Pathophysiology of Incomplete Abortion RisK Factors: Fetal Factors: Abnormal development of zygote Maternal Factors: Infection Systemic disease

ase Exposure to radiation Reproductive system anomalies Drug ingestion Age Placental Factors: Abnormal placental implantation Premature separation of the normall implanted placenta Precipitating Factor: 8 weeks AOG( occurs during 1st Trimester of Pregnancy)

Implanted egg, slightly separates or tears from the uterus

Blood collects between the chorionic membrane( a membrane that develops around a fertilized egg) and the wall of the uterus

Blood leaks in the cervix

Mild uterine cramping on the lower abdomen with minimal vaginal spotting / bleeding ( 3-4 days ) Fetus is compromised Subsequently expelled from the uterus

Subchorionic hemorrhage

Severe subchorionic bleeding can lead to rupture of subchorionic membrane.

Disruption of blood flow, containing oxygen& nutrients to the developing fetus.

Fetus is compromised

subsequently expelled from the uterus

Patient now manifest signs and symptoms of a spontaneous abortion like: Heavy vaginal flow Severe uterine cramping Open cervix Passage of tissue Ultrasound reveals the absence of a viable fetus

Risk for miscarriage and threatened abortion

Incomplete abortion

Ultrasound shows that some of the products of conception are still inside the uterus

D and C