Signs of incomplete abortion to never ignore
pains after incomplete abortion

Abortion if not properly done can leave the woman in a dangerous state, having signs of incomplete abortion. There are 4 types of abortions with different signs.

What is incomplete abortion and what does it mean?

An incomplete abortion is the partial or incomplete removal of the products of a pregnancy after 20 weeks of conception. An incomplete abortion does not mean that the pregnancy wasn’t terminated during the process of abortion. It simply means that the content of the aborted pregnancy in the womb hasn’t been completely removed.

At this point, the baby has already died but parts of its tissues still remain in the womb and have not completely been expelled. These leftover tissues can be part of the womb lining. It could also be some of the products of the pregnancy (from the fetus or the placenta) inside your womb that needs to be removed.

An incomplete abortion is very rare, however, you are more likely to experience it if your pregnancy has gone for several months (3.4% chance for 83 to 91 days pregnancy).  A woman experiencing an incomplete abortion frequently presents with some signs that are trackable and clearly indicate that there are leftover tissues in the womb that needs attention.

Other types of abortions

Missed abortion

A missed abortion is a pregnancy that continues within the uterus after the fetal heartbeat is missed at the appropriate time. Spontaneous abortion may have been attempted but did not yield expected results. There are no symptoms that accompany this sort. No bleeding via the vagina, no pains around the abdomen, no passage of tissue, or no changes in the cervix are evident.

Threatened abortion

The definition of a threatened abortion by the World Health Organization (WHO) is a pregnancy-related bloody vaginal discharge or frank bleeding during the first half of pregnancy without cervical dilatation. This is when you experience vaginal bleeding before 20 weeks of gestational age. No products of conception are passed and there is no evidence of fetal demise.

Inevitable abortion

Inevitable abortion is experienced in early pregnancy with bleeding via the vagina and dilatation of the cervix. Even though with the bleeding, no tissue has been passed yet. Using ultrasound, the fetus can be seen in the lower uterine segment or also called the cervical canal. Typically, the vaginal bleeding, in this case, is worse than with the threatened abortion and you experience cramping too.

different types of abortions

Source: Lecturio

Signs of incomplete abortion

These signs might include the following:

  • Prolonged bleeding is heavier than a regular menstrual period. The bleeding comes out in the form of clots, or pieces of tissues.
  • Heavy vaginal bleeding with intense cramping is associated with lower abdominal. You may experience pelvic pain which may radiate to the lower back, buttocks, genitalia, and perineum
  • Bleeding that doesn’t get lighter after the first few days and continues for over three weeks and more.
  • High fever that lasts more than a day or two indicates an infection and possible septic abortion.
  • Discomfort when anything presses on your belly or when you put on anything tight-fitting.
  • Pain in your belly that becomes unbearable and does not go away after a few days of taking the abortion pill; Misoprostol.
  • Very severe abdominal pain and cramps that do not allow you to do anything.

What to do in event of an incomplete abortion

If you notice some or all of these signs, then it’s possible you might be experiencing incomplete abortion and it will be advisable you contact your health care provider or go to the hospital right away. The doctor may want to perform an ultrasound scan to confirm that there a leftover tissues of a terminated pregnancy in your womb even after taking the abortion pill, misoprostol.

You will need care and treatment if any remnant of the pregnancy remains in your womb. If the tissue and blood remain in the womb, they can cause complications like heavy bleeding or an infection, which need to be treated. If there are no signs of more complications, an extra 2 tablets of Misoprostol would handle the issue.


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