Abortion not taken place

Abortion not taken place. Characterized by a delay in the uterine cavity of the deceased fetal egg, which eventually becomes impregnated with blood, which leads to the development of a bloody and then fleshy skid. The reasons for the abortion are still not well known (possibly, the increased content of the hormone of the yellow body, reduced release of oxytocin by the pituitary gland, etc.).

Symptoms, course. The increase in the uterus stops, periodically there are spotting from the vagina and small cramping pains. Biological and immunological reactions to pregnancy become negative. When ultrasound in the uterus can not detect a fetal egg.

The treatment consists in the artificial expulsion of the fetal egg. To create a patient with an estrogenic background, folliculin or estradiol dipropionate is prescribed in / m for 10,000 units 2 times a day for 3 days, and then drugs that cut the uterus (see Anomalies of labor). After partial fructification, uterine scraping is performed. Due to poor uterine contraction and disorders of the blood coagulation system, hypotonic bleeding is possible in combination with the development of coagulopathy. For the prevention and treatment of these complications, it is necessary to use methylergometrine, oxytocin, fibrinogen and other haemostatic drugs. Possible transfusion of native or dry blood plasma.