Missed Abortion

Clinical Features:

• H/O pregnancy ......weeks 
• H/O no fetal movement..........times/days 

Investigation: 

• CBC 
• BLOOD grouping & Rh typing 
• USG of Pregnancy profile 
• RBS 
• HbsAg

Rx: ( indoor )

• Diet : liquid 
• Bed rest 
• Ready FHB ( if needed) 
• monitor vital sign

1. Inf. Hartsol (2L) 

• 30 drop/min

2. Inj.Oricef (ceftriaxone) (1gm)

• 1 vial I/V ....stat & BD 

3. Inj. Viset (Tiemonium)(5mg)

• 2 vial I/V stat & TDS 

4. Inj.Esonix (esomeprazole) (40mg) 

• 1 vial I/V stat& BD 

Obstretics Mx: 

if NVD contra-indicated : LUCS 

if NVD not contra-indicared: NVD trail 

• Tab. cytomis (200mg) 
• 1/2 tab pervaginally (post fornix) ....4 hourly 
• maintain cytomis chart 

if cervix is dialation then start drip

• inj.Hartsol (1L )  plus inj.Linda-DS (1ampl)
• I/V stat @ 10-15 d/min

After expulsion of baby / Dischage :

1. Tab. Ciprocin(ciprofloxacin) (500mg) 

• 1+0+1.................7 days

2. Tab.Filmet (Metronidazole) (400mg)

• 1+1+1.............5 days

3. Cap.Esonix (esomeprazole)(20mg)

• 1+0+1..........10 days (30 mon before meal)

4. Tab. Rolac(ketorolac) (10mg)

• 1+0+1.............3 days (if pain after meal)

6. Tab. Calcin-O 

• 1+0+0...................2 months 

7. Zif (iron+folic acid)

• 0+0+1.................2 months 

Advice : 

• Avoid heavy work for 2 months 
• avoid coitus for 1 months