What should I do if there is 18mm of pelvic effusion detected in the ultrasound examination?

Patient's question:

After taking medication for a miscarriage, a careful ultrasound examination 7 days later revealed a residual tissue of 2.61.6. On the 10th day, after hiking, there was another discharge. On the 12th day, a careful ultrasound examination showed 18mm of pelvic effusion, and the 2.61.6 dark area had disappeared. What should I do now? Is it still necessary to have a D&C procedure?

Doctor's answer:

Now, if a careful ultrasound examination reveals that the dark area at the previous gestational sac location has disappeared, it suggests that the miscarriage has been complete, so there is no need for a second D&C procedure. There is a very small amount of pelvic effusion, and we need to see how it can resolve on its own. 18mm is not significant. If intravenous fluids are required, it generally involves three days of intravenous anti-inflammatory treatment for pelvic effusion. In addition to symptomatic treatment, patients also need to pay attention to maintaining a proper diet in daily life to aid in nutrient absorption.

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