Bleeding after abortion


Abortion is called the operation of artificial termination of pregnancy at a relatively early period - 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 for medical reasons, for example, if the pregnancy has ceased to develop.

Surgery is performed by various methods: surgical, medical, using vacuum aspiration. No matter how the fertilized egg is removed, bleeding always occurs after an abortion. In terms of intensity, it resembles an ordinary menstruation, and gradually fades away. However, it is impossible to call such a blood flow monthly - this is not endometrial rejection, but the body's response to aggressive intervention.

Instrumental abortion

During surgery, the ovum is removed by scraping the uterus walls blindly. In this case, the entire endometrium is scraped off, and the blood vessels piercing it are damaged.

A dilator is inserted into the uterus, it is artificially stretched. Then insert a special spoon-curette, which and carry out all the actions. The procedure is extremely painful, currently it is done only under general anesthesia. More recently, women have had to endure this intense pain "live". Despite the prevalence of surgery and apparent simplicity, for women it is one of the most dangerous.

During surgery, the uterus is injured, there is a high risk of inflammation and infection with pathogenic flora.

No matter how well a procedure is performed, bleeding after it is inevitable. It lasts from 10 days to 4 weeks, and depends on how long the pregnancy was performed. Optimally, it is considered to conduct surgery for a period of 6 to 8 weeks.

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

Vacuum aspiration

Vacuum aspiration is also called mini-abortion. A dilator is also inserted into the cervix, but
the ovum is separated from the wall by creating a vacuum - the walls of the uterus are almost not damaged. Blood excretions can begin on day 2 after an abortion.

The method is considered safe, at present the operation is performed on an outpatient basis, under local anesthesia. Its minus is a relatively high probability that the ovum may remain in the uterus.

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

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

Medical abortion

Abortion is carried out without surgery, with the help of special pills.

Usually drugs are drunk according to the following scheme:

  • the first dose stops the development of the embryo,
  • the second - provokes his detachment.

Some doctors consider it appropriate after the detachment of the embryo to prescribe a third type of medicine - reducing.

The first dose can be drunk at home, while using the second type of drug, it is desirable to be under the supervision of a physician.

The germ comes along with bloody secretions, which at first are very abundant - it looks like a lump of pink hue. Do not think that this method is the most "humane".

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

Normally, bleeding stops a month after medical abortion, but the menstruation cycle can recover about six months. If after 2-3 days the bleeding has increased, 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, then a complication develops, which is called a hematometer.

A spasm appeared in the uterine cervix, and blood accumulates in its cavity, creating a favorable environment for the development of the inflammatory process, which arises due to a stagnation or increased activity of pathogenic microorganisms that have invaded during the operation. When the first 2 hours the blood receded, and then the bleeding stopped and was absent for more than 2 days - this is also a reason to consult a doctor.

Usually women want to know how long the bleeding after an abortion lasts. Say exactly how much
it is impossible - it depends on the individual response 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 there are no complications.

Clots are permissible only after medical abortion. Fibrin and clots in the discharge after abortion, carried out by other methods, indicate the development of complications.

You should also contact a gynecologist if there is pus in the bleeding, the temperature rises, pains in the lower abdomen appear. Sometimes women are interested in how to stop bleeding after an abortion at home? This is very dangerous to do. Severe bleeding almost always indicates complications. To be treated in this case should be in a hospital.

After abortion

In order to prevent complications after an abortion, you should carefully consider your own health:

  1. Do not supercool.
  2. Do not drink blood thinning medications and abstain from alcohol.
  3. It is advisable to perform all the doctor's prescriptions - at present, after vacuum aspiration or surgical abortion, doctors consider it advisable to prescribe antibacterial or anti-inflammatory drugs - a course of treatment is about 3 days.
  4. Sexual rest must be observed within 4 weeks.

Even if after 4 weeks of menstruation did not come, you should still be protected. Pregnancy can occur even before the first menstrual cycle, and since the body has not yet recovered from hormonal disruption, it most often ends in a spontaneous abortion. In the future, this may lead to habitual miscarriage.

