Miscarriage

Made Ayu Puspa Mahendrayani

1670121004 / SGD 3 / Semester 7
Topik Bahasan

Definisi

Faktor Resiko
 Definition
 Miscarriage/abortus adalah
kehilangan janin sebelum 20
minggu.

 Early pregnancy loss mengacu

pada IUP yang tidak dapat hidup
dan berkembang sebelum usia
kehamilan 13 minggu

 5 Jenis miscarriage/Abortus:
threatened, inevitable,
complete, incomplete, and
missed
Klasifikasi Miscarriage

Threatened
Inevitable
Complete
Incomplete
Missed Abortion
Faktor Risiko terjadinya miscarriage
 Usia ibu (faktor risiko independen)

 Riwayat keguguran sebelumnya

 Obesitas

 Diabetes tipe 1 yang tidak terkontrol

 Penyakit tiroid

 Penggunaan kokain dan alkohol

 Kelainan struktural uterus

 Gejala Klinis

 Vaginal bleeding in
pregnancy and/or lower
abdominal pain (5 to 8
weeks’ gestation)

 Very early in the pregnancy,

some women will have
implantation bleeding,
usually occurs
approximately 4 weeks after
the LMP and is a small
amount, typically pink or
brown in color
Diagnosis
 Diagnosis of miscarriage requires a history and physical
examination, laboratory investigations, and imaging.
 Laboratory tests
 Ultrasound
 a fetal heart rate (FHR) of less than 80 is almost always associated
with a future miscarriage.
 vaginal bleeding but a reassuring ultrasound with a normal FHR
has significantly decreased odds of progressing to a complete
miscarriage
Management

 The management of a threatened miscarriage is largely supportive

with anticipatory
 guidance. The patient should be counseled that a spontaneous
miscarriage may still
 occur. She also will need timely gynecologic follow-up, ED return
precautions,
 including heavy vaginal bleeding, fever, dizziness, syncope, or pain.
“Pelvic rest” can
 be considered, but the implementation of pelvic rest has not been
shown to improve
 pregnancy outcomes.
Referensi
THANK YOU