Missed abortion

Description A missed abortion o...

Description

A missed abortion occurs when a fetus dies at less than 20 weeks and the products of conception remain inside the uterus. Patients may be unaware of the miscarriage or may experience disappearance of pregnancy symptoms such as nausea, fatigue and breast tenderness. A missed abortion is usually confirmed by ultrasound. Treatment may be surgical, medical or expectant (nonintervention, natural expulsion). All therapies are effective and the choice of therapy depends on the circumstance of the missed abortion. Possible causes of abortion include infection, smoking, drug and alcohol abuse, serious maternal illness (uncontrolled diabetes) and exposure to toxins. The risk of abortion increases with the age of the mother and with a previous history of miscarriages.

Symptoms

Symptoms may not be present or may include abrupt loss of nausea, breast tenderness or fatigue. Some individuals may state that they "do not feel pregnant anymore".

Tests

Common tests used for diagnosis and treatment

Workup:
A complete history and physical will be performed. Blood tests may be ordered. Confirmation of a missed abortion is accomplished by ultrasound.

Tests:
Pregnancy (BHCG) test, Blood type, Complete blood count (CBC), Urinalysis (UA), Ultrasound

Other Specific Tests: Rh factor, genetic testing of fetus

Specialists:
Obstetrics and Gynecology

Treatment

Treatment includes surgical, medical or expectant management, all of which are effective. D&C (dilation and curettage) is the option for surgical removal. Medication administration to promote contraction of the uterus is also an option. Expectant management may also be considered and is simply the body's natural release of fetal tissue. Post-abortion care and counseling include pelvic rest (no vaginal intercourse) for two weeks and usually waiting 2-3 months before trying to get pregnant again. Grief counseling may also be suggested. Light bleeding is normal for up to two weeks post-abortion.