Dangerous operation

The most dangerous is the first abortion, regardless of the way it was performed. It is strictly not recommended for patients with a negative Rh factor.

Women are advised to refuse abortion if they have the following gynecological problems:

  • caesarean section in history - up to 2 years,
  • chronic inflammation of the pelvic organs,
  • in violation of ovarian function,
  • with cervical erosion,
  • presence of multiple fibroids in the mammary glands.

Therefore, deciding on the termination of pregnancy, you should think whether such a decision is really justified? Maybe you should not put your health at risk? The next chance to become a mother in the presence of serious problems in the body may not be.

Blood after abortion

The appearance of blood after an abortion is a completely normal, even characteristic phenomenon for a postabsortivnogo condition, which is a typical organic reaction to hostile outside interference. One must be able to distinguish normal discharge from abnormal bleeding. It is quite normal if, immediately after surgical curettage, the patient is so abundantly released blood that it can change up to 3-4 sanitary pads for some time.

Bleeding with properly performed artificial interruption usually begins immediately after cleaning, because the fetal vascular system is damaged by gynecological instruments during scraping and detachment of the embryo from the uterine wall. After abortions, blood is always irrespective of the way in which the interruption was performed, be it a mini-abortion, a drug interruption or curettage of the uterine cavity.

No need to rejoice if, after abortive procedures, the patient has no spotting, there is nothing good in such a sign and certainly does not mean that the operation has gone well. As a rule, there is no blood after an abortion, if the blood clots are not able to get out of the independence cavity of the uterus, which is dangerous with infectious complications and infections. Therefore, in the absence of blood in combination with a bad state of health and severe weakness, an urgent need to visit a gynecologist.

Causes of bleeding

Sometimes the bleeding after an abortion is smearing, although the blood can go too much, which is typical for such cases:

  • Uterine traumatic injuries received during abortive intervention gynecological instruments,
  • Unsuccessful fetal detachment,
  • Dysfunctional disorders of uterine activity,
  • Incomplete purification of the fallopian tubes from fetal remains,
  • Violation of surgical technology,
  • Inadequate organic reaction to anesthesia used before the procedure,
  • All kinds of stressful situations that a woman experienced during the pregnancy and even before it,
  • Taking hormone drugs,
  • Increased activity or physical exhaustion,
  • Disruption of blood coagulation processes.

If, in addition to bleeding, the patient has a fever, pressure drops or nausea and other pathological signs after an abortion, then an urgent need to go to the hospital. Because such symptoms can be caused by an infectious lesion or poorly performed surgical termination of pregnancy.

How many go

To understand how well post-sport recovery proceeds normally, you need to know how much blood is going after abortions. The duration of bleeding depends on the method used by the doctor to interrupt. Usually abortive interventions are carried out by medical, vacuum surgery.

Drug intervention involves the interruption by taking pills containing a loading dose of hormonal substances. As a result, the body experiences a powerful hormonal attack, leading to the rejection of the embryo and its exit from the uterine cavity, interspersed with blood. As a rule, after the pharmacist, the blood masses go quite long, because placental and fetal membranes leave the uterus. In addition, the fetal rejection, and then the regeneration of the endometrium takes quite a long time (7-17 days), so the blood can go long enough. There are cases when postabortion discharge goes unnoticed into planned menstruation, then bleeding can last for 3-4 weeks.

In the case of vacuum interruption, fetal suction is performed by means of specialized equipment that creates a vacuum. After such an interruption, the bloody discharge is rather inconclusive, although at first the blood can be quite intensive. Already on the second day of the discharge become daub. Usually, after interruption by the vacuum aspiration method, the blood does not last long, about 3-7 days, while the amount of discharge is insignificant, therefore no patient, as a rule, experiences any pain.

If the interruption was carried out in a standard operative way, then intervention into the uterine cavity is expected, from where the doctor curets the fetus and placental rudimentary tissues with a curette. Such an operation causes a rather unpleasant pain, so it is performed using anesthesia. Usually, the bleeding lasts about 4-14 days, and at first blood clots are excreted along with pieces of tissue, but as the blood heals, it is not so severe, then the bleeding completely passes.

