Patient's question:
When I had a check-up at the hospital, they said it might not be a complete miscarriage, but it could also be caused by inflammation. I went to the hospital to get an IV drip, which was, but afterwards, I experienced intermittent pain in my vagina. Could you please explain what this could be?Doctor's answer:
Incomplete abortion refers to a condition where part of the gestational products have been expelled from the body, while some remain retained in the uterine cavity, typically developing from inevitable abortion. Due to the retained gestational products in the uterine cavity, uterine contraction is impaired, leading to persistent bleeding and, in severe cases, hemorrhagic shock due to excessive blood loss. Gynecological examination reveals an dilated cervix with continuous bleeding from the cervical os, sometimes accompanied by placental tissue blocking the cervix or partial gestational products expelled into the vagina while some still remain in the uterine cavity. Generally, the uterus is smaller than the gestational age.Once diagnosed, it is essential to perform a dilatation and curettage (D&C) or forceps evacuation to remove the retained uterine tissue. In cases of significant bleeding and shock, blood transfusion and intravenous fluids should be administered simultaneously, along with antibiotics to prevent infection.