Retained products of conception (RPOC)

Question 1

What is meant by retained products of conception

Answer 1

pregnancy-related tissue (e.g. placental tissue or fetal membranes) remain in the uterus after delivery. It can also occur after miscarriage or termination of pregnancy.

Question 2

Presentation of retained products of conception

Answer 2

• Vaginal bleedingthat gets heavier or does not improve with time
• Abnormal vaginal discharge
• Lower abdominal orpelvic pain
• Fever(if infection occurs)

Question 3

Diagnosis of retained products of conception

Answer 3

USS

Question 4

Management of retained products of conception

Answer 4

Evacuation of retained products of conception (ERCP)

The cervix is widened using dilators and retained products manually removed using vacuum

Question 5

What are the 2 key complications of evacuation of retained products of conception (ERPC)

Answer 5

Endometritis
Asherman’s syndrome