something like this:

For the first few days after the operation, blood of an intense red, possibly very dark hue is released; it contains blood clots and tissue residues. Severe pain in the lower abdomen may occur.
Over time, the bleeding becomes less profuse, the color of the discharge may change to brown, the discharge becomes pale and disappears, and there is almost no pain.
After about a month, the menstrual cycle is restored.

After any type of abortion, bleeding usually stops flowing on its own, but sometimes bleeding can be a symptom of a complication.

When should you sound the alarm?

Even if the operation to terminate the pregnancy went well, but there was a lot of blood after the abortion, the situation must be kept under control. You should tell your doctor about any changes you notice. mandatory without delay.

Cases when urgent medical advice is needed:

Heavy bleeding continues, the blood becomes very bright in color.
Purulent discharge appeared.
An extremely unpleasant smell of rotting appears in the blood.
The pain in the lower abdomen does not stop, and perhaps gets worse. There is vomiting, nausea, and severe dizziness.

If bleeding after medical termination of pregnancy is a concern, go to the doctor immediately! Any attempt to independently influence such changes in the body is fraught with serious consequences. You need to understand that such things can and should only be treated by a specialist. To avoid complications after the intervention, you need to have an abortion only as prescribed by a doctor. Aborting it yourself at home is out of the question - this is fraught not only with complications, but also with death.

It is worth remembering that abortion is the most extreme measure. Modern methods contraception can provide protection against unwanted pregnancy on high level. Take care of your health.

If a woman decides to terminate her pregnancy, it means she has good reasons for this. Termination of pregnancy - despite the prevalence of the operation and the variety of methods - is a big health risk.

After surgical abortion adhesions almost always appear between the pelvic organs, medication causes hormonal imbalance. Regardless of the method, there is a risk of uterine bleeding, which requires surgical intervention to stop.

Lack of bleeding after removal of the fertilized egg also causes complications. Blood accumulates in the uterine cavity, creating a favorable environment for the development of pathogenic flora. This can lead to blood poisoning.

Abortion

Abortion is the termination of pregnancy before 16 weeks. The optimal period for vacuum aspiration is up to 6 weeks, surgical intervention– up to 12 weeks, medical abortion – up to 4 weeks.

If termination of pregnancy is necessary for more later, medical indications are required. At the woman's request, doctors will not jeopardize her health and their reputation. After 18 weeks, a fetal destruction operation is performed.

Whatever the fertilized egg is peeled off with - a hormonal shock, a vacuum or a curette - the endometrium, into which the fertilized egg has managed to penetrate, is separated along with it. This layer of the endometrium is penetrated by blood vessels, and the longer the pregnancy, the more abundant the bleeding should be.

Everyone knows what happens when the integrity of blood vessels is compromised. Even if you tear your knee, capillary bleeding can last about an hour.

And here they are damaged blood vessels which were ready to supply oxygen new organism- this means that the blood must drain for a long time.

If a woman imagines what happens in the body during an abortion, she should understand: the absence of bleeding after an abortion is a reason to consult a gynecologist.

If the blood does not come out, it means that it accumulates in the uterine cavity or even penetrates the tube. Should she go somewhere?

After some time, additional symptoms of complications caused by cervical spasm will appear:

bursting pain in the sacrum and lower abdomen;
heat;
nausea, and maybe vomiting.

Sometimes women are happy that there is no bleeding the day after an abortion, without wondering why this happened. In most cases, a sudden cessation of bleeding indicates a blockage. fallopian tube. Even if no additional symptoms occur at first, it is necessary to consult a gynecologist before the inflammatory process worsens.

Duration of uterine bleeding after termination of pregnancy

To be able to correctly assess their condition, women need to know how long post-abortion bleeding should last and what consistency the discharge should be.

After a surgical abortion, the bleeding on the first day is quite profuse, the color varies from scarlet to dark red. By evening, the amount of discharge should decrease and resemble the first day of menstruation in volume. However, the consistency of the discharge is completely different - there should not be any clots or fibrin threads in it.

