What is considered retained products of conception?
The term retained products of conception (RPOC) refers to placental and/or fetal tissue that remains in the uterus after a spontaneous pregnancy loss (miscarriage), planned pregnancy termination, or preterm/term delivery.
Can you get pregnant with retained products of conception?
Most women who receive treatment for RPOC can still get pregnant and have healthy pregnancies. In rare cases, uterine scarring may cause fertility problems.
Is retained products of conception an emergency?
Retained products of conception is an important diagnosis for the emergency physician to consider in at-risk patients. The sonographic findings are easily obtained and interpreted by emergency physicians. Earlier diagnosis of this disease process should lead to more focused patient evaluations and management.
Can you have a period with retained products?
This bleeding can be life threatening; fever, abdominal or pelvic pain and tenderness — these symptoms can be signs of an infection in the retained products; and. late period — ie if a woman’s period doesn’t return within six weeks after the event.
What happens if miscarriage is not removed?
Often, some of the pregnancy tissue remains in the uterus after a miscarriage. If it is not removed by scraping the uterus with a curette (a spoon-shaped instrument), you may bleed for a long time or develop an infection.
How long does it take to pass pregnancy tissue after abortion?
Most people finish passing the pregnancy tissue in 4-5 hours, but it may take longer. The cramping and bleeding slows down after the pregnancy tissue comes out. You may have cramping on and off for 1 or 2 more days.
How long does pregnancy hormone stay after abortion?
Pregnancy hormones decline rapidly after an abortion but don’t completely diminish to normal levels right away. It can take anywhere from 16 days up to 2 months for hCG levels in the body to fall below the levels detected by a pregnancy test.
Does your belly still grow after a miscarriage?
It begins to form cysts and grows at an increased rate. There may be some vaginal bleeding. This is a very confusing condition, because at first you think you are pregnant, then you have miscarried, but your uterus continues to grow as though you are still pregnant.
When to look for retained products of conception?
Retained products of conception can be suspected on ultrasound if the endometrial thickness is >10 mm following dilatation and curettage or spontaneous abortion (80% sensitive).
What are retained products of conception ( RpoC )?
Retained products of conception (RPOC) are a common and treatable complication after delivery or termination of pregnancy.
What are the radiographic features of retained products of conception?
Radiographic features. Ultrasound. Ultrasound is typically the first-line investigation in suspected retained products of conception: a variable amount of echogenic or heterogeneous material within the endometrial cavity. in some instances, this may present like an endometrial or intrauterine mass.
Why is differentiation of retained products of conception important?
Differentiation of these entities is important because retained products of conception are treated conservatively or with curettage, while gestational trophoblastic disease may require chemotherapy.