Final answer:
Immediate medical attention is essential in case of heavy bleeding after a medical termination of pregnancy. An obstetrician will need to check for any retained tissue that might be causing the hemorrhage or address complications of a tubal pregnancy, possibly through a D&C procedure or emergency surgery.
Step-by-step explanation:
If there is heavy bleeding after a medical termination of pregnancy, immediate medical attention is crucial. It's possible that a fragment of the placenta could have remained in the uterus, leading to a postpartum hemorrhage, or other complications could have arisen. If the bleeding is related to a tubal or ectopic pregnancy, where the embryo implants outside the uterus, there could be additional risks, including a ruptured uterine tube, also necessitating immediate medical intervention.
In all cases, an obstetrician should examine the patient as soon as possible. If there is retained tissue, such as placental fragments, a surgical procedure called a dilation and curettage (D&C) might be necessary to remove them and stop the bleeding. If the heavy bleeding is due to a tubal pregnancy, and the tube has ruptured, surgical repair is critical and might involve administration of the drug methotrexate if detected early, or surgery in later stages.
It's imperative to follow up with appropriate medical care in situations involving heavy bleeding post pregnancy termination to ensure the health and safety of the patient. Voluntary termination laws and the availability of treatments may vary, so consulting with healthcare providers is essential.