Post-Vacuum Induction: No Bleeding and Abdominal Pain Concerns - Obstetrics and Gynecology

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Vacuum-assisted delivery after induction?


Hello, I underwent a manual vacuum aspiration on the evening of May 1st.
There were no issues for the first two days post-procedure, but I haven't experienced any bleeding at all.
I researched online and found that not having any bleeding is considered normal after the procedure, so I shouldn't worry.
However, on the afternoon of May 3rd, I started experiencing continuous abdominal pain.
What should I do about this? How can I resolve this issue?

Niming, 20~29 year old female. Ask Date: 2018/05/03

Dr. Huang Jianzhong reply Obstetrics and Gynecology


On the evening of May 1st, a manual vacuum aspiration was performed.
There were no issues for two days post-procedure, but there was no bleeding at all.
I researched online and found that the absence of bleeding is considered normal after the procedure, so I wasn't worried.
However, on the afternoon of May 3rd, I experienced continuous abdominal pain.
What should I do to resolve this? Answer: Since the manual vacuum aspiration was performed on May 1st and you are experiencing continuous abdominal pain on May 3rd, it is advisable to see a physician for an examination.

Reply Date: 2018/05/03

More Info


After undergoing a vacuum induction on May 1st, it is understandable to have concerns about your recovery, especially regarding the absence of bleeding and the presence of abdominal pain. Let's break down your situation and provide some insights based on medical knowledge.

Firstly, it is not uncommon for individuals to experience variations in bleeding after a vacuum induction. Some women may have minimal to no bleeding, while others may experience more significant bleeding. The absence of bleeding does not necessarily indicate a problem; it can be a normal variation in the healing process. However, it is essential to monitor other symptoms that may accompany this condition.

Regarding your abdominal pain, it is crucial to consider the nature and intensity of the pain. Mild cramping or discomfort can be a normal part of the recovery process as your body adjusts after the procedure. The uterus contracts as it returns to its pre-pregnancy size, which can cause some discomfort. However, if the pain is severe, persistent, or accompanied by other concerning symptoms such as fever, chills, or foul-smelling discharge, it may indicate a complication that requires medical attention.

Here are some steps you can take to manage your situation:
1. Monitor Symptoms: Keep track of your pain levels, any changes in bleeding, and other symptoms. If the pain worsens or if you develop additional symptoms, it is essential to seek medical advice.

2. Rest and Hydration: Ensure you are getting adequate rest and staying hydrated. Your body needs time to heal, and proper hydration can help alleviate some discomfort.

3. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage mild to moderate pain. However, consult your healthcare provider before taking any medication to ensure it is safe for you.

4. Follow-Up Care: If your abdominal pain persists or worsens, or if you have any concerns about your recovery, do not hesitate to contact your healthcare provider. They may want to perform an examination or imaging studies to rule out any complications, such as infection or retained products of conception.

5. Emotional Support: Undergoing a procedure like vacuum induction can be emotionally taxing. It is essential to seek support from friends, family, or mental health professionals if you are feeling overwhelmed.

In summary, while the absence of bleeding can be normal after a vacuum induction, abdominal pain should be monitored closely. If the pain is severe or accompanied by other concerning symptoms, it is crucial to seek medical attention promptly. Your healthcare provider is the best resource for addressing your specific concerns and ensuring a smooth recovery. Remember, every individual's recovery process is unique, and open communication with your healthcare team is vital for your well-being.

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