Bleeding may be heavy. Entire conceptus expelled with decreasing or ceasing of cramps and bleeding. On examination, the uterus is firm, and smaller than one would expect for gestational length of pregnancy. Products of conception retained 3 or more weeks after fetal death. Uterus is soft and irregular.
Ultrasound exam rules out live pregnancy.
Associated with IUD or instrumentation during abortion. Abdominal and uterine tenderness are present as well as purulent discharge and possibly shock. Others may be followed closely by phone. Remember patients must be seen within 48 hours for RhoGAM if indicated. Check for fetal heart tones with Doppler scanning if 10 to 12 weeks.