| |
INEVITABLE ABORTION
If pregnancy is less than 16 weeks
| 1 |
Plan
for evacuation of uterine contents. If evacuation is
not immediately
possible, give:
| • |
Ergometrine
0.2 mg IM, repeated after 15 minutes if necessary |
| |
Or |
| • |
Misoprostol
400 mcg by mouth, repeated once after 4 hours if
necessary. |
|
| 2 |
Arrange
for evacuation of the uterus as soon as possible. |
If pregnancy is greater than
16 weeks
| 1 |
Await
spontaneous expulsion of products of conception and then
evacuate
the uterus to remove any remaining products of conception.
|
| 2 |
If
necessary, infuse oxytocin 40 units in 1 L IV fluids
(normal saline or Ringer’s lactate) at 40 drops
per minute to help achieve expulsion of the products of
conception. |
| 3 |
Ensure
follow-up of the woman after treatment. |
|
|
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