Professional Documents
Culture Documents
DEFINITIONS
(WHO
)
INCIDENCE
ETIOLOGY
1) MATERNAL FACTORS
teratogens)
2) FETAL FACTORS
>Chromosomal abnormalities
>Multiple Pregnancy
>Genetic Disorders
MECHANISM OF ABORTION
BEFORE 8 WEEKS
The ovum surrounded by the villi with decidual coverings expelled out
completely.
8-14 WEEKS
CLASSIFICATION
ABORTION
SPONTANEOUS INDUCED
1) THREATENED ABORTION
Definition
Clinical Features
Investigation
Treatment
*Rest
*General measures
2) INEVITABLE ABORTION
Definition
Clinical Features
Management
*General Measures
*Active Management
>Before 12 weeks
>After 12 weeks
>Oxytoxin drip
>Hystrectomy
3) COMPLETE ABORTION
Definition
Clinical Features
>Cervical os is closed
Management
4) INCOMPLETE ABORTION
Etiology
Clinical Features
>Patulous abdomen
Management
Early Abortion
Late Abortion
When the fetus is dead and retained inside the uterus for a variable of time
it is called missed abortion.
Etiology
Clinical Features
Management
>Vaginal evacuation
>Oxytoxin drip
6) SEPTIC ABORTION
Etiology
Common etiological factors
Clinical Features
>Tender uterus
*Clinical grading
actual renal
failure.
Investigations
>Routine investigations
*Blood investigations
*Urine analysis
>Special investigations
Management
Principles of management
Control of sepsis
Remove source of infection
Give supportive therapy
Assess response of treatment
General Management:
*Grade 1:
*Grade 2
> Antibiotics
>Surgical Management
*Evacuation of uterus
*Posterior Colpotomy
*Grade 3:
>Antibiotics
7)RECURRENT MISCARRIAGE
Definition
Etiology
1st Trimester
>Genetic Factor: Chromosomal anomalies
*Thyroid abnormalities
*Infection
*Inherited thrombophelia
*Immunological defects
- Autoimmune disorders
- Alloimmune disorders
2nd Trimester
Investigations
*History collection:
*Blood investigations
*Ultrasonography
*Hysteroscopy
*Karyotyping
Treatment
>Interconceptual Period
>During Pregnancy
*Circulage operations.
>Principles
wastge, as early as the 10th week. Prior to the operation, fetal growth and
anatomy is assessed by sonography.
*Shirorkar operations
>Post Operative:
>Advice on discharge
* Avoid intercourse
>Removal of sutures
occur.
>Contraindications
*Intrauterine infection
*Ruptured membranes
>Complications
*Chorioamnionitis
*Rupture of membranes
*Abortion/Preterm labour
>Eugenic: Where substantial risk of the child being born with serious handicaps
due to physical or mental abnormalities.
contraceptive devices.
Conclusion
Abortion continues to represent one of the most controversial and divisive issues
in society. Those who are opposed to abortion often regard the issue as one of
morality. Those who are in favor of abortion often defend their stance from a
political and legal perspective. However, if we look back in history at American
society, we see that quite often what is viewed as "morality" equates to the
socially reinforced notions of what is or is not moral handed down and
perpetuated through institutions like government, religion and the law.
BIBLIOGRAPHY
# D.C Dutta, Text book of gynecology. 6 th edition. New central book agency (p)
LTD. Culcutta 2006
# Kamini. A. Raw, Text book of midwifery and obstrtics for nurses. Elsever
publication 2011