Table of Contents
Abortion is when a pregnancy is ended so that it doesn’t result in the birth of a child. It is also called termination of pregnancy.
Abortion is achieved either pharmacologically by the use of drugs or through mechanical means.
Symptoms of a complete abortion
- Cessation or reduction of vaginal bleeding following heavy bleeding with passage of clots and/or the foetus and placenta.
Signs of a complete abortion
The following are signs of a complete abortion:
- The cervix is closed and firm
- Resolution or abatement of pain
- The uterus is smaller than the gestational age
- No pelvic tenderness
- Blood grouping and cross matching
- Ultrasound scan: to confirm empty uterine cavity
Treatment for a complete abortion
The treatment objectives of a complete abortion include the following:
- To confirm abortion is complete
- To assess for and manage anaemia if present
- To assess for and manage pelvic infection if present
- To prevent risk of Rhesus incompatibility in future pregnancies
- Counselling and psychological support (including family Planning)
- Treat anaemia if present (See ‘Anaemia in Pregnancy‘ for details)
- Provide antibiotics if needed (See treatment of ‘Incomplete Abortion‘ for details)
- Provide Anti D Immune globulin if Indicated (See ‘Inevitable Abortion‘ for details)