Ideally, the woman should go home with a chosen contraceptive method.
2.5. Complications management Although they are rare, complications can occur during or after an ILE procedure. For this reason, it is important that the services that carry out this practice, at all levels of the health system, are equipped and have trained personnel to recognize possible complications early, in order to provide rapid attention and / or refer to the woman in a timely manner. Some possible situations are: Incomplete abortion. In MVA procedures performed by a trained professional, an incomplete abortion is rare, which is more common when the medical procedure is used. The signs and symptoms that indicate it are vaginal bleeding and abdominal pain; it can also include signs of infection. Treatment will depend mainly on the time elapsed since the interruption, the gestational age and the clinical situation of the woman. Failed interrupt. Failed abortion can occur in women who have undergone both instrumental and medical procedures.
Protocol for the comprehensive care of people with the right to legal interruption of pregnancy 46
minty. In both cases, if the post-procedure control confirms that the pregnancy continues, termination will require vacuum aspiration or dilation and evacuation. Hemorrhage. Bleeding may be the result of retention of the product of conception, trauma or damage to the cervix, or, occasionally, a uterine perforation. Depending on the cause, appropriate treatment may include a new uterine evacuation procedure and the administration of medications that increase uterine tone to stop bleeding, intravenous fluid replacement and, in severe cases, blood transfusions, laparoscopy, or laparotomy. exploratory. Given the low incidence of bleeding with the vacuum aspiration procedure, the use of routine oxytocics is not recommended, although they may be necessary in dilation and evacuation practice. Prolonged menstrual-type bleeding is common with medical abortion, although it is usually not heavy enough to constitute an emergency. However, every health service should have the capacity, if necessary, to stabilize and treat or refer a bleeding woman as quickly as possible. Infection. If the procedure was done properly, infections are rare.