Abortion

Question 1

● Interruption of a pregnancy before a fetus is viable
(20 weeks).
● Occurs in 15%- 30% of all pregnancies.
● Early or Late Miscarriage

Answer 1

SPONTANEOUS ABORTION

Question 2

● Unexplained bleeding,
cramping, or backache.
● Bleeding may persist for
days.
● The cervix is closed.
● Evaluation for h. mole or
ectopic pregnancy is
advisable.

Answer 2

THREATENED

Question 2

● Increased bleeding and
cramping.
● Dilated internal cervical
os.
● Membranes may rupture.
● “Inevitable abortion”

Answer 2

IMMINENT

Question 3

● All the products of
conception are expelled.
● Contracted uterus.
● Cervical os may be
closed.

Answer 3

COMPLETE

Question 4

● Some of the product of
conception are retained.
● Slightly dilated internal
cervical os.

Answer 4

INCOMPLETE

Question 5

● Fetus dies in utero but is
not expelled.
● Uterine growth ceases,
breast changes regress,
brownish vaginal discharge.
● Cervix is closed.

Answer 5

MISSED

Question 6

● Abortion occurs consecutively in three or more
pregnancies.
● Habitual abortion

Answer 6

RECURRENT

Question 7

● Presence of infection
● May occur with:
○ Prolonged, unrecognized rupture of the
membranes
○ Pregnancy with an IUD in utero

Answer 7

SEPTIC

Question 8

COLLABORATIVE CARE

Answer 8

● Bed rest, abstinence from coitus and perhaps
sedation.

● If bleeding persists and abortion is imminent or
incomplete = hospitalization.

Question 9

● Procedure performed by knowledgeable health
care providers to end pregnancy before viability.
● AKA therapeutic, medical, or induced abortions

Answer 9

ELECTIVE TERMINATION OF PREGNANCY

Question 10

● Mifepristone (RU-486)
● Methotrexate & misoprostol
● Antibiotics as prophylactic protection

Answer 10

MEDICALLY INDUCED TERMINATION

Question 11

● Involve several different techniques, depending on
the gestational age.

Answer 11

SURGICAL ELECTIVE TERMINATION

Question 12

1.) formerly used during the last 3 months of pregnancy

2.) Performed 5-7 wks. AOG

3.) Used for less than 13 wks. AOG

4.)
○ Used between 12 & 16 wks. of gestation
○ Adm. of buccal misoprostol or insertion of
laminaria tent into the cervix
○ Antibiotic as prophylaxis

5.) Used bet. 16-24 wks. of gestation

6.) 20-24 wks. of gestation

Answer 12

1.) Partial Birth Abortion
2.) Menstrual extraction/suction evacuation
3.) Dilatation and Curettage
4.) Dilatation and Vacuum Extraction
5.) Prostaglandin or (20%) Saline Induction
6.) Hysterectomy