Incomplete abortion

INCOMPLETE ABORTION

1. INCOMPLETE ABORTION PREPARED BY AKSHAYA R NAIR

2. DEFINITION

3. CLINICAL MANIFESTATION

4. History of expulsion of a fleshy mass per vaginam followed by: Continuation of pain lower abdomen

5. Persistence of vaginal bleeding

6. Internal examination reveals Uterus smaller than the period of amenorrhea. Patulous cervical os often admitting tip of the finger. Varying amount of bleeding.

7. ULTRA SONOGRAPHY Reveals that the echogenic material(products of concepiton ) with in the cavity

8. MANAGEMENT IN RECENT CASES Evacuation of the retained products of conception(ERPC)

9. EARLY ABORTION Dilation and evacuation under analgesia or general anesthesia is to be done evacuation of the uterus may be done using manual vacum aspiration syringe

10. LATE ABORTION The uterus is evacuated under general anesthesia and the products are removed by ovum forceps or blunt curette.

11. Dilatation and curettage operation is to be done to remove the bits of tissue left behind.

12. MEDICAL MANAGEMENT Incomplete miscarriage may be done . Tablet misoprostol 200mg is used vaginally every 4 hours. Compared to surgical method, complications are less with medical methods.

13. PREPARED BY AKSHAYA R NAIR