It is the clinical type of abortion where the changes have progressed to a state from where continuation of pregnancy is impossible.
Clinical features -
- Increased vaginal bleeding.
- Pain in the lower abdomen.
- Internal examination reveals dilated internal opening of cervix.
Management -
General measures :-
- Excessive bleeding should be controlled by administering methergin 0.2 mg.
- The shock is corrected by I.V. fluid therapy and blood transfusion.
Active management :-
1. Before 12 weeks - Dilation and evacuation followed by curettage of the uterine cavity by blunt curette under general anaesthesia. Alternatively, suction evacuation followed by curettage is done.
2. After 12 weeks - The uterine contraction is acceleration by oxytocin drip. If bleeding is profuse with the cervix closed evacuation of the uterus may have to be done by abdominal hysterotomy.
Clinical features -
- Increased vaginal bleeding.
- Pain in the lower abdomen.
- Internal examination reveals dilated internal opening of cervix.
Management -
General measures :-
- Excessive bleeding should be controlled by administering methergin 0.2 mg.
- The shock is corrected by I.V. fluid therapy and blood transfusion.
Active management :-
1. Before 12 weeks - Dilation and evacuation followed by curettage of the uterine cavity by blunt curette under general anaesthesia. Alternatively, suction evacuation followed by curettage is done.
2. After 12 weeks - The uterine contraction is acceleration by oxytocin drip. If bleeding is profuse with the cervix closed evacuation of the uterus may have to be done by abdominal hysterotomy.