Selection features

It is very important to strictly monitor the nature of the bleeding. Normal are the discharge, consisting of the remaining pieces of tissue, scraped during abortive intervention. It is thanks to such post-sports bleeding that pathogenic microorganisms cannot wilt inside the uterine cavity.

  • Usually in the first day or two after the abortive procedure, bloody and clot-like discharge is quite abundant, sometimes whole pieces of an incomprehensible character come out.
  • Then the bleeding decreases, it becomes lighter.
  • Then the discharge turns brown, becomes smearing and gradually stops.
  • If immediately after gynecologic curettage there are abundant blood clot-like masses containing many large pieces, then, most likely, the intrauterine cavity is not sufficiently cleaned out, which is fraught with the development of pathologies and complications. How well the cleaning will be done, how quickly and favorably rehabilitation will take place.
  • The abundance of clots in the discharge is typical and is considered the norm only for surgical abortion.
  • If the bleeding on the first day is not sufficiently abundant and resembles a daub more, then there is a risk that blood clots accumulate in the uterine body and do not have the ability to leave it naturally. This is very dangerous, because it provokes the formation of intrauterine infectious processes, because the bleeding acts as a protective reaction, cleansing, restoring and protecting female reproductive structures.

In general, normal post-sports bleedings are at first abundant, but on the second day they decrease and after a couple of days they become smearing. Usually, doctors say that the longer the term was before the abortion, the more abundant the blood loss would be after the interruption.

First aid for bleeding

If a woman suffers from severe bleeding for quite a long time, it is urgent to consult with the gynecologist, and for especially acute bleeding, call an ambulance. While the medical team gets to help you, you can give first aid yourself. To reduce the intensity of bleeding, doctors recommend lying down on one side or on the back, try to relax and avoid jerks and sharp rising.

It is also useful to make a cold compress on the peritoneum, which will contribute to the reduction of bleeding. It is not recommended to take any painkillers. Between the legs, you need to put a gasket for heavy discharge (maxi), and put a cushion under your feet to direct the blood flow to the head, thereby reducing the intensity of bleeding. In order not to provoke a re-abundant discharge of blood after treatment, it is recommended to relax more, avoid overwork, refuse to lift weights and exercise.

It is also necessary to avoid stressful situations that stimulate the nervous system structures. You can not take any medications yourself, but only according to medical instructions. Until the body is restored and will not return to normal any unhealthy habits under the ban, as well as all sorts of dietary nutrition programs. A woman needs sexual rest before the end of the first menstruation. When bleeding can not use tampons, because they can cause stagnation of clots, which will lead to infection and the formation of new injuries.

So, bleeding after an interruption is considered normal, but there are some types of bleeding that can pose a danger to the patient, for example, the lack of bleeding or excessive bleeding for a long time.

Abdominal bleeding

Blood after an abortion should always go, as with instrumental abortion there is an external invasion of objects into the female reproductive system.

Blood loss in this case is a completely normal reaction..

How to find out which bleeding is normal and which indicates unpleasant consequences.

It is often found that a woman after an instrumental (surgical) abortion does not bleed like during normal menstruation, but more intensely when you can change two or three pads within an hour.

Blood is very bad after an abortion for the following reasons.:

  • incomplete cleaning of the fallopian tubes from the ovum when repeated cleaning is required,
  • damage to the uterus by abortion instruments,
  • incorrect operation technology,
  • unsuccessful removal of the fetus,
  • the body's response to anesthetic drugs that are used before an abortion,
  • malfunction of the uterus, its dysfunction,
  • stresses tolerated by a woman before, during and after surgery,
  • переутомление, излишняя физическая активность,
  • hormonal drugs
  • плохая свертываемость крови.

If general weakness, fever, high or low blood pressure, nausea are added to the bleeding, call an ambulance immediately or call the hospital.

When do they start?

In the case of a properly performed abortion, the bleeding should begin immediately after the cleaning procedure, since the blood vessels of the ovum collapse with the help of instruments when it detaches from the uterus.

