O04.6

Clinical Causes: Delayed or excessive bleeding due to incomplete pregnancy tissue removal Hemorrhage associated with blood clotting disorders, such as afibrinogenemia Disseminated intravascular coagulation (DIC), leading to abnormal clotting and bleeding Infections or inflammatory responses following pregnancy termination Vascular injury during the procedure

Key Symptoms: Heavy bleeding that exceeds normal levels Prolonged bleeding times beyond expected post-procedure bleeding Signs of shock such as dizziness, weakness, or fainting in severe cases Pain in the lower abdomen or pelvic area Signs of infection, including fever or chills (if infection is involved)

Diagnosis Path: Diagnosis involves a combination of clinical evaluation and laboratory tests. Blood tests may include measurements of fibrinogen levels, platelet counts, clotting time, and other coagulation parameters. Imaging studies such as ultrasound can be used to check for retained tissue or bleeding sources. A thorough medical history and physical examination are essential to determine the cause and severity of bleeding.

Treatment Protocols: Treatment strategies focus on stabilizing the patient and addressing the underlying cause of bleeding. This may involve: - Blood transfusions to replace lost blood and improve clotting capacity - Administration of clotting factors or blood products, such as fibrinogen concentrates - Medical management of coagulopathies with medications that promote clotting - Surgical intervention if necessary to control bleeding or remove retained tissue - Careful monitoring of vital signs and laboratory parameters during recovery Prompt and appropriate management is critical to prevent complications such as severe blood loss or organ damage.