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Monday, September 17, 2007

Missed Abortion

Presentation: it shows itself in the following ways:
- First trimester bleeding
- Disappearance of the nausea and vomiting of early pregnancy, arrest of uterine growth.
- Accidentally found dead fetus in the first trimester without any signs or symptoms
- Any complications of Missed Abortion could be the first symptom or sign

Attention: The point in Diagnosis of Missed Abortion is, the cervix is closed and the fetus is dead. So missed abortion involves a dead fetus that is still retained in the uterus

Attention: Pregnancy test (urine pregnancy test or Beta HCG test) would still be positive in most of the cases.

Treatment of Missed Abortion: Once the Diagnosis is made, surgical evacuation (dilatation & cuertagge) of the uterus has to be performed

Complications of Missed Abortion: This can become pretty serious including:
- DIC (Disseminated Intravascular Coagulopathy)
- Sepsis
- Hemorrhage

1 comment:

Anonymous said...

like ur doc X