What is Incomplete Expulsion?
Incomplete expulsion refers to the partial expulsion of the products of conception (POC) from the uterus, typically following a
miscarriage or
induced abortion. This condition can result in retained tissue, which may lead to complications such as infection or excessive bleeding.
Symptoms of Incomplete Expulsion
Common symptoms of incomplete expulsion include prolonged or heavy
vaginal bleeding, lower abdominal pain or cramping, and sometimes fever or chills if infection develops. Women may also experience a foul-smelling vaginal discharge.
Diagnosis
Diagnosis of incomplete expulsion is typically made through a combination of clinical assessment and imaging. A physical examination may reveal an open cervix, and an
ultrasound can help identify retained tissue within the uterus. Blood tests may also be conducted to check for signs of infection or anemia.
Treatment Options
Treatment for incomplete expulsion depends on the severity of symptoms and the amount of retained tissue. Options include:1.
Expectant Management: Monitoring to see if the body will naturally expel the remaining tissue.
2.
Medical Management: Use of medications such as
misoprostol to help expel the tissue.
3.
Surgical Management: Procedures like
dilation and curettage (D&C) to remove the retained tissue.
Risks and Complications
If not properly managed, incomplete expulsion can lead to serious complications including severe bleeding, infection (which can progress to
sepsis), and uterine scarring, which may affect future fertility. It's crucial to seek medical attention if symptoms of incomplete expulsion occur.
Prevention and Care
While it may not always be possible to prevent incomplete expulsion, early and appropriate care following a miscarriage or abortion can reduce the risk. This includes following medical advice, attending follow-up appointments, and reporting any unusual symptoms to a healthcare provider promptly.When to Seek Medical Help
Women should seek immediate medical help if they experience heavy bleeding (soaking through more than one sanitary pad per hour), severe abdominal pain, fever, or foul-smelling discharge. Early intervention can prevent complications and ensure proper recovery.
