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TEXTBOOK DISCUSSION
a. Definition
An incomplete abortion is the termination of pregnancy in which the products of conception are
not entirely expelled or removed. It also involves the expulsion of the fetus with retention of
placenta. It often causes hemorrhage that may require surgical evacuation by curettage,
oxytocics, and blood replacement. Infection is also a frequent complication of incomplete
abortion.
b. Manifestations
Signs and symptoms
S/S Found in the Book
Manifested by the Patient
Vaginal Bleeding
+
Cramps
+
Fever
Continued bleeding after three weeks
Decrease in the usual signs of early
+
pregnancy, such as nausea and breast
tenderness
C. Pathophysiology
Precipitating Factors
Predisposing Factors
Abdominal contraction
Abdominal pain
Cervical dilation
Intermittent
vaginal bleeding
2. Surgical management
Suction dilation and curettage (D&C). Dilation and curettage (D&C) is a procedure to
remove tissue from inside your uterus. Doctors perform dilation and curettage to diagnose and
treat certain uterine conditions such as heavy bleeding or to clear the uterine lining after a
miscarriage or abortion.
In a dilation and curettage sometimes spelled "dilatation" and curettage your doctor
uses small instruments or a medication to open (dilate) your cervix the lower, narrow part of
your uterus. Your doctor then uses a surgical instrument called a curette to remove uterine tissue.
Curettes used in a D&C can be sharp or use suction.
3. Nursing management
References:
Brunner and Suddarth., Textbook in Medical-Surgical Nursing 10th Edition.
Lowdermilk, Deitra Leonard, and Perry, Shannon E. Maternity and Womens Health Care Eighth
Edition. Mosby, Inc: Singapore
_____ (n.d.) Retrieved from website medical-dictionary.thefreedictionary last February 7, 2016
_____ (n.d.) Retrieved from website 2womenshealth.com last February 8, 2016
Gaufberg, Slava V., (n.d.) Retrieved from website medscape.com last February 8, 2016
Puscheck, Elizabeth E., (n.d) Retrieved from website medscape.com last February 8, 2016
_____ (n.d.) Retrieved from website womenonwaves.org last February 8, 2016
_____ (n.d.) Retrieved from website nursingslideshare.net last February 8, 2016
_____ (n.d.) Retrieved from website mayoclinic.org last February 8, 2016