Moreover, bleeding is characteristic of any type of abortion, whether it is a medical, mini-abortion or surgical.

What does it mean when there is no blood after abortion? Why is there no bleeding after an abortion? Do not rush to enjoy this fact - it does not mean that the abortion is done correctly and without consequences.

Usually there is no blood in the case when the clots remaining after cleaning cannot leave the uterus, which can lead to complications and infections, since this environment is favorable for the development of pathogens.

In this regard, if you do not have bloody discharge, while for a long time, weakness, poor health, pain or other symptoms persist, also consult a gynecologist immediately..

How long do they last?

How many days are bleeding after an abortion? Should I take action if blood is bleeding on the fifth day after abortion?

Under normal conditions, with a well-made abortion that did not lead to obvious complications, bleeding should stop within 5-10 days. Such terms apply to instrumental abortion.

In the case of medication, bleeding can last much longer, and then, if there are no complications again, go into a normal menstruation.

Even if pathologies will not be detected, you yourself will save your nerves.

Understanding how much blood should go after an abortion, you can decide in time to visit a doctor.

Nature of bloody discharge

Now you know how long the bleeding after an abortion lasts, but what kind of bleeding is considered normal?

Normal bleeding is the remaining pieces of tissue that are scraped during abortion. This process does not allow penetration of pathogenic microorganisms into the uterine cavity.

As a rule, the blood after an abortion in the early days is quite strong, the discharge is characterized by a dark color, clots and even pieces may appear. Then the blood begins to go less and less intensively, gradually brightens, acquires a brownish tint and the spotting gradually begins until it is completely gone.

If immediately after an abortion, the bleeding occurs in the form of large clots and lumps, then it says that the cavity has been poorly cleaned, therefore, in this situation, diseases and pathologies may develop, therefore, immediately consult a doctor. It is possible that in the uterus preserved whole parts of the embryo.

Blood clots after abortion are acceptable only in case of medical interruption..

How much blood after an abortion should stand out? A little blood after an abortion or lack of discharge suggests that it is possible that blood has accumulated in the uterus and cannot leave it on its own.

This situation is also dangerous because it leads to adverse effects in the form of various infections in the uterus and development in the uterus, because bleeding acts as a protective process that cleanses, restores and protects the female genitals from external influences.

In other words, if the bleeding was first about a few hours, and then suddenly stopped abruptly, then this is also a reason to see a doctor..

But what if the bleeding lasts a very long time?

Is the blood renewed after an abortion? Yes, in a way.

If the blood loss is not too abundant, then in this case a situation may occur when blood loss from abortion smoothly flows into the menstruation.

However, if the bleeding does not stop more than a month, do not change their consistency, then the examination should not be delayed for a long time. It is possible that the uterus or other organs are damaged.. Especially, if the blood resumed after abortion.

With that, how much time after an abortion is the blood and what character should be the discharge, figured out. Next on how to stop the blood after an abortion and whether to do it?

Danger of bleeding

It is necessary to repeat once again that bleeding after an abortion is a normal reaction of the body. Should there be blood after an abortion? There should be bleeding, but its characteristics must be carefully monitored.. A dangerous situation is when there is no blood at all, and when the bleeding is too heavy. You need to understand what happens after an abortion and why the bleeding does not stop?

In the latter case, it is necessary to take special measures, then immediately contact the gynecologist, and it is best to call an ambulance, because any delay can be dangerous to the health of the woman, as it threatens to lose a lot of blood.

And it's impossible to stop the blood by yourself. You should not try to take hemostatic and anti-inflammatory after abortion.

How to reduce bleeding after an abortion while ambulance rides:

  1. Lie on your back or side, calm down, do not get up too abruptly.
  2. Make a cold compress on the abdominal section to somehow reduce blood.
  3. Do not drink any painkillers.
  4. Put a gasket in the inter-sex zone, better if it is maxi.
  5. Put something under your legs (a blanket or pillow) to direct the blood to the head.

When should I see a doctor?

Bleeding should stop after any type of abortion, however, if you feel anxiety and fear about the duration of the discharge, their consistency, it is better to consult a gynecologist. Check yourself never superfluous. This is your health, above all. You now know how much blood should be after an abortion.

