By ULY CLINIC
Complete Abortion
Introduction
Products of conception are completely expelled
Diagnostic Criteria
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Minimal or no PV bleeding
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Uterus smaller than dates and often well contracted. Cervix may or may not be closed
Pharmacological treatment
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Amoxicillin PO 500 mg 8 hourly for 5 days
AND
-
Metronidazole PO 400mg 8 hourly for 5 days
AND
-
Iron + folate (FeFol) one tablet twice daily for 3 months and reassess after every 4 weeks
If patient is in shock;
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Shout for help and mobilize resources
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Apply ABCD principles of resuscitation
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Give IV RL/NS 3liters or more in the first hour
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Insert an indwelling urethral catheter
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Give IV ampicillin 1g and metronidazole 500mg start
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Obtain blood for HB, grouping and cross match.
Referral:
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Refer patient to hospital with an escort of a nurse
Management in a hospital
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If patient is stable continue as above; if patient is in shock, perform as above and give blood transfusion if indicated
Pharmacological treatment
-
Start or continue with IV Ampicillin 1g 6 hourly for 24–48 hours
AND
-
Metronidazole (IV) 500mg 8 hourly for 24–48 hours
Then change to:
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Amoxicillin (PO) 500mg 8hly for 5 days
AND
-
Metronidazole (PO) 400mg 8hly for 5 days
AND
-
Iron + Folic acid (Fefol) one table twice daily for 3 months and reassess after every 4 weeks
Patient Education .
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Counsell and provide appropriate contraception.
Updated on, 3.11.2020
References
1. STG