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.

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

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

10. 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

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

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

13. 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.

14. PREPARED BY AKSHAYA R NAIR