Follow up physical examination items after abortion

The follow-up physical examination items after abortion mainly include gynecological examination, ultrasound examination, blood routine, urine routine, and human chorionic gonadotropin examination. These examinations help evaluate postoperative recovery and detect complications in a timely manner.

1. Gynecological examination

Gynecological examination is an important means of evaluating the recovery of the uterus. Doctors observe the characteristics of vaginal secretions through visual examination and palpation, check the closure of the cervical opening, and determine whether there are signs of infection. During the examination, issues such as intrauterine adhesions and cervicitis may be discovered. If there is abnormal secretion or lower abdominal tenderness, it may indicate endometritis and require further treatment.

2. Ultrasound examination

Transvaginal or abdominal ultrasound can visually display the morphology of the uterus, endometrial thickness, and the presence of residual tissue in the uterine cavity. The normal postoperative endometrium should be uniformly linear with a thickness of about 5-10 millimeters. If uterine fluid accumulation, abnormal echo mass, or interruption of endometrial continuity is found, it may indicate residual pregnancy or intrauterine adhesions, and hysteroscopy exploration should be considered.

3. Blood routine

evaluates the presence of anemia or infection by detecting indicators such as hemoglobin and white blood cells. Hemoglobin levels below 110g/L indicate postoperative hemorrhagic anemia and require iron supplementation. White blood cell count exceeding 10 × 10 ^ 9/L accompanied by elevated neutrophils may indicate bacterial infection, and antibiotics such as cefuroxime dispersible tablets should be used for anti infection treatment if necessary.

4. Urine routine

detects indicators such as red blood cells, white blood cells, and protein in urine to screen for urinary system infections. When the white blood cell esterase in urine is positive or the number of white blood cells detected by microscopy exceeds 5/HPF, urinary tract infection may be combined, and levofloxacin tablets can be used for treatment. Some patients are prone to asymptomatic bacteriuria due to decreased postoperative resistance and require regular monitoring.

5. hCG examination

dynamically monitors changes in serum levels of human chorionic gonadotropin, which should normally decrease to non pregnancy levels at 3 weeks after surgery. If hCG decreases slowly or rebounds and increases, one should be alert to abnormal conditions such as residual pregnancy tissue and persistent ectopic pregnancy. At this time, ultrasound examination should be combined, and if necessary, diagnostic curettage or methotrexate treatment should be performed.

Within 1-2 weeks after surgery, avoid vigorous exercise and heavy physical labor, keep the perineum clean, and clean the external genitalia with warm water daily. Eat more foods rich in high-quality protein and iron, such as lean meat and animal liver, to promote hemoglobin synthesis. Within one month after surgery, pelvic baths and sexual activity are prohibited. If fever, persistent abdominal pain, or vaginal bleeding exceeds menstrual flow, patients should promptly return to the hospital for follow-up examination. It is recommended to have a follow-up evaluation of ovarian function recovery after menstruation returns to normal 3 months after surgery.