Description

• The process of abortion has progressed to the stage or extent of irreversibility, hence so called.

Types

• Amenorrhea
• Profuse bleeding per vagina
• Pain present with fresh blood and clots
• Uterine contractions
• Pallor and tachycardia
• Hypotension
• Cold clammy extremities
• Soft cervix with opened os
• Blood clots
• Soft firm uterus which corresponds to age of gestation

Investigation

• Blood group
• Hb
• PCV
• Rh typing
• TC
• DC
• USG

Treatments

• IV fluid and blood if required
• Dilatation and suction curettage
• Antibiotics
• Anti D if mother is Rh negative

Ayurvedic management

• Can try complete evacuation considering the gestational age, health of the mother, and the status of internal os of cervix
• Dashamoola Kashaya
• Rajapravartini Vati
• Pippalyasava
• Dashamoolarishta
• Hinguvashtaka Choorna
• Arogyavardhini Vati
• Erandabrishta Hareetaki
• Abhayarishta + Jeerakarishta
• Panchakola choorna + Guda
• Pulimkuzhambu
• Check for infections and prevent septic abortion
• Repeat USG after one week and if necessary do D & E (Dilatation & Evacuation)

Department

Prasoothi & Stree Roga