After An Abortion

After An Abortion Medical Issues To Look Out For & What To DO

1) Make sure the abortion is complete. Check the tissue removed to determine as best you can that all was removed. {In clinical abortion, the doctor will do this} Beyond 12 weeks, look for a placenta attached to the fetus. This will look like a flat, thick, meaty piece of tissue attached to the umbilical cord of the fetus. If this is missing, you may pass it later separately. It should be expelled by 24 to 48 hours after the abortion or it can cause a uterine infection.


Medical Issues To Look Out For

2) Contract the uterus back to its normal size. The uterus will usually do this on its own. However, this is very important, because it helps to expel any remaining tissue. It also helps stop bleeding and closes the os to prevent germs from getting up into the uterus. One of the best ways to help the uterus contract is direct uterine massage. Make sure the uterus is small as a plum and hard. If not, have a pelvic examination one week after the abortion to make sure it was complete; possibly you will have to do the abortion again.

3) Avoid strenuous exercise if possible for a few days. Strenuous exercise can make you bleed heavier which could make you weak and anemic.

4) Avoid putting anything in the vagina for 2 to 3 weeks. This includes water from sitting in a bath tub (shower or sponge bath instead); intercourse; tampons (use a pad instead); swimming; douching; etc. Any of these things could get bacteria into your vagina which can enter the uterus after an abortion. Wait until the os is closed. {Note: Once bleeding has stopped the os should be closed, this can be verified by checking with a plastic speculum.

5) Antibiotics can be taken to prevent infection. This is not always necessary, but it is better to prevent an infection than to have to treat one after you get it.

6) Your next normal period may come in 3 to 8 weeks, or even 10 weeks. If it has not come by that time, see a doctor, nurse or midwife. Tell them you think you miscarried (around the time of your abortion)

7) Check your temperature to see if you have a fever. If it is high then it can mean an infection. Go to hospital immediately.

8) It is OK to bleed up to 3 weeks after an abortion. Some women bleed very little. Bleeding can start and stop and this is OK as long as it is not extremely heavy bleeding. But if you feel worried go to hospital and tell them you miscarried.

9) Following the ending of pregnancy, be it by abortion or miscarriage, it is important to be extra careful to avoid pregnancy. Women has ovulated at a time they do not expect and have found themselves pregnant twice in a row. Don't let this happen to you!! Use a reliable form of contraception, until you are sure your cycle is back on track. Also, following pregnancy it might be time to reassess your current birth control method. Maybe it is time to improve upon it to prevent future occurrences of unwanted pregnancy.

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Thank you for treating me with kindness during my difficult time.

You helped when I thought I was stuck with a pregnancy that I could not afford to go through with. Kind regards to you.

Anne » Centurion


I am alright. Thank you for coming to my aide. I am now back at school. You made it possible.

Thanks for being none judgemental

Ursula » UP