However, during ultrasound, she was noted to have retained products of conception
and was offered hysteroscopic removal of the same.
AP: Anteroposterior diameter RI: Resistance index UF: Uterine fundus RPOC: Retained products of conception
Women who had a medical abortion were significantly more likely than those who underwent surgery to have retained products of conception
requiring dilation and curettage (21% vs.
Detection of retained products of conception
following spontaneous abortion in the first trimester.
She was given symptomatic treatment and underwent Suction and Curettage twice with the hope to control her bleeding and to remove retained products of conception
. Unfortunately no histopathology of the retained products was available.
Vaginal ultrasonography was taken at day 14 to look for any retained products of conception
. If the pregnancy was still viable at day 14, termination was done by surgical method.
(3) Other causes include retained products of conception
, placenta accreta, infection, coagulation defects, and amniotic fluid embolism.
An ultrasound scan confirmed retained products of conception
. She was immediately resuscitated with blood and blood products.
Indicators for considering surgical evacuation include continuous excessive bleeding, haemodynamic unstable patient and, signs of infected retained products of conception
Patient Z, 24 years old, G5P1L1A3, with previous 1 caesarean section and 3 spontaneous abortions was referred to emergency in view of torrential haemorrhage after a check curettage was attempted for retained products of conception
. The patient had a dilatation and evacuation 15 days back in view of missed abortion, but was continuously bleeding per vaginum since then.
Often the body will clear the womb naturally - what's known as a complete miscarriage - but sometimes there's still some pregnancy tissue left inside and you may be given a surgical procedure called an ERPC (evacuation of the retained products of conception
Retained products of conception
heighten a woman's risk for postpartum hemorrhage, according to Dr.