*ABORTION
AMINA GUL
RN,RM,POSTRN
*DEFINITION:
*Abortion is the termination of pregnancy
before the fetus becomes viable
(usually before 20 weeks of gestation
or fetus weighing <500g), either
spontaneously (miscarriage) or induced
(medically or surgically).
PREPARED BY AMINA GUL
TYPE DEFINIT KEY PROCE TREATM
ION FEATUR DURE ENT
E
Threaten Vaginal Mild Observa Bed rest,
ed bleeding bleeding tion, no avoid
Abortion in early , no surgical intercour
pregnan passage interven se,
cy of tion progeste
without products rone,
cervical , closed regular
dilation cervix, follow-
uterus up
size =
gestatio
nal age
PREPARED BY AMINA GUL
Inevita Abortio Heavy May Stabiliz
ble n in bleedin require e
Abortio progres g, surgical patient,
n s; dilated evacuat IV
cervix cervix, ion fluids,
dilated uterine D&C or
with contrac misopr
bleedin tions, ostol if
g and no needed
pain passag
e of
product
s yet
PREPARED BY AMINA GUL
Incompl Partial Persist Manual IV
ete expulsi ent vacuum fluids,
Abortio on of bleedin aspirati uteroto
n product g, open on nics,
s of cervix, (MVA) antibiot
concept some or D&C ics if
ion product infectio
s n risk
retaine
d
PREPARED BY AMINA GUL
Comple All Bleedin No Reassur
te product g stops, proced e
Abortio s of closed ure patient,
n concept cervix, needed ultraso
ion uterus und to
expelle contrac confirm
d ted comple
te
expulsi
on
PREPARED BY AMINA GUL
Missed Fetal No Medical Monitor
Abortio death bleedin (misopr for
n without g or ostol) coagulo
expulsi mild or pathy,
on for spottin surgical follow-
weeks g, evacuat up
uterus ion hCG/US
smaller G
than
gestati
onal
age
PREPARED BY AMINA GUL
Septic Abortio Fever, Immedi Broad-
Abortio n with foul ate spectru
n uterine vaginal surgical m IV
infectio dischar evacuat antibiot
n (often ge, ion ics, IV
unsafe pelvic fluids,
abortio pain, ICU if
n) tendern severe
ess
PREPARED BY AMINA GUL
Recurre 3 or History Investi Treat
nt more of gation underly
(Habitu consec repeated s ing
al) utive pregnan neede cause
Abortio sponta cy loss d for (e.g.,
n neous cause progest
abortio erone,
ns cerclag
e)
PREPARED BY AMINA GUL
Induced Intentio Medical Medical Counsel
Abortio nal or : patient,
n termina surgical Mifepri monitor
tion of method stone + vitals,
pregna Misopro antibiot
ncy stol; ics if
Surgica needed
l: D&C
or
vacuum
PREPARED BY AMINA GUL
Missed Abnorm Excessi Suction Serial
Molar al ve hCG, evacuat hCG
Abortio growth uterine ion follow-
n of size > up,
trophob gestati avoid
lastic onal pregna
tissue age, ncy for
(no snowst 6–12
fetus) orm on months
USG
PREPARED BY AMINA GUL