Abortion or voluntary termination of pregnancy is a practice in which the contents of the uterine cavity are expelled in a pregnant woman. When carried out within institutions dedicated to this practice, the complications are usually less than when carried out clandestinely. In any case, bleeding usually persists after these types of procedures.
Do you want to know how long the bleeding lasts after a complete abortion? So, continue reading this FastlyHealarticle. In addition, you will find information on possible complications, in which cases there may be a greater probability of bleeding and when to turn to the doctor quickly.
How long does bleeding last after an abortion?
Abortions can be performed in two ways: with drugs or through a surgical procedure. In both, the expulsion of the fetus from the woman’s uterus is sought.
Usually, these practices are carried out until week 12, which entails fewer complications than in more advanced pregnancy, as long as it is carried out within a hospital setting, since clandestine abortions, and poor hygiene conditions tend to have severe consequences. In most cases.
In medical abortion, different medications aim to terminate the pregnancy by evacuating the fetus completely, but a surgical procedure ends when that has not happened. Therefore, in countries where abortion is legal, they do it within the framework of clinics that monitor women, although it can be done both at home and in such institutions.
The early medical abortion is performed until nine weeks of gestation. Different drugs are used both orally and vaginally, can expect heavy bleeding from 4 to 12 hours after taking the medication, and the following 2 5 days, heavy menstrual-like bleeding will continue.
This procedure usually takes a little longer than the instruments; it can generate more bleeding, pain, and a higher percentage of incomplete abortions, which are then completed with surgical techniques. On the other hand, the medication can bring specific side effects such as nausea, vomiting, diarrhea, chills, high blood pressure, breast discomfort.
In late drug abortion (more than 9-12 weeks), drug induction is performed and, in addition, an instrumental procedure. It may require anesthesia, and a micro-cesarean section can be achieved if unsuccessful. Subsequent bleeding is similar to that of early medical abortion.
On the other hand, if the abortion is performed by instrumental means (known as surgical abortion), it may require analgesia or anesthesia. The first thing done in abortion clinics is a dilation of the cervix and then, with different techniques, end the pregnancy and extract the fetus through the vagina. It is usually checked with ultrasound that the uterus is empty.
Usually, the bleeding after a surgical abortion lasts about a week, similar to that which occurs during menstruation or a little less. It is essential to know that between 3 and 6 days, it will be perceived that the bleeding has changed and increased for a few hours, which is due to the expulsion of clots known as hematometra, it is usually accompanied by a bit of pain that can be calmed with analgesics common (except aspirin).
There may be intermittent and scanty bleeding (less than menstruation), also standard.
After an abortion, the woman must be periodically controlled to avoid complications or solve them as soon as possible. In addition, antibiotics are usually indicated, and if the pregnancy is advanced, medication is prescribed to reduce milk production. There may be a fever between the 3rd and 5th day, which is to be expected, and if it does not last more than 24-36 hours, it is nothing to worry about.
When to see a doctor for bleeding after an abortion?
As has been said in the previous section, the woman who aborts should continuously be periodically monitored by the institution where the abortion was performed. Still, she must know when to resort, taking into account the following warning signs :
- Very profuse bleeding, more significant than expected.
- Confusion, loss of consciousness.
- Significant pain that does not subside with the indicated painkillers. In the following article, we answer, ” Is it normal to have pain after an abortion? “
- Abnormal flow
Who is most at risk for excessive bleeding?
There are some circumstances in which there may be more bleeding than expected during or after an abortion:
- Complications of the procedure: incomplete abortion, tearing of the cervix, perforation of the uterus.
- Atonia: is when the uterus does not contract normally and remains flaccid after the abortion.
- Placenta accreta: is when it is abnormally attached to the uterus. When it detaches, it can generate excessive bleeding.
- Presence of fibroleiomyoma: It is a benign tumor that is sometimes in the uterus.
- Clotting problems: there are different diseases in which clotting is not normal, such as liver failure, thrombopenia, antiphospholipid syndrome, neoplasms, some medications, some congenital diseases (such as Von Willebrand disease or factor V Leiden), among others.
Complications after an abortion
In an abortion performed in safe clinics dedicated to this type of practice, complications are much less frequent than when performed clandestinely. However, some may appear after an abortion, including:
- Incomplete abortion.
- Damage to structures neighboring the uterus, such as the bladder or rectum.
- Psychic and emotional discomfort, psychological trauma, anxiety in the search for pregnancies (in the future).
- Greater chance of complications in future pregnancies, such as eclampsia, bleeding, or postpartum problems.
This article is merely informative. At FastlyHeal .com, we do not have the power to prescribe medical treatments or make any diagnosis. We invite you to see a doctor in the case of presenting any condition or discomfort.
If you want to read more articles similar to How long does bleeding last after a successful abortion? We recommend that you enter our category of Female reproductive system.
I am a Surgeon with a diploma in comprehensive ultrasound and surgical care residency, an area I am specializing in. During the exercise of my profession, I have realized the need for patients to know the diseases they suffer, and I can tell you that a large part of their complications is due to a lack of information. Being a health web writer allows me to transmit my experience, without borders, to all those readers eager for knowledge, educate them in the prevention of diseases and promote a healthy lifestyle.