Complete Abortion

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DescriptionProducts of conception are completely expelled

Signs and Symptoms

• Minimal or no PV bleeding
• Uterus smaller than dates and often well contracted
• Cervix may or may not be closed

Investigations

• Ultrasound
• FBC

Treatment

• Amoxicillin PO 500 mg 8 hourly for 5 days

PLUS

• Metronidazole PO 400mg 8 hourly for 5 days

PLUS

• Iron + folate (FeFol) one tablet twice daily for 3 months and reassess after every 4 weeks
• If patient is in shock;
  • Shout for help and mobilize resources
  • Apply ABCD principles of resuscitation
  • Give IV RL/NS 3liters or more in the first hour
  • Give blood transfusion if indicated
  • Insert an indwelling urethral catheter
  • Give IV Ceftriaxone 1g Plus metronidazole 500mg IV Stat
  • Obtain blood for HB, grouping and cross match.
  • Refer patient to hospital with an escort of a nurse
• Patient Education, Counsel and provide appropriate contraception.