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Old 09-10-2011
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ObGyn Inevitable vs Incomplete abortion?

this is what i assumed...a pregnant female with vaginal bleeding with:
  • cervial os open plus gestational sac intact = inevitable abortion
  • cervial os open plus passage of few RPOCS = incomplete abortion
where does the crevical os open, gestational sac ruptured (i.e loss of amniotic fluid) but no passage of RPOCS lie????

incomplete or inevitable??

because uworld mentioned the pt with ruptured gestational sac n no passage of rpocs as having inevitable abortion...i thought gestational sac has to be intact, for inevitable abortion as is said in kaplan videos...plz someone clarify??
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Old 09-10-2011
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This would be inevitable abortion.

Incomplete abortion is when a portion of POC is passed & some is still left in the uterus.
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Old 09-10-2011
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Quote:
Originally Posted by step1an View Post
This would be inevitable abortion.

Incomplete abortion is when a portion of POC is passed & some is still left in the uterus.
but for inevitable abortion, dont u think sac has to be intact??? this is what the obstetrician in kaplan videos said...!!
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Old 09-10-2011
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I think we look at the cervical os not sac. If cervical os is open, this fetus is going to abort whether the sac ruptures or not. Thats why the term "inevitable" abortion.

While in case there is incomplete loss of products of conception, so we call it "incomplete" abortion.
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Last edited by step1an; 09-10-2011 at 01:54 PM. Reason: Correction
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Old 09-10-2011
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Quote:
Originally Posted by step1an View Post
I think we look at the cervical os not sac. If cervical os is open, this fetus is going to abort whether the sac ruptures or not. Thats why the term "threatened" abortion.

Thats why we do cercalage to prevent that from happening.

While in case there is incomplete loss of products of conception, so we call it "incomplete" abortion.

ok thanx.....!!1
but i think u mistakenly wrote threatened rather than inevitable
anyways thanx
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Old 09-10-2011
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Quote:
Originally Posted by aasiaafzal View Post
ok thanx.....!!1
but i think u mistakenly wrote threatened rather than inevitable
anyways thanx
thanks for pointing it out.
I have corrected the mistake.
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