ABORTION Flashcards
- interruption of a pregnancy
before a fetus is viable - occurs in 15%- 30% of all
pregnancies - Early or Late Miscarriage
spontaneous abortion
causes of spontaneous abortion
- chromosomal / implantation abnormalities
- low progesterone from corpus luteum
- maternal and intra-abd infections
- endocrine disorders
- abn of the repro
- teratogenic drugs
- alcohol
– unexplained bleeding, cramping,
or backache
– Bleeding may persist for days
– The cervix is closed
– Evaluation for h. mole or ectopic
pregnancy is advisable.
threatened abortion
– increased Bleeding and cramping
– Dilated internal cervical os
– Membranes may rupture
imminent
other name for imminent abortion
inevitable abortion
– All the products of conception
are expelled.
– Contracted uterus
– Cervical os may be closed.
complete abortion
– Some of the product of
conception are retained
– Slightly dilated internal
cervical os
incomplete abortion
– Fetus dies in utero but is
not expelled
– Uterine growth ceases,
breast changes regress,
brownish vaginal
discharge
– Cervix is closed
missed abortion
– Abortion occurs consecutively in
three or more pregnancies.
– habitual abortion
recurrent abortion
– Presence of infection
May occur with:
– prolonged, unrecognized
rupture of the membranes
– pregnancy with an IUD in utero
– attempts by unqualified
individuals to terminate a
pregnancy
septic abortion
If at ___ trimester,
cramping or spotting
begins, she is often
evaluated on an outpatient
basis
first
The nurse provides
___ for pain relief if
the woman’s cramps are
severe
analgesics
___ is given
within 72 hours (Rhmother & not
sensitized)
Rhogam
what is given after spontenous abortion
folic acid
in missed abortion what is done?
- first trimester
- beyond 12 weeks gestation
- suction evacuation or D&C
- induction of labor, D&E
Procedure performed by
knowledgeable health care
provider to end pregnancy
before viability
* A.k.a. therapeutic, medical, or
induced abortions
elective termination
medicine for elective termination
- Mifepristone (RU-486)
- Methotrexate & misoprostol
- Antibiotics as prophylactic
protection
Contraindications for medically induced termination
- ectopic pregnancy
- IUD
- serious medical condition
- Hx of current long-term systemic corticosteroid
therapy - Hx allergy to drug
- hemorrhagic disorder or taking coagulant therapy
surgical elective termination performed 5-7 wks. AOG
menstrual extraction / suction evacuation
surgical elective termination performed for less than 13 wks AOG
dilatation and curettage
surgical elective termination performed between 12 and 16 wks AOG
dilatation and vacuum extraction
during D&E what is given?
buccal misoprostol or insertion of laminaria tent into the cervix + antibiotics as prophylaxis
surgical elective termination performed 16-24 wks. AOG
prostaglandin or 20% saline induction
surgical elective termination performed 20-24 wks. AOG
hysterectomy
surgical elective termination performed during the last 3 months of pregnancy
partial birth abortion
