Escolar Documentos
Profissional Documentos
Cultura Documentos
OBJECTIVES
1. Termination of pregnancy
before 28/40
1. Induced
2. Threatened
3. Inevitable
4. Incomplete
5. Complete
6. Septic
7. Missed
8. Recurrent
1. INDUCED ABORTION
• Intentional medical or surgical
termination of a pregnancy
• Types
– Elective: if performed for a
woman’s desires
Signs
• Stable general condition
• Fundal height corresponds to
GA
• Cervix closed
Management of threatened abortion
1. Bed rest
– Avoid strenuous exercises
2. If GA > 16/40 give - tocolytics
3. INEVITABLE ABORTION
Symptoms
• Moderate to severe vaginal bleeding
• Severe abd pain
• Significant draining of liquor
Signs
• Dilatation of cervix with evidence of
imminent expulsion of the PoC
• Fundal height corresponds to GA
• Presence of contractions
Management of Inevitable abortion
1. Resuscitation
– IV fluids: RL, NS
2. Insert urethral catheter
– Monitor Input/output
3. Blood grouping & Cross matching
4. Antibiotics:
• Preferably cephalosporins, if not available
ampicilin and metronidazole
5. Evacuation
6. Haematenics
6. RECURRENT PREGNANCY LOSSES
Other names:
• habitual abortions
• habitual miscarriage
• recurrent abortions
• recurrent miscarriages.
Aetiology of RPL
Aetiology: Can be established in only 30%
• Genetic Factors
• Endocrine Factors
• Anatomic Causes
– Congenital anomalies, in competencies,
• Infectious causes
• Immunologic problems