RPOC: Understanding Persistent Bleeding After Delivery or Miscarriage

After childbirth, miscarriage, or abortion, the body usually clears all pregnancy-related tissues from the uterus. However, in some cases, a portion of this tissue remains inside. This condition is known as RPOC – Retained Products of Conception. RPOC is more common than many realize, and early detection is essential to prevent infection, heavy bleeding, and long-term complications.

What Is RPOC?

Retained Products of Conception refers to placental or fetal tissue that remains inside the uterus after:

• Normal delivery
• Cesarean delivery
• Miscarriage
• Medical or surgical abortion

When this tissue is not expelled naturally, it can cause ongoing symptoms that should not be ignored.

Warning Signs of RPOC

If you recently delivered a baby or experienced a miscarriage, watch for these symptoms:

• Persistent or heavy vaginal bleeding
• Severe abdominal cramps
• Foul-smelling vaginal discharge
• Fever or signs of infection
• Prolonged bleeding lasting weeks
• Weakness or dizziness

These symptoms indicate that the uterus is not healing properly and should prompt medical evaluation.

How Ultrasound Helps Diagnose RPOC

Pelvic ultrasound is the most reliable, non-invasive method to detect RPOC. During the scan, the radiologist checks for:

• Thickened endometrial lining
• Remaining placental/fetal tissue
• Abnormal vascularity
• Signs of infection or clots

Early diagnosis ensures prompt treatment and prevents complications.

Why Early Detection Matters

RPOC can lead to:

• Severe blood loss
• Uterine infection (endometritis)
• Infertility if untreated
• Need for emergency surgical procedures

Timely treatment helps protect long-term reproductive health.

Treatment Options for RPOC

Depending on the severity, your doctor may recommend:

• Medication to expel remaining tissue
• Manual vacuum aspiration
• D&C (Dilation & Curettage)
• Monitoring for small, stable retained tissue

The goal is to restore the uterus to normal and prevent future complications.

If you are experiencing persistent bleeding after delivery or miscarriage, do not ignore it. A simple ultrasound can give you clarity and prevent serious issues.