Complete abortion (expulsion of the placenta and fetus) does not require special treatment. However, if after a miscarriage there is a placental retention in the uterinecavity, it can lead to bleeding (uterine bleeding) or infection. Therefore, placentalretention necessitate a suction curettage to remove all remnants of the uterus. This surgical procedure is performed under local anesthesia, and in some cases, antibioticsare prescribed to prevent a possible infection.
Assessment cases
Typically, medical investigations are initiated after a miscarriage, because the possibility of obtaining a successful pregnancy even after two consecutive miscarriagesis 80-90%. Justify repeated abortions during investigations. We are talking abouthabitual abortion, or recurrent, when there were three miscarriages before 20 weeks of pregnancy.
Therefore, these tests are aimed at women who have suffered three consecutivemiscarriages. Blood tests are carried out in order to detect chromosome abnormalitiesthat torque can be transmitted to the fetus. It is karyotype examination, to be made byboth partners. Hysterosalpingogram is done to highlight the possible abnormalities of the uterus. Antinuclear antibodies, antibodies anticardiolipidici, VDRL, RPR and lupusanticoagulant (LA) are some blood tests used to diagnose autoimmune disease that can cause recurrent miscarriage.
Evaluation of imminent abortion
Ultrasound is used to visualize the fetal heart to determine if the pregnancy is viable.Ultrasound examination allows the verification of the embryo implantation site in order toexclude the hypothesis of ectopic pregnancy.
During medical investigations, the woman is advised to rest (complete bed rest) andhave no sexual activity.
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