What does RPOC mean? What is the full form of RPOC?

The Full Form of RPOC is‍ Retained products of conception.

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. 

RPOC complicate ~1-5% of all routine vaginal deliveries 12.

According to one prospective study, RPOC was present in after a third-trimester delivery in around 2.7% of women, whereas it was diagnosed in pregnancies ending during the second and first trimesters in 40% and 17%, respectively 12

It occurs with greater frequency with:

  • medical termination of pregnancy (MTP) 
  • second-trimester miscarriage
  • placenta accreta

Common symptoms include vaginal bleeding and abdominal or pelvic pain, similar to patients with gestational trophoblastic disease. Some patients may have fever 11.

Differentiation of these entities is important because retained products of conception are treated conservatively or with curettage, while gestational trophoblastic disease may require chemotherapy.

ß-human chorionic gonadotropin (beta-hCG) remains elevated in patients with gestational trophoblastic disease but falls to an undetectable level over 2-3 weeks, in cases of retained products.

RPOC

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