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This video shows a Gestational Sac in the uterus without any fetal pole, Incomplete Abortion.
The ideal method of making a diagnosis of an incomplete abortion is to obtain quantitative HCG levels and transvaginal or transabdominal ultrasound. The ultrasound will usually reveal the presence of some products of conception in the uterus. The HGC levels will be low, and there will not be any fetal heartbeat.
If, however, you have a follow-up ultrasound and there's still no sign of a fetal pole (or a gestational sac, which looks like a white rim around a clear center), a miscarriage has likely occurred. In some cases, the empty gestational sac can remain intact for a number of weeks before miscarriage symptoms appear.
If there are no signs of pregnancy or inconsistent signs, like a large gestational sac without any yolk sac or fetal pole, it may mean you have a blighted ovum or are otherwise miscarrying. This is very common in the earliest weeks of pregnancy when the risk is the highest.
Incomplete abortion is a pregnancy that is associated with vaginal bleeding, dilatation of the cervical canal, and passage of products of conception.
But ultrasound doesn’t immediately show what women might expect. It’s typically not until a woman is six weeks pregnant that any part of the fetus is visible, which allows the doctor to determine whether a pregnancy will be viable.
Signs of an incomplete miscarriage
Heavy bleeding - get medical help if you're soaking through a pad in an hour.
Bleeding that carries on and doesn't settle down.
Passing blood clots.
Increasing tummy pain, which may feel like cramps or contractions.
A raised temperature (fever) and flu-like symptoms.
Complete abortion: All of the products (tissue) of conception leave the body.
Incomplete abortion: Only some of the products of conception leave the body.
Inevitable abortion: Symptoms cannot be stopped and a miscarriage will happen.
Abortion mostly happens because the fertilized egg in the uterus does not develop normally. Stress, exercise, or sex does not cause a miscarriage. While many miscarriages pass on their own, some do not. These are called incomplete miscarriages because all of the tissue related to pregnancy is not shed from the uterus.
Often, some of the pregnancy tissue remains in the uterus after a miscarriage. If it is not removed by scraping the uterus with a curette (a spoon-shaped instrument), you may bleed for a long time or develop an infection.
While abortion is happening, the cervix dilates wider than normal. When the cervix is more open, the uterus is more prone to infection. This is why doctors recommend waiting at least 2 weeks after miscarriage to insert anything into the vagina, including tampons, douches, and - yes - anything else that may penetrate.
Infection after abortion. Symptoms of fever of 100.4°F (38°C) or higher, pain, and belly tenderness will usually start within 2 to 3 days of the procedure. But you can have a serious infection without fever.
Surgical evacuation of the uterus for management of incomplete miscarriage usually involves vacuum aspiration or sharp metal curettage (WHO 1995). Vacuum aspiration (also called suction curettage, menstrual regulation, endometrial aspiration, or mini‐suction) utilizes a vacuum source for the evacuation of the uterus.
The traditional treatment, after miscarriage, has been to perform surgery to remove any remaining pregnancy tissues in the uterus. However, it has been suggested that drug-based medical treatments, or expectant care (no treatment), may also be effective, safe, and acceptable.
Signs of pregnancy after an abortion
Tender breasts.
Sensitivity to smells or tastes.
Nausea or vomiting.
Fatigue.
Missed period.