Abortion Flashcards
What is abortion?
Expulsion or termination of pregnancy
At anytime of pregnancy
Before full term or confinement
(Synonymous with miscarriage, premature labor)
What are the reasons for abortion?
To stop childbearing
To postpone childbearing
Socioeconomic conditions
Relationship problems
Age
Health
Coercion and rape
What is the Sri Lankan lawful indication for abortion?
Only to save the mothers life
Anything else is illegal and a criminal offense
Penal code 303 to 307
Prosecution under CPC and PC
What are the causes for spontaneous abortions?
MATERNAL Infections Toxin exposure Chronic disease Psychological Physical trauma Fibroids PID endometritis Uterine anomalies
FETAL congenital anomalies IUD H mole Placental disease
What are the methods of abortion?
ORAL ergot Quinine Purges Lead Estrogens
EXTERNAL
Physical violence
Strenuous exercise
Cupping
INJECTIONS
pituitary extracts
Intra uterine saline
Prostaglandins
LOCAL IRRITANT
Vaginal douching
KMNO4
Utus paste
INSTRUMENTAL higginson syringe Syringe suction Curettage Dilatory Vacuum extraction Penetration Chorionic separation Castor stems
What are the complications of abortion?
IMMEDIATE bleeding Embolism Perforation Anesthesia related Convulsions Cervical injury Vagal shock Involution of uterus
Infection Bleeding Fever Burns Rh sensitization
EARLY infection Drug toxicity Intra abdominal injury CNS lesions Cervical necrosis
LATE anemia Breast cancer Cervical laceration Cervical incompetence Premature delivery Labor complications PID sub fertility Placenta previa
What are the causes for death in abortions?
Hemorrhage and shock Neurogenic shock Peritonitis Air embolism Amniotic fluid embolism Uterine rupture Uterine inversion Renal failure Septicemia Tetanus Gas gangrene Poisoning
What are the medicolegal aspects of abortion?
Examine the mother
Examine the POC
Autopsy
Consent Signs of pregnancy Signs of delivery Signs of intervention Signs of complications Scene visit Investigations