If there is no discharge at all or they stop abruptly (for example, after 3 days), then this is a reason to get worried, as uterine spasm could occur, and all remnants of the fetus and blood are closed in the uterine cavity, which, in turn, creates an environment for inflammation.

This happens when an abortion was technically wrong - an incorrect insertion of instruments or some damage to the uterus itself.

In any case, the doctor will determine the cause of such deviations and prescribe treatment. But in most cases it does not do without repeated cleaning.

When is it worth to consult a doctor?

  • blood does not stop going, a bright red tint appears,
  • there are cramps and pains in the abdomen,
  • there are purulent traces in the discharge,
  • discharge has a pungent smell of pus,
  • there is a general weakness of the body, vomiting, nausea

There are situations when bleeding stops on the second or third day after an abortion, and then resume again and continue for a very long time. Do not try to stop the bleeding after an abortion in this case.

This is also a reason to visit a doctor, since the uterus functionality and its contractility may be impaired.. In addition, the cause of this deviation may be uterine injury, puncture or spasm.

Deciding on an abortion, a woman should carefully weigh the pros and cons.

It is worth several times to think about whether such risks are justified, and what this may lead to in the future.

Abortion is not a simple operation, it is an invasion of the female reproductive system.which in turn may react differently to such a shock.

That is why the consequences of abortion are unpredictable. Bleeding is only one side that a woman who has an abortion has to fear. They may be the forerunners of other more serious problems that a woman will doom herself by deciding on an abortion.

We hope that thanks to this article you now know how long the blood goes after an abortion and what to do if after an abortion more than two weeks of blood bleed.

Bleeding after instrumental abortion

Instrumental abortion is one of the most common gynecological operations. But despite this, this type of abortion is considered to be the most traumatic and associated with the development of terrible complications.

When instrumental interruption first expands the cervical canal. Then, a sharp-edged curette is inserted into the uterine cavity, and the entire endometrium is completely “scraped” out, including the egg. Naturally, in this case the uterine walls are injured, the vessels are damaged, and consequently, bleeding is inevitable.

How long the bleeding after such an abortion will last is difficult to say. Each woman is an individual, and it is impossible to predict how her body will behave after the operation. On average, blood is released within 10-28 days. Discharge is similar to menstrual, but for several days there may be heavy bleeding with clots. Then the discharge becomes pink, and then smearing brown and gradually stops.

Sometimes in the case of an incorrectly performed operation, when parts of the ovum remain in the uterus or there has been a piercing of this organ, massive bleeding develops. At the same time, against the background of heavy discharge, the woman feels weak, the skin becomes pale and becomes covered with sticky sweat, a drop in pressure, loss of consciousness can occur. This condition requires urgent medical attention. To stop the bleeding, you may need to “scraping” again, and sometimes in especially in severe cases even the removal of an organ.

Bleeding after vacuum aspiration

Vacuum aspiration of the ovum is performed exclusively in the early stages of gestation (during pregnancy up to 9 weeks). This method is considered less traumatic. Under local anesthesia, an aspirator is inserted through the lumen of the cervical canal into the uterine cavity. The fetal egg is separated from the wall of the uterus by a vacuum. This can be done both manually and with the help of an electric vacuum suction. The uterus with such manipulations remains intact.

Bleeding after a vacuum abortion begins on the second day and lasts about two weeks.

In this case, the amount of discharge should be small. If the bleeding lasts longer than the prescribed period or becomes abundant, it is likely that a complication has developed. In this case, an urgent need to see a doctor. Causes of complicated bleeding are incomplete removal of the ovum and / or disruption of the blood coagulation system.

Bleeding after medical abortion

Medical abortion is considered the most gentle method, because it does not cause mechanical damage to the structure of the uterus. Abortion is terminated with abortive medication only during short periods of gestation. To do this, use a powerful hormonal agent that blocks progesterone - the main pregnancy hormone, as a result of which the embryo rejection and active contraction of the uterus begins.

