Threatened Abortion

Group member 1 :

Husnah Pasaribu

Juriati Br Bancin

Evi Ardiani

Nisrina

B. Ria Gustina Sinamo

Feri Hendalikasari

Liza Andriyani

Sriwati

Elvira Putri

Arnijah

Jariah

Usnul Khotimah

Class :C

Lecture : Vitalia HM. Simanjuntak, SS, M. Pd.

Threatened Abortion

Threatened abortion is bleeding characterized by the appearance of brownish spots

(sometimes blood clots) from the vagina when the gestational age is less than 20 weeks. While
some women have vaginal bleeding in the first 3 months of pregnancy, bleeding and symptoms
that could suggest an increased risk of miscarriage are called threatened abortion. The cause of
Threatened abortion is not yet known with certainty. However, the following factors can
increase the risk of Threatened abortion: suffering from a bacterial or viral infection, such
as rubella while pregnant, suffering from an injury to the stomach, suffering from certain
diseases that are not treated properly, such as diabetes or thyroid disease, suffering from
disorders of the uterus, such as uterine polyps or uterine cysts, having different rhesus blood
types between mother and fetus ( rhesus incompatibility ), taking certain medications, such as
diclofenac or misoprostol, smoke, consuming alcoholic drinks excessively, exposure to certain
chemicals, such as heavy metals or cleaning solutions, be over 35 years old when pregnant,
suffering from obesity and experiencing a lack of progesterone hormone levels, because this
hormone plays a role in preparing and strengthening the uterine wall during pregnancy.

Symptoms that can arise due to imminens abortion include bleeding from the vagina in
the first 20 weeks of pregnancy, stomach cramps, low back pain, feeling of pressure in the
waist, back pain. Back pain and stomach cramps can occur continuously or come and go. If the
condition gets worse, blood clots can come out of the vagina. If you are pregnant and
experience the symptoms mentioned above, immediately go to the nearest hospital emergency
room or health service. Immediate treatment by a doctor can avoid the risk of miscarriage. The
doctor will begin the diagnosis by asking and answering questions about the symptoms
experienced by the patient and the patient's medical history. After that, the doctor will perform
a physical examination, including a pelvic examination, to detect whether a miscarriage has
occurred or not. During a pelvic examination, the doctor will check whether the birth canal has
opened (cervical opening) or the membranes have ruptured. The doctor will also perform a
pregnancy ultrasound to check the heartbeat and development of the fetus. Doctors can also
carry out further examinations, such as: Complete blood test , to check hemoglobin levels
which can decrease due to bleeding, as well as checking blood type and rhesus in the mother
and fetus. Then, urine test, to detect urinary tract infections and beta hCG test, to determine
gestational age, and detect incomplete miscarriage or fetal death.

Threatened abortion treatment aims to relieve symptoms and prevent

complications. Some treatment methods that can be used are: First treatment, as a first step, the
doctor will advise the patient to carry out independent treatment, such as do bed rest, No sexual
relations, not exercising, don't use tampons, don't travel far. Second, drugs apart from carrying
out self-care at home, doctors can also provide medication. Medications that can be given
include progesterone , such as dydrogesterone , to strengthen the uterine wall, and Rh
immunoglobulin, to treat rhesus incompatibility. Threatened abortion complications. If not
treated immediately, imminens abortion can cause several complications in the form of:
miscarriage, severe bleeding, infection of the endometrial lining (endometritis), miscarriage
accompanied by infection (septic abortion) and depression and anxiety disorders
 Prevention of threatened abortion considering that the cause is not yet known with
certainty, imminens abortion is difficult to prevent. However, the risk of this condition
occurring can be reduced by keeping the pregnancy healthy. Some efforts that can be made are:
undergo a TORCH examination before planning a pregnancy, eat any bacterial or viral
infections you suffer from before planning a pregnancy, take folic acid supplements according
to doctor's advice, stop smoking or consuming alcoholic beverages, reduce consumption of
caffeinated drinks, avoid exposure to chemicals, exercise at least 2 times a week, do not abuse
drugs and avoid foods that can harm the mother and fetus, such as raw foods.