Hemorrhage: EPL

Early Pregnancy Loss (EPL) due to uterine atony

Hemorrhage from EPL, although rare, may be associated with morbidity and mortality if not treated in a timely manner1,2

  • EPL includes both intentional and unintentional pregnancy termination and may include dilation and curettage (D&C)3
  • As of 2015, in the US, the overall miscarriage rate is reported at 15 to 20%4
  • Though uterine hemorrhage is a rare complication (occurring in <1% of all abortions), it can occur as a result of uterine atony among other causes2
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References
  1. Second-trimester abortion. Practice Bulletin No.135. American College of Obstetricians and Gynecologists. Obstet Gynecol.2013;121:1394-1406.
  2. Kerns J,Steinauer J, for the Society of Family Planning. Clinical guidelines: management of postabortion hemorrhage. Contraception.2013;87:331-342.
  3. Weintraub AY, Sheiner E. Chapter2.Early pregnancy loss. Sheiner E(ed).Bleeding During Pregnancy: A Comprehensive Guide.2011.Springer Science+Business Media, LLC; Vol XI:25-44.
  4. PuscheckEE. Early Pregnancy Loss. Available at: http://reference.medscape.com/article/266317-overview. Accessed March 27,2017.