Post-Miscarriage Bleeding: What’s Normal and When to Worry

Post-abortion bleeding

I would like to ask about my situation after a medical abortion.
One week after the procedure, I returned for a follow-up appointment, and the doctor confirmed that everything was cleared out.
They prescribed me medication to help with uterine contractions for three days.
However, after returning home, I have been experiencing continuous light bleeding.
The amount of bleeding has remained consistent each day, neither increasing nor decreasing, sometimes appearing brown and other times bright red.
It has now been 16 days since the abortion.
Is this considered normal? I started working on the fourth day after the abortion (as I couldn't take leave), and I have been lifting slightly heavy objects.
Could this affect uterine contractions?

Xiao Ping, 20~29 year old female. Ask Date: 2016/06/05

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, the patient should return for a follow-up appointment 36 to 48 hours after taking the abortion medication.
After taking the prostaglandin medication during the follow-up, the patient may go home, but if there are any discomforts, hospitalization for observation may be necessary.
Within one to two weeks after taking the abortion medication, the patient must return for follow-up to confirm whether the embryo has been completely expelled through clinical examination, β-HCG measurement, and ultrasound scanning.
Possible side effects may include uterine contractions or cramping (10-15%), nausea, vomiting, diarrhea, bleeding, hypotension, skin allergic reactions, dizziness, flushing, and chills, among others.
If bleeding persists, it is recommended to return for evaluation and treatment by a physician.
Thank you! Wishing you safety and health.
Dr.
Zhang

Reply Date: 2016/06/05

More Info

After a medical abortion, it is common to experience some bleeding as your body adjusts and expels any remaining tissue. The bleeding can vary in color, ranging from bright red to brownish, and the amount can fluctuate. In your case, since you are experiencing consistent bleeding for 16 days, it is important to understand what is considered normal and when to seek further medical advice.

Typically, after a medical abortion, you may experience light to moderate bleeding for a few days to a couple of weeks. The bleeding should gradually decrease in volume and change in color as your body heals. If the bleeding remains consistent without any signs of improvement, it could indicate that there is still some retained tissue in the uterus, which may require further evaluation.

The fact that you are experiencing a steady amount of bleeding without significant changes could be a concern. While some women do experience prolonged bleeding after a miscarriage or abortion, it is crucial to monitor the situation closely. If the bleeding becomes heavier, or if you notice any large clots, or if you experience severe pain or fever, you should contact your healthcare provider immediately.

Regarding your question about returning to work and lifting heavy objects, it is generally advisable to avoid strenuous activities, including heavy lifting, for at least a week after a medical abortion. This is to allow your body to recover and to minimize the risk of complications such as increased bleeding or infection. Lifting heavy objects can potentially affect uterine contractions and may lead to increased bleeding or discomfort.

If you have already returned to work and are concerned about the impact of your activities on your recovery, it would be wise to discuss this with your healthcare provider. They can provide personalized advice based on your specific situation and may recommend additional follow-up care if necessary.

In summary, while some bleeding is normal after a medical abortion, persistent bleeding for 16 days warrants further evaluation. It is essential to keep track of your symptoms and communicate any concerns with your healthcare provider. They may suggest an ultrasound or other diagnostic tests to ensure that your uterus is clear of any retained tissue and to rule out any complications. Your health and well-being are paramount, so do not hesitate to seek medical advice if you feel uncertain about your recovery process.

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