Incomplete abortion: symptoms, causes, diagnosis and treatment characteristics

To date, many women for certain reasons decide to interrupt pregnancy and choose for this medical abortion, believing that it is the safest. However, this entails many complications, one of which is considered incomplete abortion. In addition, a similar condition can be observed and as a result of miscarriage.

Incomplete spontaneous abortion

Spontaneous termination of pregnancy results in miscarriage or premature birth of an unviable fetus. The question of how long the fetus can remain viable is quite ambiguous. To date, an abortion is considered abortion until 20 weeks or the birth of a fetus weighing less than 500 grams.

Incomplete spontaneous abortion implies that the placental abruption occurs, resulting in severe bleeding with parts of the fetal egg. The situation is complicated by the fact that all the signs of pregnancy disappear, but at this time serious violations occur. In some cases, a woman may experience bouts of nausea, tenderness in the pelvic area.

Incomplete medical abortion

Sometimes the particles of the fetal egg can remain in the uterine cavity even after medical abortion. Incomplete medical abortion is observed after taking certain drugs. There are many reasons why such a violation may occur. Knowing exactly what causes this condition, it is necessary to take a very responsible attitude to the process of abortion and take appropriate measures to ensure that abortion is safest.

Incomplete vacuum interruption

Incomplete abortion with vacuum termination of pregnancy is rare. This is a very serious consequence, characterized by the fact that in the uterine cavity the fetal egg remains partially or completely. In addition, fetal membranes can remain in the uterine cavity. Such a violation can occur as a result of an incorrect procedure, a violation of the structure of the uterus, previously transferred infectious diseases.

To prevent the risk of incomplete abortion, you need to carefully conduct a comprehensive examination. This will allow to determine the location of the fetal egg before the procedure.

Causes of incomplete abortion

Dangerous complications after abortion can lead to the development of sepsis. There are certain reasons for incomplete abortion, among which one should distinguish such as:

• medical error;
• hormonal disorders;
• abortion at a later date;
• heredity;
• food poisoning;
• inflammatory processes.

All these factors can lead to the fact that the expulsion of the fetus from the uterine cavity may be incomplete. As a result, infection can occur, and additional scraping is required. All these complications can lead to infertility.

The main symptoms of

The first signs of incomplete abortion are observed literally in 1-2 weeks after the operation. The main symptomatology is:

• pulling and sharp pain in the pelvis;
• temperature increase;
• tenderness when palpating the abdomen;
• profuse bleeding;
• symptoms of intoxication.

When the first signs appear, you should always contact the doctor for diagnosis and follow-up treatment. Such a violation can adversely affect the health of a woman, as well as her reproductive system. In particularly severe cases, this can lead to death.

Diagnostics

Compulsory diagnostics is required, which includes:

• blood tests;
• pressure measurement;
• ultrasound diagnosis.

In addition, an examination of the cervix and its palpation is required. Only comprehensive diagnosis will help determine the presence of fetal remains.

Treatment of

If an incomplete abortion has occurred, emergency care should be provided immediately after the first signs of impairment occur. In case of severe bleeding a venous catheter with a large diameter is installed and a solution of "Oxytocin" is introduced. In addition, it is necessary to remove the remains of the fetus. If the scraping took place without complications, then observation is shown for several days, and then the patient is discharged.

With significant blood loss, the administration of ferrous sulfate is indicated. To eliminate pain, "Ibuprofen" is prescribed. When the temperature rises, the use of antipyretic drugs is indicated.

Psychological support of

After a spontaneous abortion, a woman often has a feeling of guilt and stress. It is important to provide her with competent psychological help. It is desirable for a woman to contact a psychological support group. It is important not to rush into the next pregnancy, as some time must pass for the restoration of the body.

Possible complications of

Consequences and complications can be very serious, ranging from prolonged bleeding and ending with inflammatory processes and even sepsis. Complications are divided into early and late. The early ones are observed immediately after the abortion or miscarriage, and these include:

• discharge;
• uterine perforation;
• infection penetration;
• is a chronic inflammation of the uterine cavity.

Late complications can occur after several months or even years after the abortion. These can be adhesions, hormonal disorders, as well as worsening of reproductive functioning.

Prevention of complications

Compliance with certain simple rules can significantly reduce the risk of complications. It is necessary to avoid sexual intercourse in the first 3 weeks after abortion or miscarriage. It is necessary to control the secretions, it is important to avoid physical exertion for 2 weeks, to observe the basic rules of hygiene. During the first month it is forbidden to swim in the bathroom, the sea, use tampons. In addition, it is important to visit the gynecologist regularly for examination. After a medical abortion or a spontaneous abortion, you need to visit a doctor in a week and make sure that the rest of the fetus is gone.