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Retained products of conception (RPOC) after D & C.

This video shows Retained products of conception (RPOC) after D & C. The term retained products of conception (RPOC) refers to intrauterine tissue that develops after conception and persists after medical and surgical pregnancy termination, miscarriage, and vaginal or cesarean delivery. This intrauterine tissue is often of placental origin. The characteristic clinical manifestations of RPOC include one or more of the following: uterine bleeding, pelvic pain, fever, and/or uterine tenderness. These clinical findings are nonspecific; moreover, it is normal to have some postabortal bleeding and discomfort. Dilation and curettage, the treatment of choice for RPOC, carries a risk of severe complications including uterine bleeding, perforation, infection, adhesions, and infertility. Your normal menstrual cycle should resume within four to six weeks. Know that after a D&C, you'll also likely still be coming to terms with your lost pregnancy. A natural approach allows the woman's body to naturally expel the placenta on its own. Medical personnel assists in the managed process which usually occurs when a shot is administered to the thigh. At the same time, the baby is being born to cause the woman to expel her placenta. However, if the placenta or parts of the placenta remain in the womb for more than 30 minutes after childbirth, it's termed a retained placenta. When it's left untreated, a retained placenta can cause life-threatening complications for the mother, including infection and excessive blood loss. Ultrasound. Ultrasound is typically the first-line investigation in suspected retained products of conception: a variable amount of echogenic or heterogeneous material within the endometrial cavity. in some instances, this may present as an endometrial or intrauterine mass. Gray scale ultrasound is the most used imaging method in the diagnosis of retained placental tissue. On the ultrasound images, you can see a thickened endometrial echo complex (EEC), ranging from 8 to 13 mm, or an intracavitary mass. If the previous pregnancies came with complications, such as a Caesarean section that caused uterine adhesions or a retained placenta that caused scarring, a woman can experience secondary infertility as a result. After the placenta is delivered, the uterus should contract down to close off all the blood vessels inside the uterus. If the placenta only partially separates, the uterus cannot contract properly, so the blood vessels inside will continue to bleed. A retained placenta thereby leads to hemorrhage. If pieces of the placenta are still inside your body days or weeks after delivery, you may experience symptoms including Fever. Persistent heavy bleeding with blood clots. Cramping and pain. Treatment is with antibiotics. You may need an operation to remove any remaining pregnancy tissue. You will probably be advised to use pads rather than tampons for the bleeding and not to have sex until it has stopped. About 2 in 100 women have bleeding bad enough to need a blood transfusion. Women are more likely to have a successful pregnancy if they conceive sooner after a miscarriage rather than waiting, researchers have found. The University of Aberdeen team said conceptions within six months were less likely to result in another miscarriage or preterm birth.