What items should be checked before abortion surgery

Before abortion surgery, gynecological ultrasound, blood routine, coagulation function, electrocardiogram, and infectious disease screening are usually required. These examinations aim to comprehensively assess your physical condition, ensure surgical safety, and rule out surgical contraindications.

1. Gynecological ultrasound examination:

This is a necessary examination to confirm intrauterine pregnancy. Doctors need to use ultrasound to determine the location, size, and quantity of the gestational sac, in order to rule out abnormal pregnancy conditions such as ectopic pregnancy. Meanwhile, ultrasound can also evaluate gestational age, which is crucial for selecting appropriate surgical methods and timing. If the gestational sac is too small, it may increase the risk of aspiration; If the gestational sac is too large, the difficulty and risk of surgery will increase accordingly.

2. Blood routine and coagulation function test:

Blood routine can determine whether you have anemia, infection, or platelet abnormalities. If there is severe anemia or infection, correction is necessary before arranging surgery. The coagulation function test is used to evaluate your ability to stop bleeding. If there is coagulation dysfunction, the risk of major bleeding during or after surgery will significantly increase, and doctors need to develop a response plan in advance.

3. Electrocardiogram examination:

Electrocardiogram is mainly used to evaluate cardiac function and determine whether you can tolerate the stress response of anesthesia and surgery. Abortion surgery usually requires anesthesia, whether it is intravenous anesthesia or local anesthesia, which will have a certain impact on the cardiovascular system. If the electrocardiogram indicates severe arrhythmia or myocardial ischemia, a consultation with a cardiologist is needed to assess the surgical risk.

4. Infectious disease screening:

This usually includes the examination of hepatitis B, hepatitis C, syphilis, AIDS and other items. The purpose of screening is to protect healthcare workers and other patients from cross infection. Meanwhile, if the test result is positive, the doctor will take additional protective measures and may require corresponding interventions or treatments after surgery to ensure your long-term health.

5. Vaginal secretion examination:

This examination is used to determine the presence of vaginal inflammation, such as trichomonas, fungal, or bacterial vaginosis. If there is an acute reproductive tract infection, direct surgery may lead to ascending infection, causing more serious gynecological diseases such as endometritis and pelvic inflammatory disease. Usually, anti infective treatment is required first, and surgery can be arranged after inflammation is controlled.

The above examinations are important steps to ensure surgical safety, please be sure to complete them in a formal medical institution. Before surgery, you should truthfully inform the doctor of your medical history, allergy history, and medication use. After surgery, it is necessary to pay attention to rest, strengthen nutrition, keep the perineum clean, prohibit sexual activity and baths for one month, and follow medical advice for follow-up examinations. If you experience worsening abdominal pain, vaginal bleeding exceeding menstrual flow, or fever, please seek medical attention promptly.