Inevitable

Inevitable miscarriage

An inevitable miscarriage can be complete or incomplete,
depending on whether or not all fetal and placental
tissues have been expelled from the uterus (Fig. 8.5).

The typical features of incomplete abortion are heavy,
sometimes intermittent, bleeding with passage of clots
and tissue, together with lower abdominal cramps. If
these symptoms improve spontaneously, a complete
abortion is more likely. Ultrasound examination is
important in determining the absence or persistence
of conception products inside the uterine cavity.


Incomplete miscarriage 
Persistence of conception products inside the uterine cavity on TVS
Management ----- Surgical evacuation (ERPC) or medical induction (RU486 + Pgs)