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Disheartening incomplete abortion



Posted
Dr. Shalini Kapoor Kad
Dec. 14, 2010

A homoeopathic paediatrician, a counselling expert and a freelance writer are a few words to describe my profession. My sole aim is to put forth practical piece of information that guides every one right in the direction, blending the medicos to a layman with a simple gesture to make the medical things a little less convoluted and comprehendible.


Thanks

Abortion in itself is so de motivating and that going incomplete can be even more hazardous. Let’s first understand the meaning and significance of the term incomplete abortion.

What is incomplete abortion?

Here the process of abortion had begun either induced r spontaneous but has not been completed. Medically an abortion shall be considered done only after a clear ultrasound scan revealing no products of conception left behind. Mostly in case where the abortion occurs on own i.e. naturally when the body due to some reason doesn’t sustain pregnancy and tries to throw the products as a defensive mechanism or in induced with medication there are chances of some residual tissues.

Why can it left on own?

Many a time’s people have the notion that this is not a situation to pay any heed but it surely needs medical help. Sometimes the old ladies regard it simple and think the residues will be voided off with regular periods but that’s not the case. Residual tissues if left unattended depending on the natural menses to be void off the unwanted can leave the female in a terrible time and then hormonal support is to be provided externally to cease periods first and then advocate the correct modus operandi.

No the residue can’t be left alone and needs to be taken care off as this is problematic and can also interfere with future pregnancies as well.

Further it can be dangerous for mother’s health too as the residues continue to flood the blood stream with B HCG with no viable foetus to support there in.

What all symptoms do the female experiences?

Often the signs and symptoms of pregnancy do exist and are experienced as if a female is still pregnant. This happens with the hormonal levels high within the blood serum imprinting its aftermaths. In case of an early phase of pregnancy may be the first three months when the abortion occurred, a female with incomplete one would keep reporting of morning sickness, fatigue, lassitude etc.

Also urine pregnancy test (UPT) may remain positive for days.

What to do?

After an abortion a female must get herself examined with a Trans vaginal scan to reveal the internal status and if it still shows residues then here the first step is to try evacuating the cavity with medication and a scan must be conducted a week later. Later if the scan still shows tissue; an endometrium of more than 8 mm of thickness and high level of B HCG in the blood then dilatation and curettage (D and C) has to be approached as soon as possible.

Support the female

Psychologically the trauma the mother has gone through is immense and a partner should understand that a mother has experienced to lose her child almost twice in the incomplete scenario. As a couple both should anchor each other and leaving aside the emotional segment should act wise and work to have a safe fertile future. Both should acknowledge the sensitivity and need of the hour and work there on.     

  

 

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