On days 2-3, the amount of blood flowing decreases, the discharge becomes darker, then changes color to brownish. The bleeding continues for at least 2 weeks. If after 4 weeks you notice bloody inclusions in the natural mucous secretions, you should consult a doctor. This symptom most often indicates the beginning inflammatory process.

The vacuum method is considered the most gentle - the walls of the uterus are injured to a lesser extent - but still, bleeding after it should continue for at least 3 days. The norm is up to a week.

The most significant blood loss is caused by medical abortion, and they last for at least 30 days. Until the consequences go away hormonal disorders in the body, will not be established and menstrual cycle. Recovery period after a medical abortion it can last up to six months.

As you can see, when there is no bleeding after termination of pregnancy, this is not normal.

Treatment of a dangerous condition

The condition in which blood accumulates in the uterine cavity is called hemotometra. Can
highlight and additional reasons why the complication occurs.

In addition to cervical spasm, which is impossible to predict, this is caused by a polyp located in the cervix and blocking the passage or a tumor. Blood can also stagnate due to endometrial cancer. It is impossible to induce bleeding at home. Some folk “healers” give advice on how to induce bleeding after an abortion - they suggest having sex with a partner.

Under no circumstances should this be done! An infection will likely enter the body and sepsis may develop - blood poisoning. This condition is dangerous not only for health, but also for life. Hematometra treatment is carried out in a hospital setting.

Depending on the clinical picture Uterotonic drugs that enhance the contractile activity of the uterus or antispasmodics that relax smooth muscles may be prescribed. Vacuum aspiration may be necessary to remove accumulated secretions and clear the uterine cavity.

If the problem cannot be solved with medication, the uterine cavity is probed or hysteroscopy is performed - during this operation, the cervix is dilated and a device is inserted into it, which projects everything that happens in the uterine cavity on a screen. This procedure examines and treats at the same time.

If the inflammatory process has already worsened, then it is necessary to use antibiotics. Sometimes antiseptics and antibacterial agents inserted into the uterine cavity using the same hysteroscope.

Complications and prevention of hematomas

The consequences of stagnation of blood in the uterine cavity can be the following complications:

infectious-inflammatory process internal walls uterus - endometritis, which in its
turn causes endometriosis;
pyometra - purulent contents accumulate in the uterine cavity, which are subsequently distributed through the bloodstream throughout the body - the infection can penetrate into any organic systems and cause serious damage;
peritonitis - an infectious-inflammatory process invades the peritoneum, and pus accumulates there;
pelviperitonitis is a local infectious and inflammatory lesion of the serous covering of the peritoneum.

All complications are quite serious and conservative therapy when they appear, it no longer helps. Most often, the infected organ - the uterus - is removed to stop the inflammatory process.

Abortion is an operation to artificially terminate a pregnancy in a relatively early– up to 16-18 weeks. For a period of up to 12 weeks, it can be carried out at the request of the woman, then only according to medical indications, for example, if the pregnancy has stopped developing.

Surgery is performed different methods: surgical, medicinal, using vacuum aspiration. No matter how the fertilized egg is removed, bleeding always occurs after an abortion. In intensity it resembles normal menstruation, and gradually fades away. However, such bleeding cannot be called menstruation - this is not rejection of the endometrium, but the body’s reaction to aggressive intervention.

Instrumental abortion

During the operation, the fertilized egg is removed by blindly scraping the walls of the uterus. In this case, the entire endometrium is scraped off and the blood vessels that penetrate it are damaged.

A dilator is inserted into the cervix and it is artificially stretched. Then a special spoon-curette is inserted, which is used to carry out all the actions. The procedure is extremely painful and is currently only performed under anesthesia. Not long ago, women had to endure this severe pain"live". Despite the prevalence of the operation and its apparent simplicity, for women it is one of the most dangerous.

During surgery, the uterus is injured, and there is a high risk of developing an inflammatory process and infection with pathogenic flora.

No matter how well the procedure is performed, bleeding after it is inevitable. It lasts from 10 days to 4 weeks, and depends on what stage of pregnancy the operation was performed at. It is considered optimal to carry out surgical intervention for a period of 6 to 8 weeks.

