一般来说,堕胎(流产)不会在未来的怀孕中引起生育问题或并发症。然而,一些研究表明,流产与早产和低出生体重风险增加之间可能存在联系。
堕胎以后怀孕的风险可能取决于流产的类型:
- 药物流产:是指在怀孕早期服用药物使胎儿流产。药物流产似乎不会增加未来妊娠并发症的风险。
- 手术堕胎:外科手术通过阴道将胎儿从子宫中取出。它通常使用吸力和一个锋利的勺子状工具。在罕见的情况下,这会导致子宫壁瘢痕(Asherman综合征),这可能使怀孕变得困难。进行多次手术流产的妇女也可能有更高的宫颈损伤风险。
如果你曾经流产过,并且你担心它对未来怀孕的影响,最好的办法是咨询一下医生,医生可能会建议做一些检查,或者给你可靠的建议。
引用文献:
- Steinauer J, et al. Overview of pregnancy termination. https://www.uptodate.com/home. Accessed May 12, 2017.
- Makhlouf MA, et al. Adverse pregnancy outcomes among women with prior spontaneous or induced abortions. American Journal of Perinatology. 2014;31:765.
- Cedars MI. Intrauterine adhesions. https://www.uptodate.com/home. Accessed June 12, 2017.
- Harwood B, et al. First trimester medication abortion (termination of pregnancy). https://www.uptodate.com/home. Accessed May 15, 2017.
- American College of Obstetricians and Gynecologists (ACOG) Committee on Practice Bulletins — Gynecology and the Society of Family Planning. ACOG Practice Bulletin No. 143: Medical Management of First-Trimester Abortion. Obstetrics & Gynecology. 2014;123:676. Reaffirmed 2016.
- Frequently asked questions. Special procedures FAQ043. Induced abortion. American College of Obstetricians and Gynecologists. http://www.acog.org/Patients/FAQs/Induced-Abortion. Accessed May 15, 2017.
- Butler Tobah YS (expert opinion). Mayo Clinic, Rochester, Minn. May 26, 2017.