What is a Missed Miscarriage?

Because the placental tissue is sometimes organic, it is closely adhered to the uterine wall, which makes it difficult to curettage. If the retention time is too long, coagulation dysfunction may occur, resulting in diffuse intravascular coagulation (DIC) and severe bleeding. Before treatment, blood routine, clotting time, platelet count, fibrinogen, prothrombin time, clot shrinkage test, and plasma protamine paracoagulation test (3P test) should be checked, and preparation for blood transfusion should be made. Those with uterus less than 12 weeks of gestation. Fetal curettage is feasible. Intrauterine contractions are used during the operation to reduce bleeding. If the placenta is mechanized and adheres tightly to the uterine wall, the operation should be especially careful to prevent perforation. Once it cannot be scraped, it can be scraped again after 5 to 7 days. If the uterus is greater than 12 weeks of gestation, oxytocin should be injected intravenously, and prostaglandins or esacridine can be used to induce labor to promote fetal and placental excretion. If coagulation dysfunction, heparin, fibrinogen, and fresh blood transfusion should be used as soon as possible. After the coagulation function improves, then induction of labor or curettage should be performed.