Retained products of conception (RPOC) refer to the persistence of placental and/or fetal tissue in the uterus following delivery, termination of pregnancy or a miscarriage.
The term retained products of conception (RPOC) refers to placental and/or fetal tissue that remains in the uterus after a spontaneous pregnancy loss (miscarriage), planned pregnancy termination, or preterm/term delivery. The presence of RPOC after a spontaneous pregnancy loss distinguishes an incomplete from a complete miscarriage.
This topic will review the evaluation and management of women who present with bleeding and/or signs of infection after uterine evacuation in the first half of pregnancy. Management of RPOC after preterm/term delivery and the initial management of an incomplete miscarriage are discussed separately. (See "Overview of postpartum hemorrhage" and "Postpartum endometritis" and "Spontaneous abortion: Management".)
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