By ULY CLINIC

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Missed Abortion

 

Introduction

 

In a missed abortion, the fetus die in utero but its not expelled out 

 

Diagnostic criteria 

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• History of amenorrhea

• Regression of the pregnancy symptoms

• Uterine size smaller than dates

• Mild per vaginum bleeding

 

 Investigations

 

• Abdominal pelvic ultrasound

• FPC? 

 

Pharmacological Treatment

 

• Induce abortion with misoprostol if it is more than 12 weeks

• Evacuate if it is less than 12 weeks 

 

After evacuation give;   

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• Amoxicillin (PO) 500mg 8hly for 5 days    

AND  

• Metronidazole (PO) 400mg 8hly for 5 days  

 

Patient education.

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• Counsell and provide appropriate contraception.

 

NOTE:Refer to higher level health facility with adequate expertise and diagnostics/equipment

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Updated on, 3.11.2020

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References

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1. STG