I have had termination of pregnancy, and do I think I have developed complication from it?

Background

In the United Kingdom, annually about 200,000 women undergo termination of pregnancies. Out of these about one in every 700 women will encounter some form of complication secondary to termination of pregnancy. The common complications, following termination of pregnancy are,

– Failure to empty uterine cavity completely
– Retained products of conception
– Endometritis
– Trauma to cervix
– Asherman’s syndrome (Scarring inside the womb)

 

How do I suspect there are any leftover tissues?
Crampy lower abdominal pain, continued bleeding from vagina, continued passing of fleshy tissues and infection signalled by fever, i.e., feeling hot and sweaty.

Infection inside the womb

Any patient who undergoes any method of termination of pregnancy (medical by taking the tablets or by surgical vacuum technique), always carry a risk of infection. It can be confined to the uterus and in few women it can spread beyond the uterus. Most patients overcome this contamination by their natural resistance to infection
In some, blood clot may form inside the uterus (haematometra). Extreme heavy bleeding following termination is not so commonly seen.
Endometritis (Infection inside the womb)

Infection of uterine lining can happen after the termination of pregnancy, mainly by the way of ascending infection. This is especially so at the level where the pregnancy tissue was attached to the uterus.
Trauma to cervix
In the long term, if the internal opening of the neck of the womb is traumatised, then there is a theoretical risk of subsequent second trimester miscarriages in future.

Trauma to cervix

Asherman’s syndrome:
This is not so common in women who had medical method of TOP as compared to surgical method. Medically it is suspected in women, if they notice change in their periods. Women who develop Asherman’s syndrome, usually have very light periods and sometimes it can last for a longer duration. Asherman’s syndrome indicated development of infection and scarring inside the womb.

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