1, what should I do after abortion?
1. Chromosome detection of aborted embryos or tissues. Why did this happen? Because the main cause of abortion in each embryo may be different, and chromosome is the most important cause, and 60%-70% of abortion is due to chromosome abnormality in the embryo. Therefore, the examination of embryo chromosome is the first-hand basis to predict the risk of next abortion. Some recessive chromosome translocation can also be found by examining abortion tissues. At present, most of the examination of embryonic chromosomes is to extract DNA for gene chip or second-generation sequencing, which is not limited by the high detection conditions, high failure rate and limited detection range of traditional chorionic cell culture methods. This project is a routine project of abortion detection in Obstetrics and Gynecology Hospital affiliated to Fudan University and Shanghai Ji 'ai Genetic and Infertility Clinic.
2. Chromosomes of both husband and wife. First-line detection of recurrent abortion.
3. Torch eugenics screening, including Toxoplasma gondii Tox, rubella virus RUV, cytomegalovirus CMV, herpes simplex virus and other pathogens detection.
4. Gynecological B-ultrasound. Hysterosalpingography (HSG) was performed when necessary. Detect whether there is anatomical abnormality.
5. Gynecological examination. Including female genital inflammation (leucorrhea routine +BV), cervicitis, cervical human papillomavirus, chlamydia, mycoplasma and gonorrhea.
6. Endocrine test. Including basic endocrine examination, progesterone examination in luteal phase, luteal function examination on the third to fifth day of menstruation and thyroid hormone examination.
7. Detection of glucose tolerance and insulin antagonism.
8. Blood lipid, liver and kidney function examination.
9. Identification of folic acid genotype and determination of homocysteine.
10. antibody screening. Including anticardiolipin antibody (ACA), anti-β-2 glycoprotein antibody, autoantibody (ANA) antibody spectrum, anti-endometrial antibody (EMAb) and so on.
1 1. Detection of coagulation function and D- dimer.
12. Blood group identification of husband and wife.
13. Detection of reproductive immune antibodies: blocking antibodies, anti-idiotypic antibodies, etc. This needs to go to a hospital with corresponding conditions, such as the reproductive immunology department of the Obstetrics and Gynecology Hospital affiliated to Fudan University.
14. Male test items: male semen routine+abnormal rate test; Detection of mycoplasma and chlamydia in semen: sperm aneuploidy analysis (this project is routinely carried out in Shanghai Ji 'ai Genetic and Infertility Clinic).
2. Guidance after abortion operation
1, pay attention to personal hygiene
Pay attention to personal hygiene. It is advisable to take a bath, and it is forbidden to take a bath for one month. The living room is sunny and well ventilated, keeping the environment clean.
2. Observe the bleeding.
After abortion, women's private parts bleed for more than a week, even accompanied by abnormal manifestations such as lower abdominal pain, fever, cloudy leucorrhea, foul smell, etc., so they should go to the hospital for re-examination and treatment in time.
3. Adhere to contraception.
After abortion, the function of ovary and uterus gradually recovered, and the ovary ovulated as scheduled. If you don't insist on contraception, you will get pregnant again soon. Therefore, reliable contraceptive measures should be chosen as soon as possible after abortion. Abortion can only be used as a remedial operation after contraceptive failure, and contraception must be the main method, and abortion cannot be used as a contraceptive measure.
4. Pay attention to rest and strengthen nutrition.
After abortion, you should stay in bed for 2-3 days, and then you can get out of bed for activities and gradually increase the activity time. Do not engage in heavy physical labor or cold water labor within half a month after abortion to avoid catching cold. Pay attention to increase nutrition, enhance the body's resistance to diseases, and promote the early repair of damaged organs. After induced abortion, we should eat more fish, meat, eggs, bean products and other rich foods in protein and fresh vegetables rich in vitamins to speed up recovery.
5, keep the vulva clean, no sex.
After abortion, the uterine orifice has not been completely closed, and the endometrium also has a process of repair. In the meantime, special attention should be paid to keeping women's private parts clean and hygienic outside the home. Articles such as sanitary napkins and used underwear should be washed and changed frequently. Don't take a bath for half a month after operation, so as to avoid dirty water entering female private parts and causing infection. Premature sexual behavior after abortion is easy to cause acute endometritis, pelvic inflammatory disease and secondary infertility. Therefore, sexual intercourse is forbidden within one month after abortion.