If the fertilized egg is not completely removed or the uterine wall is injured, profuse uterine bleeding– doctors can define it as “breakthrough”. If it is caused by a violation of the technology of the operation, curettage is repeated. Stopping bleeding caused by perforation of the uterine wall is possible only during surgery. Very often the uterus has to be completely removed.

Vacuum aspiration

Vacuum aspiration is also called a mini-abortion. A dilator is also inserted into the cervix, but
The fertilized egg is separated from the wall by creating a vacuum - the walls of the uterus are almost not damaged. Blood discharge may begin on the 2nd day after the abortion.

The method is considered safe; currently the operation is performed on an outpatient basis, under local anesthesia. Its disadvantage is the relatively high probability that the fertilized egg may remain in the uterine cavity.

Bleeding after a vacuum abortion is more reminiscent of menstruation last days and lasts no more than 2 weeks. Sometimes spotting lasts a month, but the woman does not experience any pain. It all depends on the individual reaction of the body.

Prolonged bleeding or heavy spotting after vacuum termination of pregnancy is diagnosed as complications. They occur if the blood clotting function is impaired or the fertilized egg is not completely removed.

Medical abortion

Termination of pregnancy is carried out without surgery, using special tablets.

Usually medications are taken according to the following scheme:

the first dose stops the development of the embryo;
the second – provokes its detachment.

Some doctors consider it advisable to prescribe a third type of medication after the detachment of the embryo - contractile.

The first dose can be taken at home; while using the second type of drug, it is advisable to be under the supervision of a doctor.

The embryo comes out along with bloody discharge, which at first is very copious - it looks like a pink lump. Do not think that this method is the most “humane”.

A hormonal shock is carried out throughout the body - the basis of all drugs that promote the expulsion of the embryo, high dose hormones.

Normally, bleeding stops a month after a medical abortion, but the cyclicity of menstruation can be restored for about six months. If after 2-3 days the bleeding intensifies, it is necessary to return to the hospital - this indicates the development of complications.

Norm or pathology

Bleeding should begin after any abortion - when the embryo is detached, the blood vessels that permeate the endometrium burst. If blood is not visible, this is not a reason to rejoice, it means that a complication is developing, which is called hematometra.

A spasm has occurred in the cervix, and blood accumulates in its cavity, creating a favorable environment for the development of the inflammatory process, which occurs due to stagnation or increased activity pathogenic microorganisms, introduced during the operation. When the blood drained for the first 2 hours, and then the bleeding stopped and was absent for more than 2 days, this is also a reason to consult a doctor.

Women usually want to know how long the bleeding lasts after an abortion. Tell me exactly how much
You can’t – it depends on the individual reaction of the body and the duration of pregnancy. If the intensity of bleeding gradually decreases, the color changes from bright red to dark, and then pink or brown, we can assume that no complications have arisen.

Clots are only allowed after a medical abortion. Fibrin and clots in the discharge after termination of pregnancy performed by other methods indicate the development of complications.

You should also contact your gynecologist if bloody discharge there is pus, the temperature has risen, pain in the lower abdomen has appeared. Sometimes women are interested in how to stop bleeding after an abortion at home? It is very dangerous to do this. Heavy bleeding almost always indicates complications. In this case, treatment should be done in a hospital setting.

After an abortion

To prevent complications after an abortion, you should be careful about your own health:

Don't get too cold.
Not to drink medical supplies blood thinners, and avoid drinking alcohol.
It is advisable to follow all doctor's prescriptions - currently, after vacuum aspiration or surgical termination of pregnancy, doctors consider it advisable to prescribe antibacterial or anti-inflammatory drugs - a course of treatment of about 3 days.
Sexual rest is required for 4 weeks.

Even if menstruation has not occurred after 4 weeks, you should still use protection. Pregnancy can occur even before the first menstrual cycle, and since the body has not yet recovered from a hormonal imbalance, most often it ends in spontaneous abortion. In the future, this can lead to recurrent miscarriage.

Bleeding after a medical abortion lasting a month is considered normal, but heavy bleeding is a reason to consult a doctor immediately.