Sometimes a medical abortion can be performed at home. Taking the pill after an appropriate examination is made in the doctor’s office, under his supervision. After two hours, bleeding should begin. To enhance the contractions of the uterus, reducing drugs can be administered. Together with abundant bleeding, a pink rounded clot comes out - the ovum. After two days, the woman should appear to the doctor and tell you if a “miscarriage” has occurred.

Bleeding after medical abortion lasts up to a month, and the menstrual cycle is restored a maximum of six months.

This is due to hormonal changes in the body. If during the first three days after the pharmabort, the bleeding increased, then complications arose. They can be caused as incomplete release of the ovum, and a violation of blood coagulation.

How to stop bleeding by yourself

Often women wonder: how to stop bleeding after an abortion at home? The answer is only one: no way. If after the operation of the interruption a heavy discharge of blood has begun, then this is a reason to immediately go to the hospital, because how dangerous the development of complications can be, only a doctor can assess.

Signs of complications after abortion:

  • the bleeding did not start after a week
  • the bleeding started abruptly stopped after a few days
  • more than a month there is blood after an abortion,
  • the volume of discharge increases,
  • bleeding is accompanied by weakness, pallor, pressure drop, sharp pain.

An unfavorable symptom is a sudden cessation of discharge, which carries the risk of hematometers (accumulation of blood in the uterus) and increased bleeding. In order to determine the last state, it is necessary to calculate how many night shims are used within an hour.

Bleeding is dangerous, especially for women with Rh-negative blood in the first pregnancy. This is due to the fact that the Rh-positive antigens of the embryo fall into the bloodstream. As a result, antibodies against foreign red blood cells begin to form in the blood of the mother. The result of this is that in subsequent pregnancies the maternal organism “attacks” the red blood cells of the child, causing severe hemolytic disease of the fetus and newborn or miscarriage.

Making the decision to have an abortion is always hard. Before taking this step, a woman should realize that even the safest methods of abortion can lead to complications. With the development of uterine bleeding, an immediate appeal for medical help will help preserve reproductive function, and in some cases life.

When you need the help of a specialist

Bleeding is a temporary symptomatic occurrence for any type of abortion, which should stop after 7-17 days.

  • An abnormal symptom is the appearance of bleeding a week after the interruption.
  • Also abnormal and lack of discharge, indicating a spasm of the uterine body or clogging of the cervical canal with a blood clot. Blood clots do not come out, creating favorable conditions in the uterine body for the development of pathogenic microorganisms.
  • If there is too much or, conversely, scanty discharge, then the woman, as a rule, is again cleaned with a curette.
  • Also abnormal pains and abdominal cramps in the lower abdomen, the presence of purulent masses in the discharge or nauseous odor, bright red blood tint in the discharge, the presence of severe weakness and nausea-vomiting syndrome are considered abnormal.

In all of the above cases, urgent intervention by specialists is necessary. You should not hope that the bleeding will stop, losing precious time, it is better to call an ambulance.

Useful recommendations

After any termination of pregnancy, doctors give the woman a number of recommendations regarding lifestyle and other aspects. First, a woman needs to strictly monitor her own condition and avoid hypothermia. Secondly, you should not take blood thinning drugs and refuse alcohol.

Follow all medical prescriptions, undergo a prophylactic course of antibiotic therapy and anti-inflammatory therapy. The duration of this treatment is approximately 3 days. Also, at least a month is to give up sexual joys. Even if a month after the operation the menstrual periods did not come, one must necessarily protect oneself, because a new pregnancy can occur even before the first menstruation begins, and this is very dangerous, because such fertilization often ends sadly, i.e., spontaneous miscarriage.

Abortion is not an ordinary surgical intervention, although many consider it as such. This is a serious intrusion into the patient's intraorganic processes, and, more precisely, into the sexual reproductive structures that unpredictably react to such a barbaric intervention. Therefore, the consequences of artificial interruption are also difficult to predict. Bleeding may not be as harmless as it seems; therefore, after interrupting the patient, it is extremely important to closely monitor the nature of the bleeding and your inner sensations. Only you can prevent tragedy in a timely manner.