Obstetrics & Gynaecology · Abortion and Medical Termination of Pregnancy

A 22-year-old woman presents with 10 weeks of amenorrhea, vaginal bleeding, and lower abdominal cramping. Cervical os is 2 cm dilated and products of conception are felt in the cervix. Ultrasound shows retained products. Which type of abortion is this?

  • A Incomplete abortion
  • B Threatened abortion
  • C Inevitable abortion
  • D Complete abortion
Correct answer: A. Incomplete abortion

Explanation

Incomplete abortion is characterized by partial expulsion of products of conception with the cervical os open and retained products visible or palpable in the cervix or uterus. In contrast, inevitable abortion features an open os without expulsion yet, while complete abortion shows a closed os with no retained products on ultrasound. Management of incomplete abortion includes surgical evacuation (vacuum aspiration) or medical management with misoprostol, and blood group and Rh status should be checked for anti-D prophylaxis.

Reference: Williams Obstetrics, 26th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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