Incomplete miscarriage

Incomplete miscarriage is the type of abortion where the entire products of conception are not expelled out completely instead some part are remained inside the uterus.
This is the commonest type of miscarriage in hospitalized cases with miscarriage complications.

clinical features:-
- history of expulsion of the mass per vagina
-lower abdominal persist
-vaginal bleeding persist
-uterus small than gestation age
-cervix os remain partly open
-ultrasound reveal some product of conception within the uterine cavity.

complication:-
-sepsis/infection
-profuse/severe bleeding/anemia
-placental polyp

management:-
a). surgical methods- higher complications
- make the patient stable through resuscitation
-dilation and evacuation in early abortion under analgesic or general anesthesia.
-uterine evacuation in late abortion to remove the remain products under general anesthesia.

b). medical method-less complications
-misoprostol 200 micro-grams is used vaginally every four hours.