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Obg > Abortion > Flashcards

Abortion Flashcards

Def mgx

1
Q

Abortion

A

< 28 weeks if at < 500gms

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2
Q

If death of >= 500 gm

A

Iud

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3
Q

MTP

A

20 week

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4
Q

Confirmation of abortionv by usg

A

If mean sac Dia >= 25 mm +no cardiac activity

If CRL >= 7 mm + no cardiac activity

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5
Q

Recurrent abortions

A

> = 3 EPI

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6
Q

When does inch should start in abortions

A

After 2 abortions

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7
Q

MCC of single time ist trimester abortion

A

Chromosomal anomaly 50%

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8
Q

MCC single time 2 nd trimester abortion

A

Chromosomal anomaly 35%

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9
Q

Mc time for spontaneous abortion

A

<8weeka

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10
Q

Mc chhromosal anomaly for abortion

A

Aneuiploidy > trisomy > monosomy > trisomy 16

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11
Q

Other causes of spontaneous abortion

A

Pcod
DM
Hypothyroidism
Chr disease

Inf
Teenage
>= 40

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12
Q

MCC of recurrent abortion in 1 St tri

A

Idiopathic

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13
Q

Other cause of recurrent abortion in ist tri in order

A

Idio> aplas> endocrine > chromosomal defect 4%

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14
Q

Mcc among chromosomal cause of reccirent abortion

A

Balanced translocation

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15
Q

MCC of recurrent 2nd tri abortion

A

Cervical incomp

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16
Q

Which inf causes recurrent abortion which is a exception

A

Syphilis

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17
Q

The law in syphilis regarding recc preg loss

A

Kassowitz law

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18
Q

Will syphilis cause early preg loss

A

No

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19
Q

Kassowutz law

A

In syphilis with no of preg loss inc the pog inc

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20
Q

Mc ab in aplas

A

La
Anticardiolipin
Beta 2 glycoprotein 1

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21
Q

Serum which parameter inc

A

Aptt

22
Q

Which thromosis is mc on applas

A

Venous > arterial

23
Q

What is conseq of children on aplas mother

A

Iugr
Iud
Stillbirt
Abortion

24
Q

A ortion is mc in which tri in aplas

A

2 nd tri

25
Q

Will the mother be predisposed to pih in aplas

A

Yes

26
Q

Diagnosis of aplas

A

Sappario modified

At least one clinical + one lab

27
Q

Sappario clinical criteria

A

Venous / arterial thrombosis

> = 1 unexplaine preg loss of morphological n fetus beyound 10 weeks

> = Ptl due to placental insufficiency before 34

> = 3 unexplaine consecq abortions <10 weeks

28
Q

Lab criteria in sappario

A

Lupus anticoug
Anticardiolipin
Beta2 glycoprotein 1

On on 2 occasions 12 week apart

29
Q

Mg of aplas with arterial and venous thrombosis

A

Ac before preg preferred heparin continue ion pre with warfarin at 32 weeks switch to heparin and continue after 6 weeks of preg

30
Q

MGT of aplas wth no ho arterial or venous thrombosis

A

Aspirin+ lmwh ( enoxa 20-40 mg/ day) start as soon

Upt+

31
Q

Cervical incompetence mc in

A

2nd tri / early 3rd tri

32
Q

Mc time of abortion in cervical incompetence

A

16_ 24 weeks

33
Q

What are the acquired causes of cervical incompetence

A

Forcebale Dil of cervix during d and c

Conizatipn of cervix

Fotgergill opt

Cautery use in cervix

34
Q

Come with h/ o recurrent preg loss in 2 nd tri

What will you do in non preg women

A

Put 8 no hegar dilator without snyvresistance offered by the patient

Hysterocervicographyv- dye inti uterus using catheter
Multiple xrat

35
Q

In preg women h/ o recuurent preg loss 2 nd tri

IOC in cervical incompetence

A

Tvs

36
Q

What are tvs finding in cervical incomp

A

Length < = 2.5cm

Dil >= 1 cm

Shape y

37
Q

Shape order in tvs from n to cervical incomp

A

T y v u

38
Q

Mgx of c incom

A

Encirclage

39
Q

Mc route for encerclage

A

Transvaginal

40
Q

Among transvaginal encerclage mc procedure

A

McDonald’s purse string

41
Q

I the suture used in MacDonald is

A

Non absorbable

42
Q

Transabdominal circlage name

A

Benson and durfy circlage

43
Q

Disadv of transabd circlage

A

Do c/s

44
Q

Prophylactic indi

of circlage

A

More than or equal 3 abortions of 2 nd tri / ptl

45
Q

Therapeutic indi of circlage

A

USG indicated h/io 1 abortion of 2 nd tri / ptl + USG indi cervical length <= 2.5 cm

46
Q

Rescue encirclage is

A

Physical exam indicated

47
Q

Indi for rescue encirclage

A

iOS open

Cx length ,< 4cm Dil

Memb not ruptured

48
Q

Best time for circlage

A

14 weeks

Can do upto 24 weeks

49
Q

Law in cerv incomp

A

As the preg loss inc the pog at which loss occurs

Dec

50
Q

Time for removal of stitch

A

37weeks

51
Q

Stitch is removed immediately in the case of

A

Labour
Prom
Choroioamnionitis

52
Q

Absolute CI of encirclage

A

Pelvic inf

Gross congenit anomalies

Rom

Obg (6 decks)

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