Risk of bleeding after medical abortion

The World Health Organization considers it the safest, and it is this method that is recommended by obstetricians and gynecologists all over the world if the issue of the need to terminate the pregnancy has already been decided and all that remains is to choose a method. However, the definition of “safest” does not mean complete absence harm to health - such a serious hormonal intervention cannot pass without leaving a trace and often leaves behind serious complications. For example, it is often found abnormal bleeding after a medical abortion, which can be life-threatening.

In order to understand why such dangerous consequences can occur after taking pills, you need to imagine the mechanism of action of the drug used to carry out the pharmacotherapy. Mifepristone, which the woman takes at her doctor's appointment, is given to her in a dose of 600 mg. This dosage of the drug allows you to achieve the following effect - the uterus stops responding to the hormone progesterone, namely high content This hormone during pregnancy ensures the maintenance of fetal life, rich blood supply to the uterine lining (endometrium) and prevents its rejection. It is easy to imagine that eventually the vessels of the uterus, which carry blood to the fetus, collapse and the death of the fetus occurs. At the same time, the ability of the uterus to contract increases, and the fertilized egg is gradually brought out along with the sloughing endometrial layer. Bleeding after an abortion usually begins within 24 hours.

After 2 days, the woman visits the doctor again, who clarifies whether a miscarriage occurred or not, and whether the uterus has contracted sufficiently. If the uterus has not yet returned to its previous size, prostaglandins are prescribed - hormonal substances that stimulate contractile activity uterus and allowing the abortion to be completed. Discharge after a medical abortion may intensify and become more painful while taking prostaglandins - this is normal reaction. A woman may notice the moment of miscarriage - a light pink, dense formation about 2 cm in size appears from the genital tract. After this, the intensity of the discharge usually decreases.

How long does bleeding last after medical termination of pregnancy?

The duration of discharge may vary depending on different people and on average is 9-12 days. It should be noted that bleeding after a medical abortion, usually in the form of spotting, sometimes continues until the next menstruation.

Heavy bleeding after medical abortion

Need to know that not every bleeding is normal- excessively abundant, when a woman requires more than two night pads within an hour, can be pathological and lead to serious blood loss. If such bleeding continues for more than 2 hours, as well as if weakness, pallor, rapid heartbeat, or dizziness appear against this background, take horizontal position, place an ice pack on your lower abdomen and call immediately ambulance. Under no circumstances hide the fact of an abortion from the doctor; it is in your interests to give as much as possible detailed information about the state of your body.

The next day a clot also came out. Maybe I wasn't cleaned well? Please explain what this is?...

That everything is fine, the egg is completely out. But the next day after the ultrasound, bleeding started again...

Today, medical abortion is the safest of all. existing species abortion. What explains this? The reason lies in the mechanism of abortion by taking pills. Their goal is to induce something like a standard menstruation, which will push an already fertilized egg out of the uterine area. However, you should still be prepared for the fact that such a simple and relatively safe method can provoke certain complications. In addition, it is necessary to take into account that termination of pregnancy, even medicinal, is a strong restructuring of the body. Consequently, there is a violation of all internal systems, which causes some consequences.

Millions of women have already felt the effects of medical abortion. Usually the abortion is successful without any serious complications. After the procedure, some women experienced some problems, for example, incomplete removal of the fetus, infectious diseases, very heavy bleeding after medical termination of pregnancy. According to reviews on this type abortions, of which there are a lot on the Internet, they then had to treat these consequences. Medical termination of pregnancy in isolated cases that are known today ended in the death of patients. This happened due to very heavy bleeding in abdominal cavity, due to heart failure, which was caused by mifepristone and so on.

For this reason, when asked whether medical abortion is dangerous, every conscientious doctor will answer that there is a risk. And a lot will depend on individual tolerance. There is no need to believe promises about the 100% safety and effectiveness of medication. Whether there will be consequences such as severe bleeding after a medical termination of pregnancy or not will depend, first of all, on the duration of pregnancy, as well as on the characteristics of the woman’s body.

