February 20, 2014

What is incomplete abortion

When the entire product of conception are not expelled, instead a part of it is left inside the uterine cavity, it is called incomplete abortion.

Clinical features -
- Continuation of pain lower abdomen.
- Persistence of vaginal bleeding.
- On examination, the expelled mass is found incomplete.
The products left behind may lead to profuse bleeding, sepsis, placental polyp.

Management -

  • Early abortion :- Dilatation and evacuation under general anaesthesia.
  • Late abortion :- The uterus is evacuated under general anaesthesia and the products are removed by ovum forceps or by blunt curette.

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