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Complete abortion

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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A complete abortion is where all the products of conception have been lost from the uterus (1). This is most likely before 8 weeks gestation and an ERPC may not be necessary.

After a complete abortion, bleeding gradually ceases leaving only a reddish discharge, the cervix closes and the uterus becomes smaller, firm and is non-tender.

Transvaginal ultrasound scan is a reliable method of confirming the diagnosis and has a positive predictive value of 98% (2). Ultrasound appearance of a complete abortion include - an endometrium thickness of less than 15mm and absent retained products of conception (3)

Prophylactic management includes the use of ergometrine and anti-D rhesus antibodies.

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