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Complications

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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The complications of spontaneous abortion are manifold:

  • haemorrhage - may be immediate or occur several days / weeks later due to retained placental tissue.

  • infection - most commonly, coliform anaerobes such as E. coli, Klebsiella, Streptococcus faecalis. Infection may result in endotoxic shock.

  • trauma - usually due to clinical abortions. It includes vaginal lacerations, cervical tears, and gas or fluid in the uterine cavity.

  • psychological - depression and grieving, especially at the estimated date of delivery of the original fetus.

  • increased likelihood of subsequent spontaneous abortion

  • Rhesus sensitivity due to failure to give prophylaxis

  • disseminated intravascular coagulation

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