The following list will demonstrate the impact that timing has on the absence of consequences after the procedure:

up to seven weeks, 98 percent of patients terminate their pregnancies successfully with medication. The remaining 2 percent are faced with the need to perform vacuum suction or curettage;
at 7-12 weeks of pregnancy, 5 percent of women resorted to surgical care for complete expulsion of the fetus from the uterus;
but for a period of more than 12 weeks, only 92 percent of women were able to get by with pills alone. 8 percent had a surgical termination.

Considering the above figures, it becomes obvious that among one hundred patients who decide to undergo medical termination of pregnancy, complications arise in several women, who will subsequently need medical intervention. It depends on many factors, so talking about complete danger medicinal method It's early today.

After termination of pregnancy, some time in female body There are also pregnancy hormones. Together with the feeling of guilt from what has been done, hormones often cause depression. Depression usually manifests itself as irritability, fatigue, guilt, appetite disturbance and can cause insomnia. This is quite normal, but if depression lasts more than two weeks after an abortion, you should consult a specialist. Sexual life during the first week after medical termination of pregnancy is taboo. This period may be a little longer as prescribed by the doctor. Such a restriction is necessary to prevent possible blood loss after medical termination of pregnancy inside the female genital organs. In the future, it will be necessary to protect yourself not only because of the likelihood of pregnancy, but also to avoid the ingestion of all kinds of bacteria, dangerous for mucous membranes internal organs women.

The fairly high effectiveness of drugs that terminate pregnancy does not relieve them of certain complications, which include:

The pregnancy did not stop. At the same time, the health of the woman and the fetus suffered, one way or another.
Bleeding after medical termination of pregnancy.
Inflammation of the patient's genital organs.
Contractions.
Failure of the menstrual cycle.
Fever.
Ovarian dysfunction.

To avoid complications after medical termination of pregnancy, it is necessary to perform an abortion only as prescribed by a highly qualified specialist. Under no circumstances should a medical abortion be performed at home, as this approach only increases the likelihood of serious complications.

Pain after medical abortion

Abdominal pain, which is similar to contractions, is felt by patients after taking prostaglandin. This drug accelerates medical termination of pregnancy. The pain is caused by muscle contraction that pushes the fetus out of the vagina. In most cases, pain is tolerable. If the pain is unbearable, the doctor may prescribe a number of medications that have an analgesic effect. Painful sensations similar to the course of ordinary menstruation. The pain ends within 24 hours after taking the drug. If pain continues, you should consult a doctor. Will probably need restoration vacuum abortion or scraping.

Bleeding after medical abortion

There is no need to rush to attribute prolonged bleeding to complications after a medical abortion. Because it is through bleeding that the fetus is expelled. At the same time, the amount of blood clots and blood released from the patient varies individually. So you should not classify heavy or rather scanty bleeding as complications. However, when excessive bleeding occurs, it makes sense to consult a doctor. After all, blood loss can have enough serious consequences problems that can only be resolved through blood transfusions. Very scanty blood loss may indicate that the cervix has closed, and therefore the fetus cannot get out normally. Ideally, heavy bleeding continues for 2 days, then scanty discharge blood. In any case, it is better to consult your doctor.

Restoration of menstruation

After the procedure, your period will begin at best case scenario one menstrual cycle after taking the pills. You need to understand that medical abortion is considered the first day of your period. And therefore, consider the new monthly cycle necessary from the moment it is carried out. Menstruation after medical termination of pregnancy is restored differently for each woman. This mechanism cannot be predicted or influenced in any way. Menstruation after taking the pills can be very heavy. This often means that parts of the fetus remain in the uterus. In such a situation, it is necessary to clean the uterus. Normal natural periods usually appear after one calendar month. If this does not happen, you should consult a doctor. Perhaps a woman new pregnancy. Pregnancy may occur within a couple of weeks, but for normal gestation and good health unborn child, the period of recovery after a medical termination of pregnancy for a woman’s fertility should be at least six months.

A woman is required to recover after the procedure. Must be avoided physical activity, you will probably need to undergo a course of physical therapy.