This document discusses incomplete abortion, which occurs when not all products of conception are expelled from the uterus after a miscarriage. Symptoms include pain and vaginal bleeding after expelling a fleshy mass. Examination shows a smaller uterus with an open cervical os and bleeding. Ultrasound reveals echogenic material in the uterine cavity. Management depends on the gestational age, and may involve evacuation of retained products surgically or through medication with misoprostol. The goal is complete removal of any remaining pregnancy tissue.

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