It may be a normal phenomenon that there is no bleeding after completing the pregnancy, or it may be related to factors such as good uterine contractions and complete expulsion of embryonic tissue. If accompanied by abnormal symptoms such as abdominal pain and fever, one should be alert to residual or infected uterine cavity. The amount of bleeding after induced abortion varies from person to person, and some women may only have a small amount of brown discharge or no bleeding after surgery due to thorough surgical operation and faster endometrial repair. This is related to individual coagulation function, gestational age, and surgical approach. About 20% of patients who have completely expelled the gestational sac after medical abortion have less bleeding. Negative pressure aspiration surgery is more prone to bleeding due to mechanical stimulation, but there are still some people whose postoperative bleeding is not significant. For those without bleeding, it is necessary to observe whether there is a feeling of lower abdomen, lower back pain and other uterine contractions. Normal uterine contractions usually last for 2-3 days and gradually relieve. If there is no bleeding for more than two weeks after surgery but persistent abdominal pain, abnormal secretions, or fever occur, pregnancy residue or endometritis should be considered. Residual tissue may cause mechanical adhesions leading to amenorrhea or reduced menstrual flow, and ultrasound examination may reveal abnormal echoes in the uterine cavity. Infection is often accompanied by elevated body temperature and unusual discharge odor, and in severe cases, it can develop into pelvic inflammatory disease. This type of situation requires timely blood routine and ultrasound examination, and if necessary, curettage surgery and antibiotic treatment should be performed. After a miscarriage, the perineum should be kept clean and baths and sexual activity should be avoided for at least one month. Monitor body temperature daily and observe changes in secretion characteristics. Moderate consumption of iron containing foods such as animal liver and spinach can help with hematopoiesis, while brown sugar ginger tea can promote uterine contractions but should not be excessive. Two weeks after surgery, a follow-up ultrasound examination is required to confirm the recovery of the uterine cavity. If any abnormalities such as dizziness, fatigue, severe abdominal pain, etc. occur, seek medical attention promptly. People without bleeding do not need to be overly anxious, but they need to follow up on time to rule out hidden problems.



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