How is incomplete miscarriage treated?

Updated: Nov 05, 2018
  • Author: Slava V Gaufberg, MD; Chief Editor: Jeter (Jay) Pritchard Taylor, III, MD  more...
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Answer

Incomplete miscarriage

If tissue, blood clots, or products of conception are found in the cervical os, remove them with ring forceps to facilitate uterine contractions and hemostasis. For the same reason, use oxytocin in cases of severe bleeding (10-20 mcg/L of NS, wide open).

Administer RhoGAM to a gravid patient who is Rh-negative and is experiencing vaginal bleeding.

Consider hemotransfusion in the case of severe bleeding, hemodynamic instability, or both.

Consider treatment with misoprostol to facilitate completion of the miscarriage.


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