Missed Abortion:

Retention of all product of conception after the death of the fetus in the uterus.
Sign and Symptom
1. Absence of Fetal heart tone.
2. Signs of pregnancy disappear.
Uterus fails to enlarge
Fetal heart sounds are not heard at the appropriate time
A serum of urine test for the subunit of HCG becomes negative earlier than
expected or does not double within 48-72 hours.
UTZ showing no cardiac activity provides the earliest diagnosis.
Complication

Hemorrhage
Infection
Malignant

Management
1. Depending on the age of gestation or size of conceptus, the product of conception has
tobe removed from the uterus to prevent DIC-(Disseminated intravascular coagulation) a
condition resulting from over stimulation of the blood-clotting mechanism in response to
disease or injury, such as severe infection, malignancy, acute leukaemia, burns, severe
trauma , abruption placenta or intrauterine fetal death. The overstimulation in generalized
blood coagulation and excessive consumption factors. The resulting deficiency of these
spontaneous bleeding.
2. Up to 28 weeks gestation, it is frequently manage by inserting a 20mg dinoprostone
suppository into the vagina q3 or q4 as necessary to produce contraction.
3. Late missed abortion may be completed with a dilute IV infusion of oxytocin, which
causes contraction of the uterus and delivery of the product of conception.
Nursing Intervention

Life style (smoking)

Teach to avoid strenuous activity
Avoid coitus for one week
Teach to notify physician of increasing bleeding
Encourage the patient to use peripads, instead of tampons for light vaginal discharged to
decrease infection.
For pre-conceptual care should be encourage the patient to decide pregnant again.

First Asia Institute of Technology and Humanities

College of Nursing

Report
In
Batangas Regional
Hospital
Submitted by:
Ryan Mauie A. Mulano
BSN 3-A
Submitted to:
Maam Rosalie Delizo, RN, MAN